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."
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,
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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
"""""