HomeMy WebLinkAboutBuilding Permit 03-1384
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9. z 7. tJ3
: 'iJ:::' ~::y I PERMIT NO. (/.3 _{'2. a4'
3. Yellow Applicant j 11
(Please !VUe or orint and sivn at bottom)
ADDRESS
/ 4- 77 {J /"1/l ,Pt.-e
7/V'l1 L-
I ZONING (office use)
KJSD
LEGAL DESCRIPTION (office use only)
LOT -; BLOCK 10 ADDITION tJI'tU/1NO .d'cY!(Jr/ 4-7rI /ft/PI'./. PIDi25./.3PJ 007 (')
OWNER
(Name)
(Phone)
(Address)
BUILDER () r-
(Name) =rnlr-.",- 1<""'" Cv..sc,.~CJ<- '-O,^~t,
(Contact Name) 70v--. e~........
(Address) Yd'(') G:,r.....~~~ ~J
(Phone)
(Phone)
COI:;l- q~o--llc:YC
DLower Level Finish
.
,)ll.Deck OPorch ORe-Roofing
o Fireplace )J/fdi~ OAIteration
PROJECTCOSTIVALUE (excIudingland) $
ORe-Siding
OUtility Connection
'TYPE OF WORK
o New Construction
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 alld 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 tha~ the city official or a designee may
ente~o e to perform needed inspections.
X _ ~~ L{~ '1~::>.c.. ~O'"
-- Signature Contractor's License No. Date
I Permit Valuation -#100(!J,oo I I Park Support Fee # $
I PermitFee $ I("~. z.S' I I SAC # $
I Plan Check Fee $ J 0 go, 71 I I Water Meter Size 5/8"; 1 "; $
I State Surcharge $ Lf. '50 I I Pressure Reducer $
I Penalty $ I I City SAC and WAC # $
I Plumbing Permit Fee $ I I Water Tower Fee # $
I Mechanical Permit Fee $ I I Builder's Deposit $
I Sewer & Water Permit Fee $ I I Other $
I Gas Fireplace Permit Fee $ I I TOTAL DUE $ ~fj 0 _ 4(;
I]
I Re~eiptfpl'o. ~f!)(/J.
Bv ~~
()
This Application Becomes Your Building Permit When Approved
~ci~P -o/{6"
I PaidZ-fJO ~
I Date /() j <: Ir?
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 .......t'''.-) Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~
lo.a-Ob
Date Special Conditions, ifany
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
(
i
Tht' Ct-nlp, 01 1M l.Iob C...1ry
~. hite - Building
- cnf:!lneenll!t>
P nk - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKI.i.IST
NAME OF APPLICANT
APPLICATION RECEIVED
JOII!'J CIlf'rJ jt/(i "..ft
Q.30. Q3 I
The Building, Engineering, and Planning Departments have reviewed th~ building permit
application for construction activity which is proposed at:
/4770 l~l/-}pcE //~/L}
" . I
Accepted
y
Accepted With Corrections
Denied
Reviewed By:
IfIJ-&
I
I
Date: /()~ 1/;'t,a3
Comments: See Reverse Side for Arfrfitinn"'llnformati~nl
;:;ee Attachments: 1) Grading Plan, 2) Erosion Control MeasUres
"The issuance or granting of a permit or approval of plans, sp~cifications and
computations shall not be construed to be a permit for, or an approval of,jany violation of
any of the provisions of this code or of any other ordinance of the juris~iction. Permits
presuming to give authority to violate or cancel the provisions of thiS code or other
ordinances of the jurisdiction shall not be valid."
~~
....-wn1te - Buildln~
-.;.,.. ._. , Engineering
Pink - Planning
Thf C'nlnof Ih.. 1..ktCounlry
NAME OF APPLICANT
B.UlJ..DING PERMlI.APPLlkATION DEPARTMENT CHECK~IST
JOH IV CIif'/f /110 VIR
CJ.30. Q3
.
