HomeMy WebLinkAboutBuilding Permit 04-0148
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I 8. 04-
Date Rec'd
I. While File
2 Pink City
3. Yellow Applkant
I PERMIT NO. 0"". 0 /4-0 I
(Please.!VUe or Drint and sie:n at bottom)
ADDRESS
/ LjL/ ()O f){)~ 5 5--t~J [ .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER \.+
(Name) _R ('P~
/tlt/OO
ZONING (office use)
;C./S.D
b P/I Je.-/ fl N
PID 25 'T3CJO 7'27)
(Phone) 97 C"- Y'Y7- 3"579'
~lr-(JSJ<::..JIY<'" <:'
- oJ
j( (FIe;" 1/'<: 5"-/' /V t:
/ ~
(Address)
BUILDER
(Name) JEt:J A..IC...e.5>~. @il
(Contact Name) f{,,4... JCres~f> Co. ...i..h r
(Address) 1i'/~7 5'KyJr-e I?d, Ea.;j,2/J
'Z7V /670
(Phone) 6<./- ~ .~'15
(Phone) 1/,'7/ -c::'lh 91 -"2 '(1(3
111,.". S ~ / ?)
TYPE OF WORK o New Construction ODeck DPorch ORe. Roofing ORe-Siding
DLower Level Finish o Fireplace ~ddition DAlteration DUtility Connection
o Misc. \. (L. c... ~I PROJECTCOSTIVALUE (exdudiogland) $ eO btlC>
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 yo w,_.,", to .,erform needed inspections.
X /~ .if~/YU7
Signature
1/Ao. 000.06
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee ~
Mechanical Permit Fee ~4
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
, 9tJ 7.50
5Y'l.?R
~tJ.tJlJ I
~o.oo
40. () 0
I
I
~
This Application Becomes Your Building Permit When Approved
~~
Building Official
8,.1; / It) 'i
Date
#57'19"
//-/9-(") ~
Date
Contractor's License No.
Park Suppott Fee
SAC
$
$
$
$
$
$
$
$
$ frill-7. 3 e
.C
I Receipt No. (-/'~ L( .:/6
Bv if-
#
#
I Water Meter Size 518"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
\ Other
I TOTAL DUE ~
#
#
s.,~ -OJ.-
I Paid
I Date
1&7 ('I. o<'S;.
.'3-''-'04
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 commence. Before occupancy, a Certificate of Occupancy must be
issued U ()., _~.'.~ f(jj' /l.. ' . 0:,CC PUll.., c5,~t-
ilr\\.. ~~ ";:, ,.->.,:J, .0+
~I Planni1l Dl{ec'.9" Date Special Conditions. if any
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
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Whit.. . Buildi~
( Canary --:. Engin~!inv
Pink . PI3nnlng
Thr ('rnlfrof Iht I..h("ounll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I A ./1- /. , A /. C. .
/ -r"":" V 0 ,/2' U "TC? clj C :".J I . I V C--
Accepted
)<
Accepted With Corrections
Denied
Reviewed By:
1J14J.3
Date:
/-;}, /-0,-/
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grllding Plan, 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."
~~
While - Building
Canary - Engineering
r- "mK _:. ..,annm!/;>
rh~ (-..nl.., of lh.. 1..11.. COun11")
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building Rermit
application for construction activity which is proposed at: -
;i "/4- ( ( _ I. ,A E... .
, . / __,. - '__ I ':
Accepted
Accepted With Corrections X
, \
Denied
Reviewed By: Cf?/Ylo Y7 tN~
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Comments:
Date: ';0. / d- .() b
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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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lh~ C~nrrr of Ihf I.akt ('ounln
C White - BuildinU
. Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
R. 11. ~/Z6SSE CO.
/. g. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-4-00 K!uTG6R.S ST. ;tiE-,
I
Accepted
Accepted With Corrections
,./'
Denied
Reviewed By:
Date:
//.:;J/h,L/
I
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
INSPECTION RECORD
SITE ADDRESS 1'1400 ~TG~1lS S''f; ,u.O.
NATURE OF WORK ~tlE ~MI\(M. A/J" ;"o~
USE OF BUILDING _ SO,t:: O.
PERMIT NO. /')4-. 0/4& DATE ISSUED ~ II
CONTRACTOR ~ 1lt4~S~ PHONE~~ ("Z?'f.. It. .,e
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR /J
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OATE
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(..,..1-7"1)1.)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
, GRADING (Prior to Sodding)
I BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
a/
fV'(
ytp
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.
, /
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SIGNED
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE /$5;1'/
INSPECTION NOTICE SCHEDULED
ADDRESS /~f'CO J2,'&I"/:'I ~sl
OWNER CONTR.
PHONE NO. PERMIT NO. C'y-/y~
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~NAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
..--.....
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~ORKSATISFACTORY. PKV""""
~ ~~RRECT ACTION AND PROCEED
o CORRECT WOR~~~)'Y~INSPECTION BEFORE COVERING
Inspector. /U/ V Owner/Contr:
CQMM~NT$!'
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNO"
DATE TIME
CITY OF PRIOR LAKE C( -Jo-o-t
INSPECTION NOTICE SCHEDULED
1
ADDRESS /L(t./Ob rJ}>> k--?
OWNER CONTR.
PHONE NO. PERMIT NO. L.-!- / L-IV
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH R1 o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE R1
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~ PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~Ot? t1....bJft1 ( -fo)/e b .j.- ~ f./h
'(,)V// rlfP rarF Lo..t?'7
.
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT .~O>>9LL FOR REINSPECTION BEFORE COVERING
Inspector: VV I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlWTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIMe
10 j,-a.../ )..:w
ADDRESS
/LlCroo 2. ()~ (/"~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4-/L/J"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.IilHIIECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT W51R>>~OR REINSPECTION BEFORE COVERING
Inspector: -11!..-'- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI