HomeMy WebLinkAboutBuilding Permit 04-0435
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5. /0, 04-
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. D4- .0435 I
(Please me or print and sip at bottom)
ADDRESS
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ZONING (office use)
'€'/SD
LEGAL DESCRIPTION (office use only)
LO~ BLOCK
ADDITION,I-r~k'\r'''';'''' +7>...'\~
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(Address) IIrRlolo c.C>-:IJv\y.,~ (' ,.." . r>T'
PIDz.&. :3/8.00"1.0
(phone)fc,SZ-)....(jAj'-75'i?'iI
BUILDER --;) _ ~
(Company Name) ~~~~f'=- -I-"~v
(Contact Name) k'E=:"~ ..lJr->~:<;=I>/~
(Address) \<6'1f) ,^~I~ ~I~
(PhOne)~~\'\~,:? r--.~~
(PhOne)~'-~q...(j()
UC)t")~l.\R-i) ~ ~IA"'5
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TYPE OF WORK D New Construction DDeck DPorch ORe-Roofmg ORe-Sldmg DLower Level Fmlsh 0 Fireplace
DAddition OAlteration DUtility ConnectIOn D M1SC~L JZJ
CODE: ~I.R.C. DI.B.c. PROJECTCOST/VALUE <yr l~ ~
Type of &nstmction: I II III IV V A B (excluding land) - I
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
Building Otlicial
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U%WD 5".\1.0~
I Paid /h';'?:;,p
I Date c.-I /~lf
I
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I Receipt No, Hlo(J<Yo'1
By (I
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This Application Becomes Your Building Pennit When Approved
~~
- .
ThIS IS to certify that the reqlll:st in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when _~ignt'd by the City Planner constltutl.'s a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CCt:t1fIGlle of Occupancy must be
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i Planni Date c--- Special ConditIons, if any
---n thmf notice for all inspections (952) 447.9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
White - 8uildina
I CanarY ~ Enaineeri~
Pink - Planning .
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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:
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
IY14 R
Date:
5;'..,13 - ()'/
Comments: See Reverse SirlA for Additional Information!
See Attachment". 1) Gr:lcling Phn 7) Fro"ion f'ontrol Me:l~nr"~
"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."
ii~1;
GWhite - Buillliillp
Cana~gineering
Pink - Planning
Thr ernlfr uf thr l.ak. (-ounlr1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /'6/Z1CCJJe.;7?fllJc..6 r"O cJ L.-'
APPLICATION RECEIVED S. / o. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/69 fR ~ {VU /'? s ()^./ (!..() t./ riA
Accepted
Accepted With Corrections
/'
Denied
~
Reviewed By: ~ ~
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Date: 51/2/0 '-I
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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."
T
g~t
While - Building
Canary - Enqineering
Oink _- Plann~
--
Th~ (-..nIN of lh.. I,&k.. Connl.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-~,-,--
Accepted X
f
Accepted With Corrections
Denied
Reviewed By: ~
Comments:
v ~ !:>UYrlJ C4--:>j0l'OeXs,J uf e CJL:f 10 V 00 riu.f1
~L-f- .
Date:
G .( I u'-f-'
,
"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 DEPARTMENT OF
BUILDING AND INSPECTION
-LNSPECTION
RECORD
SITE ADDRESS ~ C~MSd...J CoLttl.!
TYPE OF WORK ,~-~U...,O -P~LJ 1$' ~;EIt. ~
USE OF BUILDING' SF'i O. '
PERMIT NO. ()-I-.tJ~36 DATE ISSUED ~
BUILDER fa.FoA.MA~ ~c.. ~ SeA PHONE #~.. 7?5"-..3!'1'C
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. . . ~Jl..'E
r ~~ SIOI! WALLS 1. ~ftr ME I~ P'iNSPECTOR DATE
~ FOOTING . I t'-~~ I ,y2i~'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~FRAMING I I I.
c....: ~~iL 1EL.1:-e.TJ1ti'"" ~Dlf"Ha;~ r !'F.f.I.JCe if "N;(A(G(tJFfj~/tFP)}:!&
~FINAL. . . . I lIi'b I /(/17/6;; l
C'~ EL~\1LI<!AL. FfN~ I
FOR_ALL INSPECTIONS (952) 447.9850
. .
.
DATE T1IIE
CITY OF PRIOR LAKE ~ / _ L /
INSPECTION NOTICE SCHEDULED 41/ <7~Y
ADDRESS /,c;9~L: r;.,:.-S'O...... C~.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
l:I)NSULA TION
~ FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
6'c/- -9"_"r
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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WORK SA TIS RY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C///pSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOIIRS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY/
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