HomeMy WebLinkAboutBuilding Permit 04-0371
Oi PIl/O",
'" ~
,.. .,.
~ :0:
U '"
..,/.....NESO~""
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1. Z&>.04-
1. White
2. Pink
J Yellow
File
City
Applicant
I PERMIT NO. 04-. 031/1
(Please ~ or print and sign at bottom)
ADDRESS
/~ /In ~:Srd'e #cr
ZONING (office use)
IC/5D
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID Zo. (Jf(~. 02.7. ()
(Address)
g/ei-
/t.116
r ~~/7' ;S:.r/4
~.a..ke~,.;te --4tt"
(Phone) 9 ~ '2.
..J'..;'t.e
.;J~77
OWNER
(Name)
~C~~:Namp,~/.:.c.lC> C_.C 4~p A D~
(Contact Name) ~-r4.&.rl'/ ~~
(Address) /R58-.O E!::. r:V fi7v
,
h"~,_~
, ,.
(Phone)
(Phone)
....,.,.A/
<;;:s~ ~5?C/ k ~G7
4B4 - &.$1/6
~6dc/
TYPE OF WORK 0 New ConstructIon DDeck 'r!Porch DRe.Roofing
DAddltlon DAlteratton Dyriftty Connection 0 Mise
CODE: ~I.R.C. DJ.B.C.
Type of q;:i.struction: J II ill IV V A B
Occupancy Group: A B E F H J M R S U
Division: I 2 3 4 5
DRe.Siding DLower Level Finish
D Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that 1 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 authonzcd agent for the
above-men~tlOned ....~._~ ,n.d 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
otTIcial can revok ~~s~ermore, 1 hereby agree that the City official or a designee may enter upon the property to perform needed inspections.
X 2~ ~~...;.,' ,JlO,f2 e~b38' ~.,?~ -tJ'7
- Signature Contractor's License No. Date
I Permit Valuation I I ~ ~OOO- I Park Support Fee # $
!..'l< i;" J
I Permit Fee $ '37.. .so I SAC # $
I Plan Check Fee $ ~fo.13 1 Water Meter Size 5/8"; 1 "; $
I State Surcharge $ 3. l:b I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
\ Gas Fireplace Per~it Fee $ I TOTALDUE lJtIMW r.!.o4- $ Dl;;; /'c',3
71;" ' ( 1 I ':'1
. ~hJS . ~.,__ ~ Building Permit I Paid Z2.J. r,J. ",,9t1?
I Date (:..J'.{)~
iiltildingol J
~
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 cons s a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
t: ~.c
~v l_ PI
J
I=).~.{H
Date
hif'nto.-tlotice for all inspections (952) 447-98~. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
~1
C. Whitp.! - Buildi'in'b
Canary . Engrneering
Pink . Planning
Thf ("tnltrof lht' I..b Counl,."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I\/V 0 SONS AN DADA D
APPLICATION RECEIVED J-. Z&. 04--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/"110
U4:ttES f () E? AVb
Accepted
Accepted With Corrections
Denied
M~-
~ P\.,r~5
Date:
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."
~.:t:..... .......,...
~
".....
j ~,~ ,.
u~~
White . Building
<J""~"Y ~"g;~g
Pink . Plann!n
Thr Crnlrr of lhr I..kr <,'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHEC'<LJ.SI
NAME OF APPLICANT Ii. \i G ~ (f,r: 1\1\)!j 1\ 1>fH:)
APPLICATION RECEIVED 4-. 2((. c4--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J (( I I 0
Li\/ct=.:"JE AVe.
Accepted ,X
Denied
Accepted With Corrections
/~
.
~/' ~- /\ /', '>
..",.,w_~_.-t._,., .
~OJ) t)(9-.t ~-L1
~I
/
(J.J., ..'. iN <1
.
Reviewed By:
Date:
Comments:
':0 'V./(P~
.
"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
SITE ADDRESS 1~llo ~l~ AvE-.
NATURE OF WORK -=< c:;~....,...., '~
_ USE OF BUILDING f.qS; A-IIZ- / I
PERMIT NO. . 6 'f. 0311 DATE ISSUED ~/Z"lI04
CONTRACTOR -r-~ s.....~ . A- "'i.:>t-v PHONE '';1.- +84 -rJ?>O,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING
_ INSPECTOR
~Jc.- I (f/f}>
rlor to Backfill) I I
NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
l
j
~~.
~'l;ri j ~_~ Tie
E AMING
IflAll
( 6' 1--0 '\
.'
,
ST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,
rior to Sodding)
..,
/11/)
,
7- J~
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 shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS II il \ \ 7l
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ilFINAL
lIslTE INSPECTION
COMMENTS:
o.l- ~ ,
DATE T1IIE
SCHEDULED 1-/2 -CJl(
\..~ 7v.J.
CONTR.
PERMIT NO. 'I - 111
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
l.-
C\ C>~
~
./WORKSATISFACTORV, PROCEED
,I'c; CORRECT ACTION AND PROCEED
o CORRECT , CALL FOR REINSPEcTION BEFORE cOVElllNG
Inspector. .
ONner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETYI
INSNUTJ