HomeMy WebLinkAboutBuilding Permit 04-0984
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
q - ~ ..Otf
L While File I PERMIT NO ~ J
~. ~;;:w ;::;Ii~" '04. oqe'fl
(Please !l:'": or oriDt and sim at bottom)
ADDRESS
110 3.6~ VfQ""o.(u4
(Vf<..IIE .SE
LEGAL DESCRIPTION (office use only)
ZONING (office use)
PUS'D
LOT 5"" BLOCK
...., ADDITION
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~ Afu:sr. PID,..9 ("" - ? :so C -o:l " ~ "
OWNER
(Name)
E'LL ~;f
I" '3b'i VlcrOO(J.
(Phone)
CIJ,etl~ Se
(Address)
BUILDER .t7 I .
(CompanyNameLKoWE LANOSCA~
(Contact Name) ~UL ,:2oWE:
(Address) '9 q~ {) (' tl J~DAI r;:::-
Sv(s. IN(. (Phone) l.,SI-YIo3-'3#U
(Phone) [..,~, -"1C;-O~IO /'
~1lrs. '4~IIII~7ilN ~ 1f\,.J S5o..,}.~
TYPE OF WORK 0 New ConstruCllon ODeck OPorch ORe-Roofing ORe-S.dlDg OLower Level FlDlSh ~" .4... IJ
OAdditlon DAlterahon DUhhtyConnectlon JSrM1SC Reia". ~ r '~1
CODE: !Sa.R.C. DI.B.C. PRO.;~;;;gT/VALUE $_
Type of &stroction: I n ill IV V A B (exclnding land) If" I~ II ~ 0 .
Occupancy Group: A B E F HIM R SUI
Division: I 2 3 4 5
I hereby certify that 1 have furnished information on this application which is to the best army knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentlOne property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:'~ 'OY .his 6~t "}!;:;.'"" Furthenno", I h'"by a",,, .hat .h, cily official 0' a design" may ,nte, upon .hc property.o perfonn o,,~ ~'C. ;s"
U Signature Contractor's License No. ate
~UJ,33
I ~~Cr1lL #7er.,r,
I Permit Valuation
1 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 Fee
_"- /.1'1 10~ I?lJ
"~"""~""-'" I I I Park Support Fee
$ ~.PJ I SAC
$ ~Z.dWaterMeter SizeS/8";l";
$ ~ 7.00 I Pressure Reducer
$ I I Sewer/Water Connection Fee
$ I I Water Tower Fee
$ I I Builder's Deposit
$ I I Other
$ I I TOTALDUE ~ q,'tI/,o+-
#
#
#
#
~nB~uildmgp%WhD~,~tenC:~roved
Buildingbtlicinl 7- 1I
4-2033
10_ 7_QQ.-
I Paid
i Date
$
$
$
$
$
$
I $
I $
I $
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
~~: t~e :ly Plann~ns::Q; te:~aty Cmificate of ZO;;;;~D'aan"'tece ~aIlOWS construction to commence. Bcfo" occupancy, a Certificate of Occupancy muSl b,
. Planning DirectOr Special Conditions, it. any
24 hour notice for all inspections (952) 447-98~. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 5S372
~~
~l1ite . Bui~
Canary . Engfneering
Pink . Planning
Thr ('fnltr 0' lhr L.kr <:ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT ---:POI/Jt'~ ~C/'.lAO.L ~(JC\
APPLICATION RECEIVE~ CJ-/O -04 /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(IP3tCl- /)~ a/./~
Accepted
Accepted With Corrections ~
Denied
.
Reviewed By: ~ ~~al-- Date: 9p~~y
Comments: _ ~ -krLI c-W ~~ ~"~~-<1 / d,-tt. ,',z
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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."
./
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Th~.('t'nl..roflh..I..bCo..nlry
White - Building
Canary - Engineering
~JI1rt - rli:lu"lIl~
IWILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -r-;')// JC~
APPLICATION RECEIVED q -/0 -N/
C/ ..J,r;~/)f ",l.r /'/ . V\ f)
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I? 3 {" '/- / /lA-7(;"1 ICL -// L( ~
Accepted
Accepted With Corrections
/
Denied
~
Reviewed By:
Comments: ~ ~
~'-~
9#-910 t/
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~~
JO
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K;.'flr ~AJ ~~
~..J 4 ~.. -'2. :-t;;.-
Date:
1
"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
(" CanRI'\L - ~IILlII IHYnr;Q:::)
Pink - Planning
The ftnltr of Ihe tlllr ('OVlllrt
IDm.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -'-::'~)/I(' J)r"' / ..(.i.F)". r~:;.". ,d)
:\ V./ -'.. ,_ '-- -",- F'~ .','1 C.J .-/.0' }\..~_
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APPLICATION RECEIVED q-/o -04
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(;7 3 t q - //!I4ZJ)(Q Ii /-I/I.xe_)
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
IYHA
Date:
7~lY-o'-/
Comments: .See Reverse Side for Additional Information!
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,
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." .~
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ,(osee'} V.er02'~ GURlfE S.E.
TYPE OF WORK ~r; I Ai~i~ ~ OJ/EIL ~'
USE OF BUILDING S~tf. -
PERMIT NO. O~ ,v <far . DATE ISSUED ~ 12.'\jo&(
BUILDER~" ~"Dse...,.i PHONEH..a.II-m-OI.,O
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
"D THE PERMIT IS BY SEPARATE DOCUMENT
..~NE oF' """L'- i ",WI&cE~~ D9E / /'
FOOTING - l ~ I /tP/?/"/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING ~ ~I' CON- ~ ~E n~
I FINAL /~ I /0A~~
FOR ALL INSPECTIONS (952) 447-9850
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/6: f'9 t/!;, /or/ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~".,I,jl-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE nIlE
~ftr
Cyt/~
C!K/ - 9?.y
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR 15T
o
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II""'WORK SATISFACTO~EED
/' ~CORRECT ACTION AND PROCEED
o CORRECT WO~./c;,;~ REINSPECTION BEFORE COVERING
Inspector:,lf~ Owner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
--
-,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cf SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Lj-/()~
ADDRESS 1'-3{''' v,'do'/~ Cil./~
OWNER CONTR.
PHONE NO.
PERMIT NO.
ol/-fR(j
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~~~LING
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
IJ /1 IJ r
"" -
~ORK 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!
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