HomeMy WebLinkAboutBuilding Permit 04-0627
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I PERMIT NO. (J~ ~~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Appliclnt
(Please!Jl'e or print and silll at bottom)
ADDRESS
~AP ~t~ \ \<At'-
4 13 4~
LEGAL DESCRIPTION (ollice use only)
ZONING (office u",j
(2- ~
LOT
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PID.zsA-Oz..IIB,/o
BLOCK
ADDITION
~~RCt~ 1!1f"" ~LAtt<Y ~./
(Address) /t?zcx:; .~/TGcZ ~(c.IIYE.
(Phone) '!~"Z- -~~ - ~ 1S-
BUILDER
(Company Name)
(Contact Name)
(Address)
:51t11r:-
(Phone)
(Phone)
TYPE OF WORK ~ew Construction ODeck OPorch ORe. Roofing ORe.Siding OLower Level Finish 0 Fireplace
DAddltlOn . DAlteratlOn DUtduy ConnectIOn 0 MISC.
CODE: Dr.R.C. ~.B.C.
Type of Construction:
Occupancy Group: A B
Division:
--
II
F
I
r::i'~~
2 3 4 S
PROJECT COST IV ALUE $
B I?J (excluding land)
SF' \ '
"2.0 r:- Ao ~.w.
r
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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 submiued plans. 1 am aware that the building
official can rev~e ~h~ermit f?st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections.
X /J;(.:r~' 7-;H-".,1
/ Signature Contractor's License No. Date
Permit Valuation / ~_ t:UJ. ..-
Permit Fee $
Plan Check Fee $ ....
State Surcharge $ '"1" fX)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection F~e
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
p~CatiOnBe;:me~p~%;
Buildmg Otlicial Date
'!-II ()
~.Jh-')4-
I Recei~'y;I
I By r----
Paid
Date
$
$
$
$
$
$
$
$
$
'td20
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 signe e City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Ct'rtificatc of Occupancy must be
issued I _ I I
.. rn.CY\IHTr~ X / 10 ULL
Planning Director ~ Date !
24 hour notice for all inspections (952) 447-98~m. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
".
.
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White - Building
(" ~""";I"".. - cl!.'i~eerlrIY )
Pink - Planning
Thr("rnlnnflhrt.llrCollnln'
BUILDING PERMIT APPLICATION DEfARTMENT CIiECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity ~ich is Proposed at: ,
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Accepted With Corrections
x
Accepted
Denied
Reviewed By:
/n'J73
Date:
~ -//-0'1
Comments: :...Se.e Reverse Side for AdditionAl I nfo..;.n ",tl"I' I ::
See Attachments: 1) Grading 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 tAe 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."
Th~ ('~ntn of Ih~ l..b Country
t""jUl1!:'" - Buildl~
Canary - I=.nglneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHe.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
t/fJl/:'- ~ ~~~
/)_ 3<5 -0'-1 v
The Building, Engineering, and Planning Departments have reviewed the building permit
.",lloatloo fo'''"''rui~}ty~h p~ Lahu
Accepted /' Accepted With Corrections
Denied
~
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0.[2p
Date:
f/;~~'/
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."
~~
White . Building
Canary - Enqineering
(,.!::U1K . ..,annln9 )
Th~ ('~nlt'f or Ih~ I.ab Counlry
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 ~ich is [1roposed at:
/~ t is 1~~Lff'~ La/~
v/'jr
Accepted Accepted With Corrections
Denied
Reviewed By:
~m.~
Date:
'if / '1/0<../
, , 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.".
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS ~~~g~~l3"~.
TYPE OF WORK ~.< SNGL'l:CJL.
USE OF BUILDING I JJ'c. - JZ. - U .
PERMIT NO. 04,0(, z 7 DATE ISSUED ~IJ"
BUILDER 1_'lAJ:~ PHONE#~-"".-'~7S"
NOTE: THIS I NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
_ECTOR )lATE
I FOOTING I r)ij- I /'/.,22/W
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNE6
, FRAMING I I
, FINAL
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FOR ALL INSPECTIONS (952) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~r~6
OWNER
PHONE NO.
.t'FooTlNG
/0 ~OUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TillE
SCHEDULED p~'/.
.e,i # o-%- fr"1
CONTR.
PERMIT NO.
of-O~'l..7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: / ~ ,.
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6JrL
~RK SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT ~J~' ;5FOR REINSPECTION BEFORE COVERING
Inspector. ~ OWner/Contr.
CALL "7.9880 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY!
"""""
ADDRESS
?'Y~
DATE TIME
SCHEDULED #"'#'ft/
I ..
&#$ T/
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~r-6.27
a FOOTING
a FOUNDATION
a FRAMING
a.a~J!!J.II IN LA TION
,..-l!n'INAL
'0 SITE INSPECTION
a Pl.UMBING RI
o MeCH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAl.
a MECH FINAl.
a EXlGRADlFIWNG
o COMPLAINT
o AREPlACE RI
o FIREPLACE FINAL
a GASUNE AIR TST
o
COMMENTS:
/~1 /~ur'c ,~~/~-
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~. {OS-€-
hRK SATISF..~.",,,,.'. PRe~..""
o CORRECT ACTION AND PROCEED
a CORRECT WORK.C~l.l.~-' ~ECTION BEFORE COVERING
Inspeetor: y~ Owner/Contr:
~
,
~/
CALl. 447.8860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH ol SAFETYI
_n
DARG, BOLGREAN, MENK, INC.
Consulting Structural Engineers
7575 Golden Valley Road Suite 210
GOLDEN VALLEY, MINNESOTA 55427
(612) 544-8456
FAX (612) 544-8914
PAl'll,,"
JOB ~
SHEET NO.
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CHECKED BY
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~'1'
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
~- t2L
DATE Tille
SCHEDULED
':I-II~~
8/cJ(.f Hh l'V/
CONTR. C,'I/
,
PERMIT NO. 04-6J 7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
?J..~ILLlNG
o CCJ...r'i.AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl