HomeMy WebLinkAboutBuilding Permit 04-0021
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Please type or print and sign at bottom)
ADDRESS
5 / t:::.-- FrJ IV
/54'27
Date 1
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 04-" 0 0 z.. I
CI ,e..
56
ZONING (office use)
K /5.D
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK 4- ADDITION GNIt:.NA V sflo~s
,
OWNER
(Name)
(Address)
J/r? r?//V{
BUILDER
(Name)
(Contact Name)
(Address)
PID zS: 09/. 017. 0
(Phone)
~ R'W () VA- (!A) AI J / /t.- .
-:J7J HU
3874-- G~~;J ~ ./~.
6'2--" 9 +"0 . 7,/)8
TYPE OF WORK
"DlDeck
o Fireplace
o New Construction
OLower Level Finish
o Misc.
(Phone)
(Phone)
o Porch
ji(Addition
ORe-Roofing
ORe-Siding
o Alteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;/,pon e pr fly perform needed inspections. 4 (?fr-/ f ~ -/q -03
'-t-4 Signature Contractor's License No. Date
Permit Valuation
fZ4000, 0 0
$ LI z...Co . 5a
$ 277.2:3
$ , 3> ,00
$
$
$
$
$
P.:.uuit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical PC.llUit Fee
Sewer & Water Permit Fee
Gas Fireplace Pcuuit Fee
This Application Becomes Your Building Permit When ~t'& ~ led
~ ~ (b5/dY
Building Official Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ /.J5.0~ $ '71".'1J
Paid ? / (,. '13' Receipt ~o. 4'-Z-/'7
Date /.I(,./J"" 0 .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~gDi!w~ Jlsi'f ~~ ~coo~
24 hour notice for all inspections (952) 447-985(), tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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Tht C'tnttr of tht 1.11lt Country
White - BWJsI!!1g
<:" Caruuy - Engineering)
Pink . Ks-nnlng
BUILDING PERMIT APPlJC.ATION DE.eARTI\dENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments hav~ reviewed the building permit
application for construction activity whic9.~s proposed at:
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
It1'1-fJ
Date:
/-IS-o'f
Comments: --5ee R~rse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid.1I
''J!tt ('.114., of Ih. tlkf Coulllry
White . Building
Canary . En9!"::. :;9
rt'1QI.. . Plann
,BUIL.DING..eSRIVIIT ~PPLICATION DeeARTI\IENT CHECKLIST
NAME OF APPLICANt ~i4.. e,Uifr
APPLICATION RECEIVED 1~-/9-03
'4.~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whi~~)s p~oposed at: \
/ ~. 7 - {M ,',
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Accepted
Accepted With Corrections ~
{~.
Comments:
Denied ,....
Reviewed By: ~ ~
~~~
p~_ ~ IN. J:- ~ 'l-S' ~ · vv ..~
~ ~ ~ .act-~
Date:
/;;-/3"); ']
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liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid.1I
~
<:::White - Buildi~
Canary - Engineering
Pink - Planning
Thr ('rnlrr of Ihr bkt Counlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISI
~?1Z ~A.l.slr
/~-19--()3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for con;;;;c;t~ W7+d~ ~4 .
Accepted With Corrections /
Accepted
Denied
Reviewed By:
,..
~ ~ Date: ;d-/Sd/o 7
, .
~ o-L(
~ I
~.~J-?~
~~
,
Comments:
p~
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the Jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid.1I
--"
,,-':'1..",":, ~"....
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS IS tl/Z? ~E FA IJ CI ~6 .r. e '
NATURE OF WORK AD.blno~ "J frH )ftA.
USE OF BUILDING ~.~O, ~'CId-J)
PERMIT NO. 04. 00 Z I DATE ISSUED .J1..f1.W ~
CONTRACTOR ~~ ra~NPHONE.4lz .,~O ~ 71tJ&.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
INSPECTOR
M) O-((j(- I fJvd1. 1tVV-"
~ -,
FOUNDATION (Prior to Backfill) rD. l-? 7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
t --J-2- -eJ'i/
FRAMING
INSULATION
ELECTRICAL
J.~ '8'-tJU(
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vvvl
't -(Cf,tf1
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
BUILDING
E ECTRICAL
1"1
Vr(/
! ~L!; {)C/
!
V1Jy' ) .'}' U:'Ol/
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
l::"lOII\. Lt. ,,,,c,,,'!"- ~~~D~'S r95~' 447-98~n
'" II
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
/S-Lf), l
s~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING fJr,1.... / A _ 0 WATER HOOKUP
o INSULATION 'CIH/~ 0 SEWER HOOKUP
OJ'fINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:
DATE TIME
~ -)001
U~I"
u- 2-1
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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fWORK SATISFACTORY. PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECT v:Aj, c;J? FOR REINSPECTION BEFORE COVERING
Inspector: f tt r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YO(TR PERSONAL HEALTH &I SAFETYI
I/IISNOTl