HomeMy WebLinkAboutBuilding Permit 04-0916
r_. .._...._.._1
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF Z". \~. \G COMPLIANCE .
AND UTILITY CONNECTION PERMIT
3.;15 0
s..... c...... ".,ur.... -"172.....,(..
I LEGAL DESCllIPTION (oflloe... only)
wr I BLOCK I AlJlJu.ON V _I-L.
OWNER
(Name', V I c.. ~ r K "'-" +-"'" ""-'
Date Rec'd
I.WltItt FIle
1.... City
J Vellow AppI...
7-1.:2 -o~
I PERMIT NO. O~. oq / (, ,
Sw
I R\~D-") I
/lrIchJ
pm ;;l5- 11/- tYJl-O
(phone) Cfsa.- ~~c.-.2 7.{. 'is'
(Address) 30t 5 0 ~ c...... .....0,..... T....",. l. ~ I...J 7,.., Dr L....t:....., ~,.,
sS'" S"1~
IIVILDEIl
(CompanyName\ 1"Hv.-P-_ e..,..s. ~.....,'J,,,,:'" l2........w.W.l!one) .....::l.!..'!,.''I!a-loRt..-a
(Contact Name) N.....-h-..'" '" m......~ (phone) tJ f~- ~l- f. - ""'0 ~~.
. ,
(Address) J (" 3 ell '!.,. J l............... oIo.~' 0:>:' ,,-'-. rn 1\. .5~1.t"" If
TYPE OF won 0 New _.."_..~.. DDecIt Dpon:ll DRe-RoofiDa DRe-SiclitII DLower Le'lel Finith 0 Fi"""'"
IWl>oddilion DAItaation DUtilityC_ DMitc.
. CODE: ~.R..c. DI.B.c. PR.OJECTCOST/VALUE S
Typcof~OD: I IT m IV v A B (esdwIiqland)
0,.,,,, ,. '. Group: A B E F HIM R. S U
DImIon: I Z 3 4 5
1 beftby Cfttify that 1 have furaisbed information on this applklticm whicb is to the belt of my knowkdte true and coma. I also certify dlat I am the owner (11' IUttsorizcd qem fer the
.. . I " ,. _ ' '.. "JWClPtdY and IIW aU .. ,. ,",' .: ." will c:oatorm to aU cxisIina stile and local laws IDlI will proceed in acccrdance with submitted plans. 1 am awm tbat the buiIdinJ
ofticiaI ClDJ't'YOUthispermit ajUJtCluse. Purthmnore.1 hereby qree lhatthecity otftcialor a desipee may enterupoa theproperty' toprrform needed...,~ ... .,,_.
X yY)_~ _ __ ..3o.f/(p .,~ OJ. e>""
I SiaIla_ eon.........., Lioease No. Da..
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mecbank:a1 Permit Fee
I Sewer & Water Permit Fee
I 0.. FitepIaa: Permit Fee
~.
42. MO,OO
s ~'.P. ~o
s ,~~q.l.l:J
S '2.. /.0/1
S
S
S
S
S /y'tJ,l)(l
'I'IIU AppIkatIon -. v....1IulJdlac _ WlleDAppnmlI
~~ ~ --24{,i!J~
Buildina Oft'lclial Date.
I Patk Support Fee 1# S
I SAC 1# S
I WaterMeter SizeS/Hili 111j S
II'msure RedlKler S
I Sewer/Water Connection Fee 1# S
I Water Tower Fee 1# S
I Builder', Deposit S
I Other S I
I TOTAL DUE fAa.t.m) V3 ,04-. S /, 0 ~8. 6.31
// .
rNO ~~
I Paid
I Date
I n4-f1.::.J
;; '2.2..,0~
11uI iI to cerrift that Ihr request in the Ibove application aad l... "~I' ". :,.J documeDts is in ..., ,J.., "_ with the City Zoaiac Ordinlnct and may proceed as n:q11Clll'd. Tbildoc:umem
!*"lipodbylheCilyPlann<r T" ,..... Co,. .... CenillcakolZon...complitll,..nd__IOCOIlIlllOllCe. Be..... "",'. '. ,aCcnir_oIOccupacyIllUSlbl!
