HomeMy WebLinkAboutBuilding Permit 04-0373
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please t:YJN: or print and sijtll at bottom)
ADDRESS
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 04- . 0 3-131
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LEGAL DESCRIPTION (office use only)
LOT S' BLOCK Z- ADDITION
I OWNER
(Name)
I:'cJ
1952lD
(Address)
PID
Date Rec' d
4- ;;2? - CJ 4
ZONING (office use)
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(Phone) tfcf()-1 g4- (
t>f'ior lll.."'e
~C~~~~Name) ~w ~rl/.fr~ ~ WJ-L.h1r
(Contact Name) EJI'/t'"_ WaJIl . J
(Address) 1411 WlcK-vll:Jl:.f- C?..,.c.\e \J\'c.+wt't;;;__,
(Phone) 352 ffi.3~</'f
(Phone) 6t~.:J.O~-~J.f ~
W1,.... 5"~3t(..
TYPE OF WORK. Wew Construction Il1Deck DPorch ORe-Roofing
)lLAdditlOn DAltera6o~ DUtility Connection 0 Misc.
CODE: ~i.R.C. DI.B.C.
Type of Co'nstruction: I II 1lI IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ORe-Siding OLower Level Finish 0 Fireplace
PROJECT COST IV ALUE
(excluding land)
Park Support Fee
#
I hl'reby certify that I have furnished mfonnation on this application which is to the best of my knowledge tnle and COlTect I also certify that I am the owner or authorized agent for the
above-menlloned property and that all onstructi will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
:"'] "n "vnk, th>5 p"mil fOl 'V/~/Y ,,,,eo th" th'DIy offi",] ;'~o;'~;:;'c;on th, pmp"'Y to p",-'olm needed, -P'''~ ~
~ignature Contractor's License No. Da e
,
f -zo '00.110
339.00
7-'/..0. S~
/0,00
SAC
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE tl4'l1M?> r.4.G 4--
This Application Becomes Your Building Pennit When Approved
~ ~ 1/Z-i/o'-f
Building Ollicial Date-
~....-" .--,-
I Paid ~ 0 <-j, C).::)
Date ,"5 - '1-1.t
$ ,'<n.M':l
.
$
$
$
$
$
$
$ I
: 5(P9. 351
RecejDt No. Lrro,x.t/D
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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
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Planning Director
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
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White - Building
~rv - Enclineering
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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:
~ ~f-!
Date: s1~Y'
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,"
5~~
r~hite - ~uildiiiQ-:,
Canary - Engineering
Pink - Planning
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~./ )(~
'1- ~ - &-/0
,
_fu1Jl70 cb A Al~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whic - proposed at:
/55dcc:' - _ (!1u
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~~~
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Date:
#pr
f:t~,
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 15'5 2..~ .srEF..AJJ ciAIJJ. ~
NATURE OF WORK P/JJ!U.H -I k!;/t- AOIJirfbJ
USE OF BUILDING S. /:':'0 . --
PERMIT NO. 04-- .0313 DATE ISSUED ~
CONTRACTOR ~ lJfw~~~;"HONE"Z"'CZ..~Z/&.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THt INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
B~JlDING AND INSPECTION
, FOOTING:Itt ~ ,.~ ~ p~ I
rOR
DATE
I 5/1 i1~t(
c..nc TE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS
BUILDING
ELEC AL
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1/.25101'
1?47k'
BEEN SIGNED
EATING ~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have beEll1 .'3pproved. 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
SCHEDULED
ADDRESS
/3 S.2(;
Sh~Vt
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,...B1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CO.MNlENT$; _ ____ _ A
~C Th C-C,/ ;/; ,,)..<;/ ~h e
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TillE
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
,rORRECT WORK, ~;~~INSPECTION BEFORE COVERING
Inspector: J/Y7~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /5 Ot:,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
AI1'l'INAL
o SITE INSPECTION
COMMENTS:
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DATE TIME
SCHEDULEO 7/7j&r
.J/~-41-7
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
./J /i /
L/--?-~c- ~,.-:s
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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-
/
/
V;-e
~
~RK SATISFACTORY. PR~ED
/0 'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
,- /'
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