HomeMy WebLinkAboutBuilding Permit 03-1049
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
13/J8
I. White
2 Pink
3. Yellow
File
City
Applicant
(Please ~ or print and sign. at bottom)
ADDRESS
/'I/t./L/ KV'/t4-0lS
sr /1/[
,
M/t:>~ L~
LEGAL DESCRIPTION (office use only)
~3o
LOT
BLOCK
ADDITION
OWNER
(Name)
P/rII / D /...1/11' j)
/ i/ls/t.f .R 1/1" ff /2-..J
5-r
N'E
(Phone) 9S~- '1'1'S: /g;1./
P;2/~ ~
(Address)
BUILDER
(Name)
/)/]711 j)
u"./i)
(Phone)
(Phone) ~
"fS;l-L/VS:-/t2-/
r:,IZ. S:;O.~. 2721t
(Contact Name)
(Address)
~
~w#tf?'-
"7~
TYPE OF WORK
o New Construction
DUeck
DPorch
DLower Level Finish
o Fireplace ~ddition DAlteration
PROJECTCOST/VALU~d) $
DMisc.
Date Rec'd
I PERMITNO'!J3_ Jot/ccl
ZONING (officeu,,)
ICISD
PID ;25 - 93C>- ()gt)- 0
ORe-Roofing
ORe-Siding
DUtility Connection
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 loca11aws 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 up~.VY_~') AO pe~ ,needed inspections.
X ~.~~~
, SignatUre Contractor's License No. Date
v
! Permit Valuation If /ZIJtJO, IJ() I I Park Support Fee
I Permit Fee $ '01&9. '2-5 I SAC
I Plan Check Fee $ /3t..,.f!)( I Water Meter Size 5/8"; I";
I State Surcharge $ {"OO I Pressure Reducer
I Penalty $ I City SAC and WAC
I Plumbing Permit Fee $ I Water Tower Fee
I Mechanical Permit Fee $ I Builder's Deposit
I Sewer & Water Permit Fee $ I Other
I Gas Fireplace Permit Fee $ I TOTAL DUE (VliliJ.
This Application Becomes Your Building Permit When Approved
~ffiC~ ~~~
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Q-- s:<-- :3
Paid
Date
# $
# $
$
$
# $
# $
$
$
K' 1A'D~ $ -;;35/-:;l.--fo I
I Receipt No_ UC:; :jU' /
Bv ~'____ .
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
~:'::::~P?~'mpoc~cmifi~z:;mPlim"mdillo~~tru;nt:;;" :;Z::;:7upanGmustb'
Plwlning Director Date ~pecia1 Con~ons, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
5~~
White - Building
Canary - Enqineering
(1'ink - Plannii1!r:>
The ('fnlnflf lh{' 1..lIt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'c:
r'
1-
1_.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(1/ //1//
/
./ / / ; ,
.I
Accepted
Accepted With Corrections
/
Denied
,...
~~
dlL(1 ~ ~
J
Date:
yhk=r
/ '
l~l.J
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Reviewed By:
Comments:
IZ./).UJ.
"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."
~\
,...-white - Building:::::>
. Canary - I::ngmeering
Pink - Planning
Thr (-..nlt'l'..r thfl.k.. ('ounl!'}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~(~d
7- 3/-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r:</d~
/
/4 ItfL/
- - ,
. ,
Accepted
Accepted With Corrections
Denied
Reviewed By: ~ ~I-- Date: dtol07
)
Comments: J -,/.f A~ (' n . c.~ tv" 'U J; III -tA.L: ail, CT2.-
.kA J'j/ U-4-<'.o. Jj We.8 :r-J IC-/lJ ~ ~.
QA~~J_O_ ~~ -tn' ~ tl(~d.
"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."
-~~
Thf Ctnltr of lhlr L.Ii, ('ounlry
White - Buildin~
, ~ .~. ........ .. "=.nqlnee'hnq:,
Pink - Plannin~ .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,L/"
.I
.{{
I
.~.=t . 'y"...-i
,/>C-" /\.11
APPLICATION RECEIVED
~7 - ..:':~, I ~ .:3;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
11-/ /1-/(/
Accepted
x
Accepted With Corrections
Denied
AL~~A J Date: rlll (03
se~~everse Side for Additional Information!
"
Reviewed By:
Comments:
See Attachments: 1) ~l ~.~ nl., 2) Erosion Control 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."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS }I.{/ I.{'-/ I" reee..s sr: fJ:~'
NATURE OF WORK G,~ AlDirl,,J za ~'
USE OF BUILDING S.F. () . _. -
PERMIT NO. 03- ItJL(r; DATE ISSUED ~ -
CONTRACTOR 1)Nli/J LlfJiJ PHdNEf:;2..'fS.,4t"~1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOI!
DATE
, FOOTING \Mf '5'7 ~
I FOUNDATION (Prior to Backfill) I WV/ I r:~((~d>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
wI e- ri",P te, '7/7 ~
FRAMING
INSULATION
E AL
\.?--I'Y?e3
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING wit.- VI..--('1- ~-
LECTRICAL bt~
~ IL, 7."3 _
~
ij/:~I
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
DATE
#
/~/f/'y L(y<2/..'I if
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNOATION
o FRAMING
o INSULATION
-crFINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
--" / --- I
h~/ ~de
ae
--- --
TIME
('),?-/or9
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/...s4/~
/ ~
/,---,/, ~/
I\,;/CY.se /-?/e
,h~RKSATISF
o CORRECT ACTION AND PROCEED
o CORRECT ~/ CALL FOR REINSPECTION BEFORE COVERING
Inspector: 7/~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1)
INSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ) L/. I t.f L(
,;
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
II;riiNAL
o SITE INSPECTION
COMMENTS:
DATE TillE
SCHEDULED l if t--/e;J l El AM
~0\qeV~ ~
U
CONTR.
PERMIT NO.
3 -(tSJ'-i~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
G-wz.-SLhw.P
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
I. f=jI~O ('"r'\I'~ I,~l~ev\ {k~
V
? ."RK SATISFACTORY. PROCEED
t;ytORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
4A
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Cantr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
"""'"I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
J L.j JLI Lj I<. ( rl- Cy ,/5
v
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
hr<.e,k,s, 0 J(
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
1)-3 oj
De,,,,) L",c/
b 3- 10'!7
~ILUNG
- DCOM'lll::AlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.R( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpedor4?'~_ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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