HomeMy WebLinkAboutBuilding Permit 03-1368
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT q-/o-o 3
Please e or rint and si at bottom
ADDRESS
~;~:. ~:~y I PERMITNO''''3_/?1 a
Yellow Applicant U _2(Oll..
/5/lf2... fiSh ?o~R..d.sE
ZONING (officeu,,)
ISiJ
LEGAL DESCRlPTION (olliee use only)
LOT
ADDITION
tI/VUY cf.a;J- ~
PID 'i"'()3Cf.OCYI-o
BLOCK
OWNER
(Name)
-----TO M S JIlAVt pPE f!?
(Address)
...s~
BUILDER
(Name)
(Contact Name)
(Address)
(Phone) ("J.sz) lfl/7 . ~S /
19
qSz.-) Jllcf,S 5"18'
,tJ~
/'fvl i1'l ,v r S- '/00
1GMC-(jV ~~ tY\
::j(}y\ L~
10"'7 [fO 'I1daLe,.t::fvr- .-J _ I IE tY
(Phone)
(P~one )
TYPE OF WORK
o New Construction
ORe-Roofing
ODeck
DPorch
ORe-Siding
DUtility Connection
DLower Level Finish
o Fireplace DAddition JQJ..lteration
7._ a'"
PROJECTCOST/VALUE (excluding land) $ .....~/'lJi!J-
o Misc.
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
~
SIgnature
x
Permit Valuation 2~
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $ 'drO(J
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~
Building Official
~
Idh;/a :s-
f Date
6~3"2>7!::!
8'/"103
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE O. .63 $ 5 ,~
I ~~~~ {.ifJ~9~ I ~;ceJ No. UC;3 Y;
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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
I'D . CU)~
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
~'i
White
Tht ("fntl'r of lht 1..61.1' Counlry
Pink
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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:
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Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/7IJ4 [)
,
Date:
)6 -'7-0 )
-
Comments: See Reverse Side forAdditionallnformation!
See Attachments: I) Grading Plan, 2) RrosionControl 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."
ii~~
White - Building
Canary - Enqineering
(" Pink .; Planniti9>
Tht C..nltr of tht l.abCounll')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity vv~hich is proposed at:
..- .
//-.1 ;' 1/,'
".,;._/ " . ,:.,.,.....
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Accepted X
Accepted With Corrections
Denied
Reviewed By: ~Jt)
Comments:
Date:
10. (,j.02J
"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."
~~
Th~ ('f'nlt'. or lh" 1..1<.. Count.,.
~WhitA - A.-.ild~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
k>~ &zJ
.
9- /0-;3
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5/'-1;)" l#Jh fJ~ 1T}L
Accepted
Accepted With Corrections ~
Denied
~ n ;2u,{J~ Date: /.:1/9~ F
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~~~~,
Reviewed By:
Comments:
cdl
~
"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
INSPECTION RECORD
1st 42- ~GH ~f'-l-r- '\ZD ~.E:.
A I IoN
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR .(4,.N~ L:e....srll.<>C-"T1clN PHON 9'7Z. ~SS8 - 55 t~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING /0 - ] I~ rf3
FOUNDATION (Prior to Backfill) /(-(0-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
- --- 1 ..1 J"IiR. __. .IG
FRAMING
INSULATION
ELECTRICAL
I
~
'"'11'11111.. IIIR
H[ATIfJa (if required)
t
ELIl::IIJi.AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~l:==eIlJlll (Prior to Soddin )
BUILDING . ~
ELECTRICAL
err;
r:t. _ ..._nIQ
HEATING
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
DATE
CITY OF PRIOR LAKE -7 h bi(
INSPECTION NOTICE SCHEDULED~-
/s-/a /if/ ~/ 4
TillE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Os -/j>6" Y
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.cH'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
d':;ofv7~.;t < d'v~~. y
;nu7fe./, ec/ /
--------,-
-----.,.,
-tfli.OM SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR R INSPECTION BEFORE COVERING
Inspector: ~ IConlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSIfOTI