HomeMy WebLinkAboutBuilding Permit 03-0606
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE C _ J /I 03
AND UTILITY CONNECTION PERMIT <:..) ()UJ -
(Please ~ or Drint and silm at bottom)
ADDRESS
IS-bY; I fv{ ~+L-ke.l (
Cl~c.-{~
;~;: ~:~ I PERMIT NO. A<2_/0bl
3. Yellow Applicant L/ J ""
PIrI~V-
ZONING (office us,)
L,... (L <..
BiSJ)
. LEGAL DESCRIPTION (office use only) ) ,
LOT1/P BLOCK 'J- ADDITION ~ p~
OWNER
(Name)
C. "'-Ir i& ...
1'510 g I
(Address)
\C-I~
kd..........s:o""-
(phone)
PID2ZJ~ 155- tJl?-C
'iS2- / l{ 1./ b - 2..1 S-I
I
IV\. l~cJ'..e..-l f
,
t.l'....d -e..
BUILDER "";"') ~'''........
(Name) IS-t...$.s~ &-~-r-t..""P"'I.s.~ s ...1.-"'-L
(Contact Name) ::Tl ~ - f>'"-......~ ~
(Address) 0"10 I S k... ;d........... Avo(. . So"'- K
(phone) QS'2-/ t'il{-VlltO
(phone) hll/ 3<i<l -, 1/9
"lioo...., ~r~lI:-' SS<f 3'
TYPE OF WORK
o Misc.
DLower Level Finish
oD,ck ~orch ORe-Roofing X!Re-Siding
o Fireplace oAddition oAlteration oUtility Connection
PROJECfCOST/VALUE (exc1udingland) $ j I" J 000. 00
o New Construction
$
$
$
$
$
$
$
$
3, ff::ffX; JJV_
I ~~ .J.s
S4,1/
I.~
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 r.~r-..J' and that all construction will conform to all existing state and local laws and will proceed in accordance with
sUbmitteQ. 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
enterup the,_ ---, --.~-- neededmspections 2.0:l-111 L q ,5"'-2..0-03
y -~ '--- ,
I' / . alure\. ) U Contractor's License No. Date
\ /
I Permit Vafuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
. 7Jl!;~meSYOmBuildingp=ti~~;:;
Bu ding Official Date
#
#
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE rArUfIJ 5?/l-_03 $ /38, g(p I
I Paid /~fJ fUr:> I Receip~a. ~Z-79- I
I Date S": 7..1..03 Bv J' I
#
#
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
~ ~ t"-).J..O~
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447..9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
/
~~
White . Building
Canary - Engineering
Pink - Planning
Th.. ("I'ftl'" of lht' L.kt' (:mlnlfy
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~~ $~
APPLICATION RECEIVED ~.tj"- do-o6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
JS-6g'/ ~ ~
~
Accepted
Accepted With Corrections
Denied
&~
, .
Reviewed By:
Comments:
:; ~-c.
co,r<c.!rQ"J
Date:
(;)Iun
s- 2.2-tJ3
()V\.
"The 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." .
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
TYPE OF WORK _1:1 ~ - p C) ~"""J 'R e S 1 cf e
USE OF BUILDING .s.t:
PERMIT NO. Q3- ~ DATE ISSUED
BUILDER fJ!i.~/ltML.B#f. PHON~II..!ItI. 9JJ!J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
~ECTOR
DATE
'FOOTING I 1M I r,-[I..-C/7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I YW/ I (9' t-o--v}
, FINAL ~ ~/;L/oj
; , ~
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nilE
t?b~o/
/S-6R/ ~k~e//C~
ADDRESS
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
~INAL
/" SITE INSPECTION
COMMENTS:
.- /'
~6
/'
SCHEDULED
CONTR.
PERMIT NO.
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING ANAL
[] MECH FINAL
as -~,~
[] EXIGRADlFILLlNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE ANAL
[] GASLINE AIR TST
[]
- /
r ~-..;/~r-r-
/ >
~
/'
/ ~ ~
~/~S~
,J/'WORK SATISFACTORY, PROCEED
40RRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OWner/Contr.
~
/.-/. / ,)
,f-/ / t!!' /'
-------
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETY!
-,