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HomeMy WebLinkAboutBuilding Permit 03-0345 (Please ~ or orint and sign at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I ~-:2 ) '/ /::4/'C "4~L, 77~4il Date Rel d-a8'-6B [PERMIT NO'(}3' 034-51 I. White File 2. Pink City 3. Yellow Applicant /7/ ,6 ZONING (office u,,) Ie /5JJ ADDITION ,n:V/()0 , , Ptu./v~01P ~IDd5- t13/,,-M9-b LOTio BLOCK LEGAL DESCRIPTION (office use only) OWNER (Name) k A"" (Address) /3~:.7-7 '/ ?,~,,'f:.b1....IcJ72.... / /1,/ ~ BUILDER (Name) At'", kJ (Contact Name) / I' d] (Address) 2/... j- ~ ,-'. TYPE OF WORK o Misc. 2y /50.4 (Phone) ?S-;' -'1'11 - 7;;l~ 7 l-,.L,/ 1 j.e::. ,re "In..... <..0", c.&5 Cl!i~ <Z..d. Z-t> /!). 5'78>4 (Phone) Y~:.J. - ),' y!> .. r:? c (Phone). Ifill. . j,~ g .. Ii Ie: ~,: ORe-Siding DUtility Connection I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authorized agent for the above-mentioned property and that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. ~' ".-..... / 4"'1 ///~.. j x I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee I .;/ ,-z~.( '7.' 5"7; o New Construction DUeck OLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) $ /J" < " Signature I <#;/~ OIJ6 t9a I 1$ , 2.37. z:s-I $ 15<1. ZI I $ 7.~a I $ I $ I $ I $ I $ I This Application Becomes Your Building Permit When Approved . ~~n~cia~ ~3 /? /)":<,"'!:-.d l.J./I.': /..,~ .~ '}3<f.o ? /.,J/ '"7'/1/,} -( ~ Date $ $ $ $ $ $ $ $ $ -:?q~ 4-t, 'I I ReceipWo. -'?-..39';1'~ By ~ U 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 signed by the City PI er consti tes a temporary Certificate of Zoning compliance and allows constrUction to commence. Before occupancy, a Certificate of Occupancy must be issued. '0 '9+,02:1 DPorch ~ddition ORe-Roofing OAlteration /S/:;(, Contractor's License No. I Park Support Fee # I SAC # I Water Meter Size 5/8"; 1"; I Pressure Reducer I City SAC and WAC # I Water Tower Fee # I Builder's Deposit I Other I TOTAL DUE MdEJ .3 Z!5 - tJ3 I Paid..3'Yi'. -f't;? I Date -:J 2.i. o'f MAi, I /VIi::eR. '{1cfLJ.S fuRFAeE: W~ 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 ~1 rWh~Building J (;anary - t:ngmeenng Pink - Planning Th..C..nl...nflh..l-.h('ountry aUlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED IV e-tO S fX!LGeS .:J. _~-3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5d-'i1 -:J-4/rbttJJlcS fJ,- / Accepted Accepted With Corrections Denied Reviewed By: :15.L/ln'u/ ~.u:oP Comments: &~ aLf' atL:-<,~,1J ~ a-e..f1 ~ .dr- ~ . Date: J'/~.43 ~;~~ "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 Canarv.. n ineering c..etnk .. Planmn Th~ ("f'nlf'r of lhf' L.kr <:ounlry aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /V'cv f ' ,-,,/ I , -, APPLICATION RECEIVED -, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;..'. /.'// {") ,-,( ,- . , / 1/1 / ,> ,. l /( c: tr- Accepted ./ Accepted With Corrections Denied Reviewed By: ~ Date: ?> . d--~ o:~ Comments: VL-tY)pervlu~ fluxtJO.-<!.l... Il.hO.~Q t-0it ~)~J- .e.AI CJZQ d ~ D UJ 0 "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." '/. 0/ 5~~ While - Building C~a~arv - En9ineerlli!r:> In - Planning Th~ (""nit'< of Ihf' 1._'" Coonlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,..-- r /~';<::'-I;,O.':..) pCe ,:;.. e-..J APPLICATION RECEIVED ~) -- .=.)-- y -..:) ....."..... '._ CJ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: !.?-J /,10.7 /,/. c-j,., /i,,( -' // < ....,..., /::;';;?< ! I 7- C( _ f "-" vt ../ I\. .:; ,/ y- Accepted )( Accepted With Corrections Denied Reviewed By: /fY}'fJ Date: 3-ILf-{)3 Comments: See Reverse Side for AdditionallnfQUJ1r1tinnl ~~e Att~rnments' 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." ~RIOR LAKE INSPECTION RECORD . SITE ADDRESS I-5Z?' FA.I tt.~~~ NATURE OF WORK . JWd:+, USE OF BUILDING . S. t:: D. PERMIT NO. fJ3-Q345 DATE ISSUED 3lZO-lJl CONTRACTOR ~ ~ Eu-is PHONE l -3&8- I ~8 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE , FOOTING ~ I ,,{ /2--'-tk8 I I PLACE NO CONCru:: I c UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ()~f'la.vWw.e.-"'" tJsft.- INSULATION ELECTRICAL (I~U -' ~ ~A. Ll/2.'-tWZ -II~ ~ ~ ~/2-'t k?-, COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICA.L (iJ1~ , 1 r '2./1/61 I " EATING 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 ~! 'i' OWNER PHONE NO, o FOOTING o FOUNDATION o FRAMING q,)HSULA TION .,..0 FINAL o SITE INSPECTION COMMENTS: ~PoZ/ SCHEDULED ~ f'....-. tAlo. to. \t) TIME CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o (l { (D ().( ~ l6s<., VI{:k ~ ~SATlSFACTORY, PROCEEO o CORREC C ION AND PROCEED o CORR CT 'io;f, CALL FOR REINSPECTION BEFORE COVERING Inspect r: 117 Owner/Contr: C JXsso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ 11ISNOTl