7JA1.f'~ ~ ~~/gf~~r~:!::.~ Zr;~~i,
:Z4l1oar .oti" for.n i..peedoRS (9!Z) 447--91..~. fix (m) 447...a4!i c.. ~
16200 EaaJe Creek Avenue Prior Lake, MN SS37Z
"
vvhite - Buildin!l
( ~~nary - c'!9!neering)
Pink - >'Jannlng
Thl!' C....l..ror Ihl!' 1..Il, Counl...,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\.. ."-l",
,/' f l-'/./L/;~. / ,I'"
--7 J E;l
./ '- / .-:l )L.!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which iS,proposed at:
~ I ~
.....,'1, c,-/) Cv?~ Lj'. ,I' /;'fi /1/'.. .nL, {.. I.?, .
./,--7-,"':.,.... }<--- ,__._.-C"f" .-".....-'\~ ~'-
Accepted
()(
Accepted With Corrections
. .....
Denied
Reviewed By:
.1111f3
Date:
/-27-OL/
Comments:. ~AA HIDLerC::A ~irlA fnr Arlrjitinnallnf/.m:natic-nl
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 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."
~1
White - Building
Canary - Enqineering
~~ - Plspr'llnv ::s
Tht (-C'nfC'r<lf lht' t.kt' ('ountry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
't,/'J") _"/
} , {./J:~"( r" i r! /
,-,'
APPLICATION RECEIVED 7- / -/L/
T~ Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is/roposed at: /
... .::j.j S-u>4 / /tl1Jc' 7& 0-
Accepted
Accepted With Corrections ~
Denied
.,
Comments:
Fteviewed By: ~ '1 fV'l1 u
~
~
~~
o ~
....
, ,.....nc....
_ LA ...(..
Date: ? / u /0.../
AJ,,(~ Vv" f-- ~
I
d 02'5'
f, ?~'
f
..
~
(CJ I
i1'
"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."
~~
c::'iNhita - Buil~
Canary . Engineering
Pink - Planning
Th, ('rnlrrof Ih. L.h('ounll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Yfu~1A fyNnJ
'7- /;;2-0J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructi~ ~;hiCX~~~ ~
/
Accepted
Denied
Accepted With Corrections
/
Reviewed By:
Comments:
~~
~ n oR
,
I
Date: 7/2 ~ (tJ t(
, .
. (!,. ~(J ~
II
"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
lBl1iLDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .!Z So S'Vu..tN>&& -r'UAiL.. S.IJ.
NATURE OF WORK 4fQ.,""./.i4N IJMIIL
USE OF BUILDING ~. .
PERMIT NO. o4..0q/(P DATE ISSUED .:7/&~A"- .
CONTRACTOR ~HY _... ~.PHONEt.'&.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
C .%5'~ ,. S~ait:r\-CTllIl , DAre .
~ FOOTING --r;;r# /d/h'/G9'"
, FOUNDATION (Prior to Backfill) I ~ I /tC'/ -V;~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
AMING
INSULATION
ti{e.. V~.~rc~;n
IIU
111/?.,!6,t.f
.i/~"/~
A
HEATING (if required) far .
~ I
GAS LINE AIR TEST ~ ~ f:"(>, ~ ~I n J vulo 'I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
111 17.../ ~/
J
l
I GRADING (Prior to Sodding)
BUILDING
EL
@7
~\L . III Ol..f
, r
EATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
N9:rtCE
. 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 availabie, card shall be placed near main entrance.
~
FOR ALL INSPECTIONS (952) 447.9850
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 3;(5'0 S '-c ~}71l
"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o .JNSULA TION
.d FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
If I i:7
nile
o EXfGRADlFIUlNG
[J COMPLAINT
[] FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
[]
~ 0laS,P, -tfu~ -G ~ t
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~72CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr.
"""t. m _ m. ~ ,~'"""" MO"'" '''~_.
CODE REQUIREME/VTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
-