HomeMy WebLinkAboutBuilding Permit 03-1592
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(2.) Pt.-A NS
(3) St/leVEVS
(Please tvDe or print and sign at bottom)
ADDRESS
I. White
2. Pi.nk
3 Yellow
File
City
Applicant
I PERMIT NO. 03 _ /512- I
14231 F/sH6R- ,4v6
1'16
LEGAL DESCRIPTION (office use only)
LOT (p BLOCK I ADDITION
OWNER
(Name)
Date Rec'd
j,:) _ ~-3
ZONING (office u,,) J
lei
-f- TN A DDN TO III. ...rHCJe6 OIt}:::.S PID 2..5- 01/4- - 007-0
0,," " p t-\ {)...~ S IJ v'\..
(Address)
BUILDER /"'l
(Name. 1-'1"l1"~A
(Contact Name) _iZ t'J.t\.
(Address)
::<r.r...2
TYPE OF WORK
o Misc.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
! Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
i'o 0/' .....1:::: ....'"'of\~+.
1-\.4\. '^-- -.. '"' ""'"
Po.. \l\...t'l.. V"V\ rA
o New Construction
DLower Level Finish
(Phone) <1' a-t'O 3 - arRaS-
(Phone) qG';:).. ";~b/ -;2.~"Y7
(Phone) ~/;;l.. - "7 &. n - sP r> t...2.-
A... II r>
;.1)
P. \., .0::; +e. Ii' VV\ '"
S~Q:)~
ORe-Siding
DUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ S 8". 000
~~
This Application Becomes Your Building Permit When Approved
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 y.....y....~j 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 y.....y.:...) to perform needed inspections.
(J(jV\...\,M~~~~
Signature
rl:5-~ OO().l)fJ I
$ " b, 't. 7.sl
$ 'I5"4f.'0C( 1
$ Z'l. OCl 1
$ I
$ I
$ I
$ 1
$ 1
Building Official
~~7
Date
$
$
$
$
$
$
1$
1 $
fA'114ZJ) ,~.lf)Q7 1$/./B3.S9 I
I
I Receipt No. 0'J-fW
Bv .:'/1
:)1
DDeck
OPorch
~ddition
ORe-Roofing
DAlteration
/;:)'/~//)3
Date
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
"~ ~.r[)~ 1~lto-6:f ~aJ..( ~
Planning Director -........ ' la~ Special Condit1ons, if any
24 hour 'ce for all inspections (952) 447-9850. fax (952) 447.4245
162 agle Creek Avenue Prior Lake, MN 55372
o Fireplace
:1h"A. 7::2.ac,Lj
-Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
! Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
#
#
#
#
I Paid
I Date
1/[(6, 6-c,
- C:J. - /'I<'-{') <j
~~
,---V\ihite - Buildi~
Canary -!:nglneering
Pink - Planning
Thr ('..nln Ilf Ih.. L.kr (.'ounlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .' ~i()r+-e.r CL r e..e...t:. (";()J.)STr
1~--!?'3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IL/:J-3/- =;-~ ~
Accepted
Accepted With Corrections
/
Denied
Reviewed By: _ ~~ ~f.-J
Comments: IGL~ a.Jl.f
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~.
~n ~.
/h t:n:fUl ;6,
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4If"~
Date: M CJ /63
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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."
~1
White - Building
c. 'a"!lrY - ;;nqinee!11Ilt:>
Pink - F'llinnlng
Thf (""Itr of lht' L.kr (-'aunt..,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .:p 0 r-f-er .,'ire e I:... (/~{)J /5l r
APPLICATION RECEIVED /,}.. " !?~ 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'" --.', /.-.,
/~/c;l ,1-. -1.-1</ le/,j (j~/-1!Cj
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/y;() [)
Date: /"/- /7-03
Comments: -S"'''' I::>~''''r''''' <::irlF! for Addition::!1 Information!
See Attachments: 1) Grading Plan, 2) Erosion rontrol 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."
s~'"
While - Building
Canary - g!lqineering
~ ~ ~.!:IIn""":3-'::-
The ("fnlfr of Ihe Lake COunlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~'~')
NAME OF APPLICANT 'tj{jt r r
/ 1/ ;/ (././" ('
,'____"'! c_ '., '-
tf
APPLICATION RECEIVED
I:
, './
. v('- '?
.- ,'j '.......)
.The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
///) -J 1- :1- / '. /j
t"
. '"---,,
Accepted
Accepted With Corrections
~
Denied
'-fo
"-
~ ~ Date: 1~/;old7
~ +0 V-e~/~~
~~.~~,~~~
J ..' ~ tJ - - -- J
~ P0'8-"~
Reviewed By:
Comments:
AfLa.
11
"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
~L/23l EisHETL AVE. /I.E. '.
I4Q,E lj!L>t,,., ABlu4'"j1)!X/(J
S.F:I>, . I
PERMIT NO. _ 03, / 592- DATE ISSUED -' z,f /e I (J 7
CONTRACTOR ?oCerL CJlE1!;Jt:.~. PHONE"2...7~O~8mS''''
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
;/ / . / ,I J!{'" INSPrE~O~ ..: DATE
I FOOTING //<(j./tt 6/11''1 ~ vv It- ))-0'; J
l FOUNDATION (Prior to Backfill) ! ~ I (rL..15& tzJ3 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
f;tf"
}W
3"( (--04
~~ I1-U<-(
A
I/W
1'((-0'1
J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I \
FINALS
GRADING (Prior to Sodding)
BUILDING
. ,
~
OA2/4r~
'/ /..2J / {J~
ING fit~
DO NOT OCCUpy UNTIL ABOVE HAS
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.
/ I
~1121c4
,
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
_ _ __.._..____.__"_'_"'____'_'__' ...___.._____..._______'_'..____..___..__.." ....__m'.."'."._
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1&-3/ ;{;.L'~r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
COMMENTS:
/?/ /. , -- / A
~/f?OJ><A I ,//1-./ Oc~<-
,..... /
~.k~
,( /" I
& tc:cfz,,,;,
/, /
/--; n<i: r
Qc(
cJ~
OATE
~/t~~
~
TIME
M-/. \92.
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
</~fLy
------ ---
h~ ", ')
~ORKSATISF:-/:~:ED / e /
/6' ~ORRECT ACTION AND PROCeED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: _~~ner/Contr.
/"
r ,..-., /'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSIiOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI