HomeMy WebLinkAboutBuilding Permit 03-0987
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I,White File
2. Pink City
3. Yellow Applicant
7- ( L/~lB
I PERMIT NO. t? '? - 0'19 7 I
(Please.!Vt?C or Drint and siJ!n at bottom)
ADDRESS
ISI50 Mut.u_ 'rd...... _~_.. ~~
ZONING (office use)
R.,/SD
, LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
<,~-<--+ 3~
~ .
PID;95-95s- t'JICf-()
OWNER
(Name)
p,l.U( R lv... AM"
(phone)
If, 12- 9~ </- -r.,~ ()
(Address)
BUILDER ~
(Name)_U L,Y1 It#" W L/~
/i L~1.-... .
#{~4UHlT //a.<:.p
C-... f- ""'.. c.:f... ,..,
(Phone) ,q f" ~ - $-of V- (> 7 o~
(Phoneft::,IJ- I.I:t.-"" 1- Ini
/I" r" "v,'llo(".
(Contact Name)
(Address)
/),}'-)
TYPE OF WORK
o New Construction
J!eck
o Fireplace
~orch
OAddition
ORe-Roofing
ORe.Siding
OUti1ity Connection
OLower Level Finish
OAlteration
o Mi,c.
PROJECTCOST/VALUE (exc1udingland) $ 19." 'f~ ()"
,. '. --..
I hereby certifY that I bave 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..nJ 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 upon th;;;operty t~erform needed inspections.
X ~Ar . ?-IY-DJ
Si~ature Contractor's License No. Date
~
I Permit Valuation ;If If. tJtJtJ, DO I I Park Support Fee # $ I
I Permit Fee $ d93,~ I I SAC # $ I
I Flan Check Fee $ /9d. ~/I I Water Meter Size 5/8"; I"; $ I
I State Surcharge $ '7 ~ dZ) I I Pressure Reducer $ I
I Penalty $ I I City SAC and WAC # $ I
I Plumbing Permit Fee $ I I Water Tower Fee # $ I
I Mechanical Permit Fee $ I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Fermit Fee $ I TOTAL DUE ~1,1A',03 ,$ ~~:~
This Application Becomes Your Building Permit When Approved I Paid WCrd- /~(, I ReceiptNo.lflofl; 0 g I
~AAf~ 7dP ~~~~ . Date <j("':c;"- ~ By if-- I
Building Official
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 __......_..__. Before occupancy, a Certificate of Occupancy must be
issued.
7.a4--0b
Date Special Conditions, if any
i4 hour notice for aUlD!, ,.:, c (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~1
White - Building
Canary - I;ngineering
C~~~k... . "Iann~
The ('tnltr of lhr I..kr ('ollolry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
6 /'!'j .I
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The Building, Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
YJ
Accepted With Corrections
,
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Denied
'--1J
Date:
( 'ILo, Db
Reviewed By:
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."
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White . Building
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.. I'lnl\ . r-,lifI"m"g
Y"t ('"nlf' or III.. tlb ("ounll')'
BUILDING PERMIT APPLICATION DIifART~NT CHECKLIST
NAME OF APPLICANT
APPLICATION .RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted X
Accepted With Corrections
- Denied 0
Reviewed By: l'l..L^l Date: 1/1410""<,
Comments: See Re~e~e Si~e-for Additional Information!
See Attachments: 1) Q:alHRl!: ~1l1il. 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."
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VVI1I(e . aUllfllDa:::::>
"......r)'. Engineering
Pink - Planning
Th~('..ntt'rofth..I..b('ounlr}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ ICIV /36 rkll~ &(lJ+~
1-1L/-(J '3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ____
/{;/S-O m~~. /2cl.
~
/ "
Accepted With Corrections
Accepted
Denied
~71~
~ a.h
Date: 7/::;J. ~/d 3
r
Reviewed By:
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."
PRIOR LAKE -DEPARTMENTOF
, BUILDING AND INSPECTION
INSPECTION RECORD
.
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING S.. . # .
PERMIT NO, 63 - ora 7 DAT~ ISSUED
CONTRACTOR 6J.,DJ ~ ~ PH NE c!II&.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING 4"!. ~~~<Wb ~ q,/-. e 1:Z-2-~
I FOUNDATION (Prior to Backfill) I ~ I 6.-/'77- ta:3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
~
,
v
r9,K
Gk.
GRADING (Prior to SOdding)
BUILDING
LECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
\
Pth
) t1 ,I-!:. -~cy
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
ADDRESS
I t:jf fX/
SCHEDULED / ~
fIlii!
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
}- ~7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
*-1=-! ~
,) WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
ALL FOR REINSPECTION BEFORE COVERING
OwnerlContr.
C
o FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
'''''''"'