HomeMy WebLinkAboutBuilding Permit 03-1595
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ADDRESS
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. CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPUANCE
AND UTILITY c...... .:.!.CTION PERMIT
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Date Rec'd
t (- 21-03
I PERMIT NO. 03. /5951
LEGAL DESCRlPTION (olllce u" OJIiyl __ /J d
LOT BLOCK ADDmON I / /rtlJvUYJ
OWNER
(Name)
ZONING (_...,
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pWdS-/Lf/-073-0
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(Phone)
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(AddJesS)
=~ i(ONUJYL CMS7YUlC410v0 (Phone) q)2--J'~g-S::))g-
(ConlAdName) ;:JON L-/Itvt(f:!2- (phone\ q5,--8&'/(~~'5{~ /<~...o
(Address) {Ot <fD 01n.d~/tvc5. (tt!!. I r6tcro~5~ 1 JIf/l~ ~5'f7..A)
TYPE OF WORK
Cl Mis..
D N.... COllSltUClion
DLowtr Leve' FInish
ODeck
OPotd!
Dlte-Itooftnl
OR.e-Sidisla
ClUli1llyc......,...l. .
D Flrep.... ~ DAil<<uion
PR.OJECTCOSTIVALUE (adu4in11and) S /31 3~S
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Tbk AppUCMiOll Becoees Your BIIildi:DI Permit Wlaen, ',~" _"
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0... Spodal Conditio.... ;rillY
:14 -. _ ror 111 _...-", (":1) <M7.!II5O, /'u: (m) 447,G45
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!3C-r337
CODII'lCtOt', Llc<Nc No.
Pad: Support Pee
SAC'
WatetMew S;:e5/8"; I";
P,.,suro Reducer
'C;IY SAC and WAC
Water Tower Fee
Builder's Dopom
0lIIer
TOTAL DUE Ctttu;'))
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I hml>y eInIfy "'"II have !llmished bl!br:mllion ... d1is appJiclli... which it to rho bat of my tDwledp ltIIe IJId camet. I also ccn:lfr lIIaIl 111\ die _ or
IU_.....' !or the lboo.. _."~._,:, ". , IJId dial all ccDJlNCllon wtII CODl'o.... IX> III e>iJ1inS .....lJId 10<01 Iawt IJId wtII proeecd ill.... . ~ ....._
su1:mdtIIe4,plNl', ] am ..are dllllhe buUdiq: otficia1 can revoke c:hiI pennit fOr jUlt"UIC. 1"u:r121amote, I hereby qree that lhe clty offtdlJ or . dcsIpc: IDlY
enter UJ'0I2 dlt propeny t() perform Deeded iDspecdODJ.
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Permit Valuation
Permit Pee
Plan Check Pee
Stale Surcharge
Penaley
Plumbing Permit Fee
I Meehanical Pennit Fee
I Sewer &: Wlter Fennit Fee
Gu Fizepl."" Pcrmit Fee
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TOT~ P.02
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1. Blue File I PERMIT NO t::""
i~;'". ~:;U~I -. 03- /5'9~
r)'lease ~ or orinl and sillJl al bottom)
ADDRESS
.A/{)/ttlf 4,) 0 11t!
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ZONING (o_use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(phone)
(Address)
APPLICANT
(Name)_4/yllo J~..:>I..4.J.c:.r..~.I /"'(.[J"J,/4/c' (Phone) Lie! cl,?ljq
(Address) ~~(jf' ~A:-'jt )<{..IJ ~r ",;ca-J, < i....pJ.- ~J;."d'l~
(Address) (City) (Zip Code)
(Contact Person) iF { /YI A~/1 (Phone)....1::tIIfIt1 ~ :;l q ') I q/ "
APPLICANT SIGNATURE _d (' _ ~ DATE ~~?.. /71.4
V '
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
I Dishwasher I Water Heater
I Floor Drain Water Softner
I I Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other 6J f'(~ PJ,AJOIC- b~
FEE SCHEDULE
Induslrial, Commercial & Multi,family 1 % of job cosl wilh a $39.50 minimum Residential, New One & Two-Family $99.50
Residenlial, Addilions & Alteralions $39.50
Eslimaled Cosl $
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
!''V
Paid V r Receipl No.
(Orne. Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Da:~_ d-o 4
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24 hour notice for all inspections (952) 447.9850, fu (952) 4474245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
Date
BY~
~RIOR LAKE
INSPECTION RECORD
SITE ADDRESS I (,oL(q tJotti,.. W()~o tU>,
NATURE OF WORK . , ~
USE OF BUILDING StFt () .
PERMIT NO. 03. /.z:pS DAT~ ISSUED ~
CONTRACTOR ~'''4.uC:Il"'cw PHONE~ -UI-"'8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING &~ ~6- ~/VJW'94-/ , t!.b.ck I, +.J
, FOUNDATION (Prior to Backfill) I U'f) I I-IV- u~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING rl,OOK.. f),e.q./jA/ ~
I HEATING
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.
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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FOR ALL INSPECTIONS (952) 447-9850
Thll' ('lI'lIln or Ihll' (,alIIII' ("lHIlIlry
White - Building
~~ry - Ensineerlno
r-fnk - Planning
BUILDING PERMIT APPLICATION DEPARTMENT 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
)(
Accepted With Corrections
Denied
Reviewed By:
JY)4 13
Date: I;;' - :2 - CJ 3
Comments: See Reverse Side for Additional Information I
See Attachmp.nt~. 1) GnlCling Pl,'". ?) F.rn~i{m rnntrnl Mp.llsnr"~
"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
C~""Q1 . Em~ineering
C:P'nk - PIBnnlnV
Thf Crnlrrof lhr Lib (.'ounlry
BUILDING PERMIT APPLICATION DePARTMENT CHECKUSI
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 '/.
Accepted With Corrections
Denied
Reviewed BY:~~
Comments:
Date:
1~.I,03
"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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Canary - Engineering
Pink - Planning
Thr ('.,nlrr of Ihr 1-.kt' ('OUlllry
BUILDING PERMIT APPLICATION DEeARTMENT CIifCKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
~olJClJr
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activ;b;~~s pro~~ ~ Rc1
Accepted
Accepted With Corrections
"...-/
Denied
Reviewed By:
Comments: ~ ~ ~. :~
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Date: ;I~ JYJ>> "5
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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."
/
ADDRESS
H/70
DATE TIllE
SCHEDULED tf..:-- 2~
'va. ~JJ. db"'\. (l.J'
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-:?-/5~
o FOOTING
o FOUNDATION
o FRAMING
[] .!IlSULA TION
~INAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
o WATER HOOKUP
[] SEWER HOOKUP
o PLUMBING FINAL
[] MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
o GASLlNE AIR TST
[]
COMMENTS:
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[] WORK SATISFACTORY, PROCEED
;J( CORRECT ACTION AND PROCEED
[] CORREC C LL FOR REINSPECTION BEFORE COVERING
Owner/Conlr:
C
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETY/
INSNOn
DATE nIlE
CITY QF PRIOR LAKE
IN8PECTlON NOTICE
SCHEOULEO
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PHONE NO.
ICdI? 1l/{!)rf(.,l.,l.OrxI ~oI
R()"/'Wy
6]-J('IS'
CONTR.
ADDRESS
OWNER
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
XEXII!llWilIILLING
O~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r;~ -D K-
j( WORK SATISFACTORY, PROCEED
, CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In.peclO~ Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A1lE FOR YOUR PERSONAL HEALTH & SAFETY!
........