HomeMy WebLinkAboutBuilding Permit 03-0951
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1_ /1. 03
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;';1:;;' ~:~ I PERMITNO.O?_o~r-1
3. Yellow Applicant ..::> -,...;J
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t?., yc Ie....
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
(~;t ,/WI Ie he/I
LO BLOCK ADDITION
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BUILDER ~ ~ I
(Name) _ <:'0 ~~ p.o LA..)
(Contact Name) / i/. V' Vo lip,! (?"Mt?l7pf-e
(Address) t:f! He,
x
[OWNER ~ '
:::s)~:;
x
TYPE OF WORK
o New Construction
OLower Level Finish
t:0~
PID '25-/55- tJl+ '0
(Ph~) 9~.a 1<.;1<;17- ~r I
(Phone) :;J..
(Phone)
ODed
liitorch
OAddition
ORe-Siding
OUtility Connection
~e-Roofing
OAlteration
o Fireplace
PROJECTCOSTIVALUE (excluding land) S
o Misc.
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
enter upon the propertY. 0 d in.spe:
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Pennit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
,3. DO
This Application Becomes Your Building Permit When Approved
~~ ?~~1- ?I~'3
Building Official ate
Contractor's License No.
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 I'.4'l1,ATh '7 n. 03 $ . " '"
I ~;ceiPtNO. ~ I
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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
~e ~lUtes a temporaJY Certificail ;;z;;mp1iance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Planning Director .1 'Date Special CondItions, if any
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
'.
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TM ('rlllrrof,1w l..k.(.O.lIfry
White - Building
~~ - Engineering::>
n - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/-{O ~ Mf\j!-V IN'
7_11.03
LltJDA
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15724- tv'lIIC.J-i51.L..- C,l ~~L6
Accepted ><
Accepted With Corrections
Denied
Date: ..2lll10'")
ide for Additional Information!
Reviewed By:
Comments:
See Attachrilents: I) ~H ~. ~ PI_, 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."
Tht'('t'nlt'rof Iht' L.b(:ounll'}'
CWhite - BulldinA)
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT HO '4--M f\ PlI tJ ~ L-l N DA
APPLICATION RECEIVED 7 _ I I. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15724- M/TCA-tEJ..-L- ~1~uE
Accepted
~
.
Accepted With Corrections
Denied
Reviewed By: ~ A-1
Comments:
r----
-
?~
Date:
'7// 8/6 ~
, f
'lIl!'-.J
"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."
-
Tile (....IIN 0' ..... LalIt Contry I
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I if:"~' -Io"~t4,Jj JjI,,~~d~~ \ ~ I
BUI~I~G PER,," APPUCAnoN DEPARTMEt.lT CHECKUS,.
NAME OF APPLI~ANT rtQ.Lnf\ rv , N ; L I N OA
APPLICATION ReCEIVED 7. , I. 03
!
The Building, Eng'neering, and Planning Departments have reviewed the building permit
application for cOl'1struction activity which is proposed at:
15 72 ~ MeT CkililL C ,ue. c..-LE
,
Accepted 'fJ
Denied
Accepted With Corrections
Reviewed By:
CR~
Date: 1'/ i--O~
Comments:
"Ii
"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
RECORD
SITE ADDRESS
TYPE OF WORK ~l!!1r St"oo t'
USE OF BUILDING S.P: 1>.
PERMITN~-09S/ DATE ISSUED ~7
BUILDER ~W PHONE # -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I ~ I 4-?~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I tIIIlI I ICYI '> - d'?
FINAL
Call between 8:00 and 9:00 A.M. for Ilnspectlons
FOR ALL INSPECTIONS (952) 447-9850
"
,
DATE nME
CITY OF PRIOR LAKE , .I'. _ L
INSPECTION NOTICE SCHEDULED ~2r4~
ADDRESS /S" vr' ~ ~"/e ij/ Cr
OWNER
CONTR.
PHONE NO,
PERMIT NO.
t"'J?- 9S-/
[] FOOTING
[] FDUNDA TION
[J FRAMING
[J INSULATION
~'NAL
. /"'- SITE INSPECTION
COMMENTS:
[] PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
[] EXIGRADlFILUNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[] GASLINE AIR TST
[J
~
/4
~ / ~
t" ~ /e f t!:-
XWORK SATISFACTORY, PROCEED
/;;- ~ORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. . ~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUlREMEN1S ARE FOR YOUR PERSONAL HEllLTH & SAFETYI
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