APPLICATION RECEIVED.
The Building, Engineering, and Planning Departments have reviewed th$ building permit
application for construction activity which is proposed at:
/4770 fL1/lPcE 7/CA1U-
/'
Accepted
Accepted With Corrections
Denied
rpl . -'- , :0 I-J
Reviewed By: ~ "f'<!.-~
~ ~"'--~ .d.:J.r .:.'d . --~ Z '/....e
_ , /-r/
, .f /~ ",,--" "
~ TO ' . -dJ ~. :r-e.~ '
~, '
~~. ~.A '" ~-:h
. I
j:t-:;;; ~ 4~ {o:r ~
,
Date:
/a;V~:?
,
Comments:
lA--'
~~
,
.Jhtf' d f
"The issuance or granting of a permit or approval of plans, s~ecifications 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 juri::!diction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
..
NAME OF APPLICANT
I
~hite . Building
C~narv . E~~~~rlng
c:;;k1"": . PI ,r;;;-.,
,
I
,
BUILDING PERMIT APPLICATION DEfARTMENT CHECK~IST
J Ofl /V CI)j/-ll./O V/1
Q.30.03
Thr ("rnlt. of Ihr L.kr <"ounlry
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed th(! building permit
application for construction activity which is proposed at:
/477{) /VJ/-}pcE '-77~/L.,-
Accepted X Accepted With Corrections
Denied
Reviewed By: ~~
Comments: .
.
,
Date: \O,7.C 6.
,
.........!
y Ai===t~~ p~CU1+
~CVL \:f0JZ9--- ~
+0 IIOQ.~C7\
I
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ii,
"The issuance or granting of a permit or approval of plans, spllcifications 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 I J./?? ~ MA./!l..E r~A I L. !
NATURE OF WORK Dpe 111 IlI!~, ;. tSMME 'NJAr7}w
USE OF BUILDING ' ~ - , ...
PERMIT NO. 03 - I ~f3e:(- DATE ISSUED ~(tJJ .
CONTRACTOR !Ti PHo'NE'bll.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIIONS BELOW
THE PERMIT IS BY SEPARATE ~CUMENT
_ ( ^.. ~ INSPECTOR
, FOOTINc:(I)12dL f Gt~) ~ ~ II< I
, FOUNDATION (Prior to BackfIllX<?r~) wle- /;9t?o~ ~
PLACE NO CONCRETE UNTIl ABOVE HAS BEEN $IGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECrlON
DATE
FRAMING
INSULATION
ELECTRICAL
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
GRADING (Prior to Sodding) ./11'.6 /Z../,")
BUILDING
ELECTRICAL
J
4..
.
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
SCHEDULED
ADDRESS
/~77cJ ~~
,
CONTR.
OWNER
PHONE NO.
PERMIT NO.
[] FOOTING
[] FDUNDA TIDN
D FRAMING
A1NSULATION
FINAL
D SITE INSPECTION
[] PLUMBING RI
[] MECH RI
D WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
COMMENTS:
~
eri
--
DATE nilE
~b~y
;1;/
CJ.5 - / .Jf.P'~
[] EXlGRAIlIFILUNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREP~CE FINAL
[] GASUNl; AIR TST
[] .
--
---.<"",,
,--./ \)
/--? / e.- /
~
---- ~
--------
/'
/ - /
{ {' ~'/~..5e.-.
\.
~
[] WORK SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~
OWner/Conlr.
CALL ....7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"""""
A....""'''S -'-'1770 ~/f 0&,/' /
OWNER CONTR. JOhY7 (A J ~nf) IICr
(') 3- I.J.!iIf
~LUNG
-cc~NT
o FIREPLACE RI
o FIREP\.ACE FINAL
o GA$UNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAIIING
o INSULATION
...ef'PlNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Grq~S - oIL
DATE
ji-()J
TIllE
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpecto~ Owner/Contr.
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL1H & SAFETY/
I1GNfm