HomeMy WebLinkAboutBuilding Permit 04-0518
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OAT. ~.r.eIYEl! CITY OF PRIOR LAKE
5- /~,O4-- BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FillED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
/8'7CD mikhw CI'rU!/e SE
3. LEGAL DESCRIPTION
LOT
ADDITION
In
-#l f kit J / /
PID
BLOCK ..!J
RJrVd
?/kE~e
5. ARCHITECT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No, BP 04-.05/8
1. DATE
5;~ k?tl
ZONIN;e/5 D
,.2 6'/5!5tt?/.:;-t'
BUilDING 'NFORMA TION
11. SIZE OF STRUCTURE
(Height) (V{ldth),
;.:).J.:f
12. NO. OF STORIES
/
13. TYPE OF CONSTRUCTION c.U:lOD!k'A rJt
'J)f./r.vh e..d.. 0.A-1L AE[b
14. FLOOR AREA APPbRTlONMENT USE
to 'I::; ::B-
~)I
(Address)
I ~ 70{) '-r'Jufl'hf./'
(Address)
(TeL No.) qS;}.-
(!"jf'/~ ~6 - fP11
(TeL No.)
(Name) n/l
Roll ()-I;;.r
(Name)
6. t~ER (Name) I (Address) (TeL NO;-\ "f5!;Jq:9o- 15. NUMBER OF OCCUPANTS OR SEATS
~ '<11) ~f.If!/Ul& /!(.i/!tIw/#r" 439/ t,JtrJW7 SU.d2l/S (Jk ,;?;J88 OCCUPANT"
7. TYPE OF WORK Rreplace [""J Septic LI Deck 0 Re-roofing 0 Porch LI SEATS
New construction){ Alterations 0 tddition [""J Finish Attic a Re-siding 0 Finish Basement 0 16. PROJECT eOSTN ALUE
Chlmnev 0 M;sc. 7i>P-4a c: h.f c a a ICt:i10 f. / fr. otPO "9-
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS -----,-mcuLVERT SIZE 17. GOMPL"ETION DATE
Sq.Ft. ~/. O'1f?J W;dth 10<0 Depth /79.'6 I Ves No r;/.3)!CJ4
I hereby certify that I have furnished inlolTTlation 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 con~ruction I conform to all existing state and locallaw$ and will proceed in accordance with submitted plans. I am aware that the
bui~n revoke this permit fo~. rthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ~......_u..., ,....
X ~..-, ,,/ -?1A _ &tJB/ffJ'?' if 1)/8104
..." ~at~ ~- -- --0.--- - -, license No. . Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING D~RTMENT VALUATION
....-~OO."..,
S::F:D,
OFF STREET PARKING
SPACES REO.
USE OF BUILDING
SPACES ON PLAN
PERMIT VALUATION
Side
MATERIAL RlED WITH APPliCATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
~~(J,t:Jo
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
TolalDue .............................. $ 7ft,.(JO
Paid '7 {, . 0 0 ReceiPt No. -fG '1 r; (,
Date (,.r.o4- By ~
This Is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~s requested. This document when
~~lann~~~ ~ temporary Ce~; of%ing compliance and allows construction to commence. Before occl.4)ancy, a Certificate of Occupancy must be issued.
vt= C' \. i S 'IC .. ,
ity Planner te peelS OlldIIIOll$ any
TYPE OF CONSTRUCTION: I 11 III IV 0
Occupancy Group A B E F HIM @ S~
01'0" 1 2 (f)4 7 J/, ?s
PerrnitFee ................................... ot
City:
Plan Checking Fee ......................... $
State Surcharge ............................. $---./' Z S
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
~o~
~.
Subtotal............................... $
::IS~S~:t~It~;~<!
Certificate of Occupancy
Issued
Amount Brought FOlWard .................. J:
Park Support Fee ........................... $
SAC ......................................... $
Collector Street Fee ....................... $
Sewer Tap ................................... It
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Hom ....... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
24 hour notice for all inspections 447-4230
~
~
Th~ Ctnltr of lht Lab Counln'
Whit" - Building
~an?r" - Enaineerina ')
Pink - Planning
BUILDING PERMIT APPliCATION DEPARTMENT CHECKliST
NAME OF APPLICANT
APPLICATION RECEIVED
VV E (~~ E iLl\) G A Ic/A G t::-'
,... " . J I
....:;. i {/ ( \ ,1 _
-~~ , ~ I,.,..- Ij'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
) 5: 7 0 0 rl I TG1-!EL.( j ,~{ ILl.L...E
I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IMfJ3
Date:
~ - a;:; 7-()'I
Comments: ~"'''' R"'\I"'r~1> ~irll> for Additional Information!
S*'*' 4.ttachments: 1) Grading Plan, 2) Erosion Control M('aslIro"
"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."
~
~
O~?;
(Jvhite - Buildfi'i!D
Lanary - €ngmeering
Pink - Planning
fhf('rnlrrnflh..I..hCounln'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W f3ST8ruJ c:,AeAq b
5, /0,04--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/57DO nrT~A+6U ~ QAtu~
I
Accepted
Accepted With Corrections
.-/
Denied
Reviewed By: ~ ~
Comments: ~ ~ ~~ ~ ~
Vy-' ~ ~Ii' -/-r; d~ ~,,7'_~,~
, f Y v
~ MA~ ~~
./
Date:
5/2-<( ~t/
"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~~
White - Building
Canary - Enqineering
("1>ink - Planriintt->
--
lh('enl..,nflh.l,mk..Counln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\V EST E Ie-IV G!\ Ic:A'1 (:I S'
_ I I
eJ . I '2 . (J4-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
}S 7 C () f i 1/(2~E.Ll ~ U k....L.-LE
,
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~
~
Date: .5~~/o<l
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."
, . ,
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD.
SITE ADDRESS /S'7~~ l!1.itdIEZL- 02L!t~ .REo
TYPE OF WORK tc,A~G AMc.lJ'Itu.Dl7A~H.UL
USE OF BUILDING S.1=:f) . .
PERMIT NO, () -/. DIU _ DATE ISSUED S"k~~t/
BUILDER ~>"~ (;/:J1MM 'Eu,;~; IAiCfHONE #~- fk7-~6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I /H7- I 0~~' I
PLACE NO CON'CRETE UNTIL ABOVE'Hj\S BEEN SIGNED
I FRAMING I fIVI// I { -(f.()L( I
ezcc.rj{/~/+t, 1'./. i HJJAt,. I
, FINAL I 1l1J-J- 1 hI /~tj ,
I " '
FOR ALL INSPECTIONS (952) 447-9850
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
^~7C'O
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
D...1~LATION
A1!'INAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~~i'~
~~// Cr
CONTR.
PERMIT NO.
(!J 9":" S/ 0
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~ORKSATI~. "r<u,,",",u
o CORRECT ACTION AND PROCEED
o CORRECT WORK'1~L;:~EINSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
z;~/
-~
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----
CALL 447-985D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .( SAFETY!
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