HomeMy WebLinkAboutBuilding Permit 03-779
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT .5- ;)J..-O"3
lease or Tint and si at bottom
ADDRESS
-p,'.sH PO/~TP.-c/
I '5111 z...
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
-n, Il tV! PI'> "J tt-afhtJ Sn 0 IA {..ky-
I Sfl/'L r:;;J-, PIJ~1 n d -it;:
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
t(OYl (fi'f ~>])wc~ I Itvt C
JUN ~
{01l10 daJ-t. ,4vY.S. tfe
L White File
2. Pink City
3. Yellow Applicant
I PERMIT NO.OS> -0171
PID
ZONING (office use)
!< /S.D
-()o+-o
(Phone)
'152.-41(7- '7..-0"5)
(Phone)
(Phone)
o()l.-Rgg. ~s 19
Sdt'V\.L-
-11M w1 AJ -:;'5"1 La
,
e:Joo~
TYPE OF WORK
o New Construction
DDeck
DPorch
ORe-Roofing
DLower Level Finish
o Fireplace )0'Addition DAlteration
PROJECfCOST/VALUE (exc1udingland) $ 3/ 000 ~
o Misc.
ORe-Siding
DUrility Connection
I hereby certifY Ulat 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
enter upon the property to perform needed inspections.
X A;Z:kdt?' 1 /2t<c /-----..-
8'ignature
Permit Valuatio11'
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~Offi{~ bf~03
lJ{,Z3.37
Contractor's License No.
Park Support Fee
SAC
#
#
S.t,. 03
Dare
$
$
$
$
$
$
$
$
$
.05'"
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
'- ,....---.',
. 0 '~.OZJ
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 'tutes a te Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued,
/'
ford
16200 Eagle C
Special Conditions, if any
dons (952) 447-9850, tax (951) 447-4245
Avenue Prior Lake, MN 55372
-.-
Ttlll'C',nl"ort'-I..lllP'COlllllr)'
White - BUlldjn~
CCBnarv - Engineerin
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;?()/V C oK-
S.?! Q~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ~;;- /-J.
/ ;::/'42. .r-/( <:: Ii />0 I f\/ T /- ~
'- J __ _ I. ,...;) I J I .
I
Accepted X Accepted With Corrections
Denied
Reviewed By:
qn-
13
Date:
h - 7-63
Comments: ~p.e Reverse Side for Additional Information!
See Attachments: I) Grading Plan, 2) Erosion Control Measures
"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."
s~~
Th, ("..01... or Iht' L.k" ('Ollnlry
c;;..Jim,te.--- Building>
Canary .. Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
KON~OR-
5.?/. Q~
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicatio~;05;4Z actir/sH-roppoaj NT ~.
,
Accepted
Accepted With Corrections
/
Denied
lid ~ 1 dI--J
~M/~
Date:
&:, 113'11I '3'
, (
Reviewed By:
Comments:
"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."
Ii~"
White - Building
Canary - Engineering
r ~ink - Planning:>
Th.. ("t'nlpr or rhll' t.b Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
KONC- oK-
5.2/0::;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: J'
/0/4.2- I/S/1 /~c II~/ 7- /::--~./.
I
Accepted
'i
Accepted With Corrections
Denied
Reviewed By: ~
Comments:
Date: (.(). I':J .03
"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
INSPECTION RECORD
· r .&
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~~~TE ISSUED
CONTRACTOR I JAlt..!.. PHO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR
~
DATE
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
?/tlt:>3
.
.
,
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I f" I
" . FINALS
(,-AJ
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I t"1'11-
~rsA /Jo",-j-
.
OWNER
CONTR.
DATE TIllE
c'~~
(lJ
PHONE NO.
PERMIT NO.
3-n1
o FOOTING
o FOUNDATION
o FRAMING
o !llSULA TION
iI'1'lNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
o EXlGRAOIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~K SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CA R REINSPECTION BEFORE COVERING
Inspeelor:
Owner/Conlr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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