HomeMy WebLinkAboutBuilding Permit 04-0184
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
:3. 5. O~
(Please tvDe or Print and sien at bottom)
ADDRESS
I. White File
2. Pink City
J, Yellow Applicant
I PERMITNO'04-.0/~ I
I ZON~/s2S:
/ 4-Z-I-6
Sfl?ttJ'I de:>>-c:H
7JZA / L
LEGAL DESCRIPTION (olliee use only)
LOT I BLOCK I ADDITION
8AI/ V I €-W
OWNER
(Name)
(Address)
BUILDER
(Name) Mti!hClIJ1 COI/(f.Njr1.l~". t:O.InC'
(ContactNam~ KrlP ~Y/l~&;(I
(Address) 9'T?~ J..3?"41 Jy, t-;
PID.z5': l.fq. () eJ /. 0
(Phone)
(Phone) Cf.s-';"O/61- ~5'~O
(Phone) y,/? -.t' I';>-~ 7'~ ("/~({)
LRI<~vj//~ .MY $"5'1'72.
TYPE OF WORK
o New Construction
DLower Level Finish
o Mise L ~. e ( c.cJk..,..
DDeek
DPorch
ORe-Roofing
ORe-Siding
o Fireplace 'fjiAddition DAlteration DUtility Connection
PROJECT COST IV AWE (excluding land) $ .S;? (706J
.
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
;ter upon the 7;!-2I~rm nee ed inspections 'Ol (J:< ( "7 ::;:> ., ~ "? ~ 1_ OC(
F //.,." Si~ Contractor's License No. Date
,
-.
"'52/000,00
$ ',<17,50 1
1 $ L/5'3. '31" I
$ u,.oo I
$ 1
1
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
1 Penalty
1 Plumbing Permit Fee &r".J-. 1 $
1 Mechanical Permit Fee c.....:t. 1 $
I Sewer & Water Permit Fee I $
I Gas Fireplace Permit Fee 1 $
40, ()O
"/0.00
This Application Becomes Your Building Permit When Approved
~~ci~~ ~!ti:tf
1 Park Support Fee
SAC
$
$
1$
I $
I $
1 $
1 $
1 $ 1
3.3o.o+- 1$I,ZSf,.B~1
I Receipt NO_~~ ((i/O
Bv {/}
V"
#
#
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 ~
I Paid Id!Jln. .')'X-
I Date -{_ C'Sn-n Lj
- 1
#
#
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
~~ ~etor J!JO'~e~ ~ ~e~:ny ~ ~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~
o.~
rvilhite - Buildin<t:>
Canary - Engineering
Pink - Planning
-
lh~ (folr. of lhr L.kr ('ouner,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1/1~N{/M 60NSl7L.
3.5.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I-f- 2- -I-B .sH-lto'l tJ m-Mf 77tH I L--
Accepted
Accepted With Corrections /"
Denied
Reviewed By:
~
(c::~
~
~
e:z-Lf'
Date: 3// ? ;: 'I
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."
~
&~J;
While - Building
Canarv - En<1ineering
~k -Pla~
--
Th~ C~nr~r ..f the l..kf Counlr}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
//il(~!;, L / I
, ,
( f
i /!.." '
~,
<::', (4-
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 1 , '/" ~ / / r I I. " Y / ( ) I C-t / //'-1/ I L-
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Date: 311 7/ () '-/
en.-- ~.'+~ ~ ~..... dn
I' .L_./J' _ ~ ~ -.IL-'
A'A .~ ..rzr..tJ~ dY . -'7J~~' '. ~- ,
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Comments:
~
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"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
~~TEU~~D;FE~~RK '~~~/ol~~kr~~ 7LA/~
USE OF BUILDING .s. II! /). .
PERMIT NO. 04-.01f34- DATE ISSUED ~~I./
CONTRACTOR tMM/JIJWt C/;1J~r. tA. INt. PH()Nft'.r"'Z.S~.Z.~G.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
\.,JL
(I'I)
)J/-{
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s//<?/"r
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l)>--(:'0
. COVER NO WORK UNTIL ABOVE HAS ~~EN SIGNI;D/{
IIJ:rHF /.jT",~~/bu~nt~ I) mw4' //# I .s/f/O
, , . FINALS .
/d'-t~ 7 /2f L~i
~/.//,<j .
.
J14r 7j,..1/;{
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
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
/.y.2//P" ,>2.. /v
-/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~SULATION
~INAL
o SITE INSPECTION
COMMENTS:
.:::J.... /
/1-ech,~~ /
-, /
C \.r....u, L~-
DATE TIME
7kk
~~C~ ;7;-/
CONTR.
PERMIT NO. C'J <V' - / ,y if
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
__/ /I
/74 LA-.-_
.j / /'
,a, T-cof~~
~/
/-7hc;
.....,/
C/ ,tt:
,
-~-
/'"
/~ rl/
e-Io.s-c: r/ /e.
~
,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-th~Y"
a<
----
I')
/
~ORKSATISFA PROCEED
/6 CORRECT ACTION AND PROCEED
o CORRECT WOR~. ~J7 REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon