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HomeMy WebLinkAboutBuilding Permit 03-0274 CITY OF PRIOR LA](E BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and sign at bottom) . ADDRESS /57/<jtJ EI4I ~1l..~hJ S~~~ LEGAL DESCRIPTION (office use only) LOT ADDITION BLOCK OWNER (N ame) $"' e.O . I / /5'2-CiO "P,fl~W\.~ ~~'tZ.LA'wVL t (Address) 75t1-l TYPE OF WORK o New Construction o Deck OLower Level Finish o Fireplace PROJECT COSTlY ALUE (excluding land) $ 2-tJ J OUO o Misc. Date Rec'd If ' 1-).. -01'" PERMIT NO. Ii 03 -021:!f ZONING (office use) RISD I. White File 2. Pink City 3. Yellow Applicant PIDd5- 9310- 037-~ (Phone) ~ -'1<ftJ - J'_.~2 ~ (Phone) c,S?, - c.I~ 1- ~~ 3~ (Phone) ~~L - ~ ~ - 2>! D -- 5C1 0; L~';Il_U,_ " VI/t..... ~ '( t E~ o Porch ORe-Roofing ORe-Siding OUtility Connection 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 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 eote i the perty 10 penormiJ~ 33 I / I / - "27. - t) <- ( SigTIat/re L Contractor's License No. Date \. /"-/?J4 ( (_ ~ J..u;c 3 (... < 1::iP-n-<~ BUILDER 1Z 0. , ........., /iI ..L , (Name) ~ y j~A.J ~1/\<:~ultff'J (Contact Name) 1?~ ~ (Address) <6'/ i ~ I d (1'1~t") J _~ ~ ~ ~ -Ie Permit Valuation 1I1f{() () () ~ t:JO Permit Fee $ , ~~~S Plan Check Fee $ / ?I), " I State Surcharge $ 9, ,,(J Penalty $ Plumbing Permit Fee $ 411 () (J Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace PCHuit Fee $ This Application Becomes Your Building Permit When Approved ~~ Building Official 8J1~/(j3 bate ~ddition OAlteration $ $ $ $ $ $ $ $ pai:?S8Jr ~ Date ;Icj:- J t)-ff!3 cw-uez:; :g"t3'D3 $532. f3~ . Receipt No. it~(Jb35f By ~/ : .~ 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 ~Ian~,~ J'1i?~a; ~ ~Cim~ 24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Park Support Fee SAC # # \Vater Meter Size 5/8"; I"; Pressure Reducer City SAC and WAC 'Water Tower Fee Builder's Deposit Other # # TOTAL DUE I - ~ . ~ White - Building Canary - Enaineering ~ .:Plannin9) f. r I I i Th, (",nl" of Ihl tlllt founlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ~ . t..- L .'-., NAME OF APPLICANT ....;>C-0' / / . J I ,.~o fl.,! ::~~ " APPLICATION RECEIVED / J - ;;? ::;.- --~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,-0'J / '~"-.~,:; 0/" /, " 0.0 I .. ' -..._J" -/-'-, /.' ,ot j..., "\ ..-..---.... . Accepted Denied Accepted With Corrections Reviewed By: Date: Comments: ,:..,o;:/~E~~ 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 vaJid.1I C'^(bi1a . - Buildi!!SD Canary - Engineering Pink - Planning Thr C"rnlrr of Ihr tab Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ScLJff 6 re-/11 ~y- APPLICATION RECEIVED I J - c;( ~ -DoJ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which i~ proposed at: 15~ r'6 /-~Sh~ . I Accepted ~ Accepted With Corrections ~ Reviewed By: IZtJ '-- - .~~~~ ~ ~-~~. Date: S/rJ3 Denied " Comments: (:;l --i1 ~ 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." It Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (p, '1:07 (Please type or print and sign at bottom) ADDRESS /52-90 ?A/~frl/VN S/~I~J' I. Blue File PERMIT NO * 2. Gold City · ~I '3 .. {I Z, 3. Yellow Applicant U ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (N ame) (Phone) (Address) 'iI~./fJ -- ~ (Name) (~: , "" I. ~ ~ I€ 1/ (C .4. ~ ~. a/;/ tYb IJ1t!JJrJf~e~ ~ /4-/<- (Address) ,p..~~W~I~:t-.cC;. fSd - ~~/- 501~ I L(l,~e(/, t-L-.t!. .5:::>-0 ~ 'f (City) (Zip Code) _ni~on) {! A (/ r k' ~~~I<;t~~TURE'P'~ 9 ~ . 5. APPLICANT PLEASE COMPLETE BELOW .~jt Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compallluent sink Shower Stall Sinks Bar Sink Water Closet (Toilet) (Phone) --.J lOt - 3;;78- ~79S- C:"~t~~~"X"~ ~ - r - tt:J 3 Quantity Type of Fixture Rough-ins Water Heater' Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other FEE SCIIEDULE Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Addition~ & Alterat. iO~S $39.50 eJv Estimated Cost $ Building Permit # ():? - 0 Z I {fit I 0 (5 PLUMBING PERMIT FEE $ ~ 0 STATE SURCHARGE $ ~ .50 U' L/ TOT AL PERl\tllT F:E:E ~ e (Office Use Only) Building Official Date ~ D& ' 1'.03 Receipt No. -/"l BYf -..:> This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 White - Buildina (~ - c!!9lneerinb fJlnk - Planning Th~ ("rntrr of Ihr Lakr Count!'). BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST _ l .. ~ ___. NAME OF APPLICANT ,~>(~:~(~~> II APPLICATION RECEIVED I j- lk! ,;4' Y'-' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed ~!: " ./ ::;-) ti~~) ~,-"'~" . Accepted x Accepted With Corrections Denied Reviewed By: fVf+J3 Date: 3- ~-c3 Comments: See Reverse Side for Additionallnfnrm~ti()nl See Attachments. 1) Gradine 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 PRIOR LAKE INSPECTION RECORD ~ SITE ADDRESS 152.10 IAVLiA-JN S(,......(Z$s .f2AIL NATURE OF WORK .A.QD 1"1'""1 O/'J USE OF BUILDING ~ES A/$Z- ~ I PERMIT NO. 03-o~r;+- DATE ISSUED ~/o~ CONTRACTOR RA~~ (2.H-GiI'J r~S~e.TloN" PHONE9.e;z ~Z.4o-5"o, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE FOOTING fl;f S"'~/-~ FOUNDATION (Prior to Backfill) I/Vr/ $/ ~1>-O~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS IVf/ fvV1 c -' (~--0"5> G> 11 --0-; FRAMING 5h-t"Jlr ~ V1,tY? ~- (,-() ) INSULATION ELECTRICAL PLUMBING HEATING (if required) - fIl/(l _ Y/4/ ~- IJ.--c;r"> 6'1'(--0> ." COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS _ GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT 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 shan be placed near main entrance. rl> i Po Lt ..~w t{ - zt FOR ALL INSPECTIONS (952) 447-9850 DATE TIME CITY OF PRIOR LAKE L{~ INSPECTION NOTICE SCHEDULED ADDRESS /52'0 ~~-~ S~\ OWNER CONTR. PHONE NO. PERMIT NO. ) -?74 o FOOTING o PLUMBING RI o EXIGRADIFILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI MNSULA TION o SEWER HOOKUP o FIREPLACE FINAL INAL KPLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: -J/lbJl~~ ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORREC _L FOR REINS FlECTION BEFORE COVERING Inspector: -..--, Owner/Contr: CAL 9850 F~E NEXT INSPECTION 24 HOURS IN ADVANCE. CO~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl