HomeMy WebLinkAboutBuilding Permit 03-1602
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please nye or print and sign at bottom)
ADDRESS
;E 1-~ s .oon:.t.{!.e. fro.l, /
Date Rec'd
/1. zs. 03
I. White File I PERMIT NO
2 Pi.' Ci<, . ".., _ /(002-
3_ Yellow Applicant L.J....-'" II
LEGAL DESCRIPTION (office use only)
LOT Cj' BLOCK S- ADDITION SLUl~ef Ifl lIs
OWNER
(Name)
'Donu14 b.0-.++
(Address) 3 Y-d.:)
BUILDER.___
(Name) -/~
(Contact Name)
(Address) 7:z..1
T!;:J.C!
TYPE OF WORK
31'r'"UI!L. Tf-{L,' /
Jr,;ilMnz t!-Jsnqdi~
ZONING (office use)
R/
PID z.5. 17 z... 073, 0
(Phone) qS;;;} - st-c;.O - ~-5 sLs-
(Phone)
(Phone)
$J/.tNNtlN4NE 'lELJ.€ 'MINE
6/')(J..nnOn UiJlp_
o Misc.
y
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o New Construction
DDeck
DLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $ OlO, O()(J
~, 000. ()() I
$ :s -z..-./. u; I
$ t-o Y _y-I I
$ 1"_--0
$
$
$
$
$
~&Co~:dingp;;:j:ved
Building Official Date
~rch
OAddition
ORe-Roofing
OAlteration
1;<< ':-'7CJ J8t:)~
'?s# ,?~ ~"
#
#
#
#
ORe-Siding
DUtility Connection
//-~S'-tJ-3
Date
$
$
$
$
$
$
$
$
$ ~4-tJ. Q&
I ReceiptN<f )~o9'/
By -C.
o
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 L....._....J Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~4~
Planning Director
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
enter upon the p"y.....) to perform needed inspections.
<,f)., d ~ f'-#-
Signallllf
leJ..p~/d:?
Contractor's License No.
Park Support Fee
SAC
I 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
Date
~~ - () (p
/Z.2--161
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
<: Whit.. - Buildiiia::>
Canary ~ngineering
Pink - Planning
The ('rnlfr of Ih..I..k.. Countf)'.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
dJo Jtl rrL-l) E, 70- A-,
II /.;1t:::; /()J
( (
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 L..j .;J- 5 JI.,c'/!-U c C ~ I L
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~
Comments: .~
J~ ...JJ~,
I'
~
~ Date: 1~31G13
~~ ~ 4.&c:R ~
"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
.
SITEADDRESS ~tJ~s Sf~tlCE nA/~ .
NATURE OF WORK I./-SE1ISd;J PlJI<<H 14J/-FZ"~rllJ,J
USE OF BUILDING '.s; F; 0. '.
PERMIT NO. (J3!&..-oz.- DATE ISSUED J~/~*'
CONTRACTOR 1"'b* :JbHkLr-L tA.~~r. PHONE~-"2AO"
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
, FOOTING ~ _ t I ~~ IBLi
, FOUNDATION (Prior to Backfill) I 1/1 A/ / I I -1-0-0/..01
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/J
FRAMING JlI/Y/ f..-.\-/{; -o~1
INSULATION /IVY/' L, - ). 7--oLj
ELECTRICAL
tlL/ 0' f-S"U'l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
jIt/J
9/fd/:? '
57 f-2LJ/tJy
~;; 4{
SIGNED
/11/1-
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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
ADDRESS
J'Y.LS"
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,.Ar1'INAL
o SITE INSPECTION
COMIVIENT,8:
Y/v"c&.'<.-uf
~
SCHEDULED
_ )..~.","/,/ e e
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
./
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I
cJ "'VI .e
~~k': N~ / O~
'_~~ ~ /-2 -iC-,t"'J
DATE TIME
:9~k
/
'/;1
0.3-- /60...2
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
0' ht1/;"/
f' I 7
rJA
.---:/
// A-..~
~
/ /'
~~\e.
~RKSATISFAC~CEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
OIC
..
----......
.)
./
------
. ........,-...,
/-7 / e
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOn