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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 '/ /1! - ():' i i.' il\" " j,- The Building, Engineering. and Planning Departments have reviewed the building permit application for construction activity which is proposed at: //'. /1..; () "/.<,// .""'/-'1 \ :;~., ) t,/ j!/ c/ /' '::>' [,/\ \: v I ..........- "." Accepted YJ Accepted With Corrections , '\' Denied '--1J Date: ( 'ILo, Db Reviewed By: Comments: ~j. ,/ Que (!J.U>I)~ .eJ..{~J ~ . L~: '~'::!;1~ ~ 'n ~~, v""L---o..A --"----1' ~> I '..;;...., l!'~ -\ v v r;;:).~ V(;}\D Ii' ~ --(...C "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 .....--.......'ll:IIrv .. ~II","II'Y ) .. I'lnl\ . r-,lifI"m"g Y"t ('"nlf' or III.. tlb ("ounll')' BUILDING PERMIT APPLICATION DIifART~NT CHECKLIST NAME OF APPLICANT APPLICATION .RECEIVED ......,/ /) L (-I ..:.. '_'_'_ ." .. I ('- ''''t.,. "",/ .' "t" '~. -., .,.1-' i ," "'-......fJ . '"e',,, ! ,/_.' t ' ", ,- 1 ,1'1) ;,.- '7- /1/- () '3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ""/-t--., /;;. ) v ',"""}/";, -' j'" . / /".Z.1'''.I.,'I# /o'n .' ," :" /~.rl .,' .'. ''''..1. i .' , .. - ~ y ~ , r, n I) I' f ' Ii I ! -' ,-) -~~,.j u> t C l<' C 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." (" 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 '''''''"'