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HomeMy WebLinkAboutBuilding Permit 04-0771 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 7./3.0+- 1_ While 2_ Pink ) Yellow File City AppliCllnl I PERMIT NO. 0+. 077 I _ (Please tuN! or mint and silm at bottom) ADDRESS I &l.j1 rv1 A rtJ A\J ~ c:;:.e. LEGAL DESCRIPTION (office use only) LOT ADDITION BLOCK OWNER I ... (Name) LJP.Nr-N f:..:u1,,1;f.2- (Address) ZONING (olliee use) C.3 PID z.s: 001. lOr,.. 0 (Phone) 44:1....~(L- BUILDER ~ (Company Name) \'t'1 \)B=-((~'-.l ~~ (Contact Name) I A.:'TII~ (Address) 'UAq WlUOw ~ <ST. (Phone) 9.~ 7~1.,...4g-L. (Phone) \ ..Jc..- P,L. TYPE OF WORK 0 New Construction ODeek OPoreh ORe. Roofing DAddition OAlteration DUtility Connection 0 Misc. Fa..<A.de- CODE: DI.R.C. Dr.B.C. Type of Construction: Occnpancy Group: Divisiont\ :'\ /\ 1\ Il I . I .mby cet., t.~ ~fur above-men 01 ed .pe anI official can Cl lke "t X ~"-" 7 A B ORe-Siding DLower Level Finish o Fireplace s ___f'5i? I r E PROJECT COST IV ALUE (excluding land) II F 1 illrv H r 2 3 V M 4 A R 5 B S U formation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Of authonzcd agent for the cons ction will conform ro all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building se. F ~ agree rhat rhe city official or a designee may enter upon the property to perform needed IOSr)i:h..o4 Signature Contractor's License No. Date I Permit Valuation I Permit Fee $ I Plan Check Fee $ I State Surcharge $ I Penalty $ I Plumbing Permit Fee $ I Mechanical Permit Fee $ I Sewer & Water Permit Fee I $ Gas Fireplace Permit ~e - I $ (' / / mesYomB~l;::;ed Bu d ~Clm "1 jJ ~ e This is to certilY that the requesM"_.: '. "'-e 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 Planning Director ~7--.~.- ~I.- ~"I.t";- 110. - I Park Support Fee I SAC I Water Meter Size 5/8"; 1 "; Pressure Reducer #~ # ~ $ $ $ $ $ I Water Tower Fee # $ I Builder's Deposit $ I Other $ I TOTAL DUE ~ 7.'2,7.04--- $ Sewer/Water Connection Fee # 82f?.f~ 4'7 :J1t1J I I Paid I Date 'llz.r, /,:5 e.dLo~ /, 11NO 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 ~~ White - Building Canary - Engineering Pink - Planning Thf ('rnlu of lhr 1..1<.. ('ollnll")' BUILDING PERMIT APPLICATION D~RTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED pl2/ 001 "'i Des ( 9 N 7./2._04- Bu I L-D The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: IlozCJ!J MAuL1Wb. ~INlkl~~ Accepted ../ Accepted With Corrections Denied AJr- Date: 7 {,,104 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." '\ , , . i ik t. i!'. r C'3/facalL ---- ThC'<"..nlunflh..I..k,Counlry White . Building Canary - Engineering Pink - Planning ,'."., BUILDING PERMIT APPLICATION QEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PIe: I G/~ll\I DE S /0d,J . 7. I'Z . C4- I ~:>, '..-'1) 11.,U The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / (c Z CJ 0 tv) f-\ I t\J f\ V E . If.XTt<'-f\ \. II\! 1\)( ~j (-'1 :-) Accepted /. Accepted With Corrections Denied Reviewed By: Comments: ~Yn.~ ~ ~__,/t " Dtzr, ~. --Dk Date: I -;)-3-0'-1 t;:. (~J .8..ut.W j t'//"'J]:l~nce 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 DEP4oRTMENTOF . BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ! &; 2 "fCf t'-~(N Ave-. NATURE OF WORK ~....t4- USE OF BUILDING II c... A- i-z.. I J PERMIT NO. 0+.077' DATE ISSUED 11,z.-/04 CONTRACTOR PIZ-Iet1-'1 ~<orJ &;,.....u . PHONE-1..d~z"~4<'2Z NOTE: THIS IS NOT A P'ERMIT FOR ANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE , """..,.. .. ..... j W"f11i ".lJI!U \r"... ... ....._un" I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS T J:_.., .......... I .....~ FRAMING 'fI!_~,,_U ELECTRICAL PlUM_....... ... Hi .iflll~u"..u) -p'.-"'.... -.!.. '.1.1 MfI& .UR lilT /7 //l/Y / . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS CIJIIft)".... \r "... ._ ..!._d.dlng) BUILDING ELECTRICAL ~ ......l.n .- - V//V/ tH7-{)t ( IIIIiAWlIi 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. " FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. [J FOOTING o FOUNDATION [J FRAMING [J D1SULA TION ~FINAL o SITE INSPECTION SCHEDULED DATE nIlE _q - n -oz./ / f. lA II Ma VI CONTR. PERMIT NO. L.f- 77/ [J PLUMBING RI [J MECH RI [J WATER HOOKUP [J SEWER HOOKUP [J PLUMBING FINAL [J MECH FINAL [J EXlGRADlFILLING [J COMPLAINT [J FIREPLACE RI [J FIREPLACE FINAL [J GASLlNE AIR TST [J .,:: aL<(.J~ --- COMMENTS: ----- / /I I a. ~ / / I CU- f-( ~ ) ~ L---' ______ ~ IlWORK SATISFACTORY. PROCEED "'CORRECT ACTION AND PROCEED [J CORRECT ,wo;{iW FOR REINSPECTIDN BEFORE COVERING Inspector: -fI-I/-{. Owner/Contr: CALL 4C7.9850 FOR THE NEXT INSPECTION 2' HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI """""