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
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77~4il
Date Rel
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[PERMIT NO'(}3' 034-51
I. White File
2. Pink City
3. Yellow Applicant
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ZONING (office u,,)
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ADDITION ,n:V/()0 ,
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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
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1
j.e::. ,re
"In.....
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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.
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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
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$
$
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$ -:?q~ 4-t,
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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,-
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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:
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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."
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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
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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~ ~
~
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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