HomeMy WebLinkAboutBuilding Permit 03-1573
(please type or print and sign at bottom)
ADDRESS
/(P 730
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAlE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMI 1
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
/Z,~5~ 03
PERMIT NO. 03 -157~
/V(}/e4 ffWOO 0
e.,o
sw
LOTI""] BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION S,/U 1V"Uj. ~
PID 2-C): /33'" 0(,2- _ C
OWNER
(N ame)
(Address)
(Phone)
BillLDER ..
(Name) ~or ~~\"~
(Contact Name) \::)0 ~ Lh~.
(Address) 1~'i':>~ S~Ok:b St('J
TYPE OF WORK
o Misc.
ZONING (office use)
/i!..I$O
(Phone) t1 SJ.. - ") SS - ~.~ 0 "")
(Phone) C;5~- d. ~~ - ~d..~~ W,
o New Construction
D~ ~0c..AW>-
- I \~
o Deck ~orch
o Fireplace OAddition
ORe-Roofing
OAlteration
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 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
=~perfv.~ needed inspections. \.......' ~ j 6 ~
,"""'- '" \ Signature Contractor's License No. . bate
~ \ \
Permit Valuation '\J
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
n/7 ODO ,DO
/
$ Z71,~s
$ /1/,51
$ 9. ~o
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
#
#
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE taat,~~
Paid ~tj/~?
Date - I ~ /()
1t1,t:JO
IZ.'.03
. $
$
$
$
$
$
$
$
$$01.2b
i/-56S-7
..3
Receipt No.
.B~
UJ
This Application Becomes Your Building Permit When Approved
~~
Building Official
/.;vf ~ :1
, Date
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
~ ~1)"::J 12/ K~ -;r ~ a.4 ~./~ '"-- .. t-;- ~) r
Planning Director ' Date Special ~;.z: i~- -
24 hour notice for all inspections (952) 447-9850, tax (952) 441-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
rwhite - B~ildinb
~anary - t:nglneering
Pink - Planning
Tht C'tnltr of Iht tlkt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
S()P6f(/O'< ~;1()06L--I;./q
/2.. ~. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(,730 IIO~/HWOOf) ~ 5W
Accepted
Accepted With Corrections
/
Denied
C"-
Date: /.J/?h
t
v:;..(IP.~4~ ~
, /
(~ . ~
Reviewed By: ~ y..rL< tC~
Comments: ~ w.:t.f ~
~~ .~/.rr-.-~'
/
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."
~
White - Building
Can.ary - Engineering
glnk . - t'lan.!!!!J8'
Tht ('tnltr of Iht tlkt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
S( j-/[:/( /C/< /(~[/'-.I(JU6,. L-IIV'r7
1.2-
.
.4'
...,.,
/',7
IJ/ -'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ &,-7 3 c) /v'{K IH I v (-(V 1(:(/' :;.l V
Accepted
Accepted With Corrections ~
Denied
t
Reviewed By: ~ ~~:Cl--- Date: Id-k~ '3
f
~~~~
~~~.~~
Comments:
a.. ~.
V ~
~
I
.
","'
I
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. P~rmits
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 DEPAR.nlENTOF
. . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS \<..0 7~ NOfZrKwOOo~, S.~,
NATURE OF WORK ~ "'.SD.S-tN POI2CN
USE OF BUILDING S .F-: t> ' -
PERMIT NO. . DATE ISSUED .It -.e'-03 -
CONTRACTOR ~ ~O"LJ~ PHO'-JE~-Z."'.2U'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~~
II, . .-.....
DATE
FOOTING
12- -- zv
CRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
_ ELECTRICAL
\UC-
(;If;
PI'
J- 2J
)-~
FIREPLACE !p I i J ) .., ~
GAS LINE AIR TEST fiJ Pfl .. I - z,./
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
. BUILDING
_ ELECTRICAL
r?I
_5-~
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 haM. b... approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance. -
FOR ALL INSPECTIONS (952) 447-9850
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
SCHEDULED ~ ';"'.28-
/I.P 7UJ k ~~.d.. (G/(
1 ~ 157 5
CONTR.
ADDRESS
OWNER
PERMIT NO.
/"
o FOOTING
o FOUNDATION
o FRAMING
o jtjSULA TION
/-F~I~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAl..
o GASLlNE AIR TST
o .
COMMENTS:
\. ~ cU\..e- r+G> ~ \,^'\~)~...Q'
~u-J< '1.<.,-\.1" &~ /
o WORK SATISFACTORY. PROCEED
~CORRECT ACTION AND PROCEED
o CORR~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector . ) Owner/Contr:
C~ 7 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
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