Loading...
HomeMy WebLinkAboutBuilding Permit 03-1010 (Please'!vpe or orint and sign at bottom) ADDRESS I 'Hz 0 [0(2..+ tD CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Pl2.iO/L hu LEGAL DESCRIPTION (office use only) L0.p20 BLOCK ADDITION OWNER (Name) (\LJANf (Address) (Arn, BU1LDER (Name) Date Rec'd 0-lf~6 ~;:;:' ~:;y I PERMIT NO.;. 11? _mlJl Yellow Applicant ~ u.J IV U /fIJ SS'372 ~a5l-wcxxl p.,ntiA P,OJLOfP TIMUJ TIIlL ~Oll l'rVWmfu:rc (CcE.tact Name) (Address) 3.s?a3 TYPE OF WORK J)''fA 51- w f<&prno..Wr (Phone) ZONING (office use) "R.{5D PID~5- //"7~0I5'- / (Phone) -laS1 - 322 - 71 fir (Phone) (,)/- 2~7,'?7 m.J SSOlof DDeck DPorch DAddition ORe-Roofing ORe-Siding DUtility Connection fi(] Misc. f?[)uLO[(l.. ~E-rAliJ'1'.JQ I./A,/1 PROJECTCOST/YALUE (excluding land) $ 'f1.IIIbo,d() v ,,~-r;7 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 up~operty toperform needed inspections. X - ./// ~/' A- ~ ;;J/~/03 ../' --, , $gdature- Contractor's License No. I' , Date C /' I Permit Valuation I 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 D New Construction DLower Level Finish <rIa tJo (), OD $ /l?/.2S $ II 7. S?I $ '5.~;;' $ $ $ $ $ ~ ~I-' This Application Becomes Your Building Permit When Approved Building Official 7/.;rj,'3 , Date I 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 ~,OJ D Fireplace DAlteration # # # # I Receipt No. By 0, / V $ $ $ $ $ $ $ $ $ 3'CJq,~ i/~v[J 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 ",",d. ~(\Or?A. ~ c.'~ ' pj;;,,~ingp;re>\~r -; ...., 0V 7'!!!.:ft.[8 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 - -" Paid Date ~()t./ UU Q. ~ 7J '<>') ~\ r Wh;t.. - Buildinq::. Canary - Engineering Pink - Planning Th~ ("rnln of lhf L.kr <."ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT IJ~ JJmatjh~ . .:.:::s (J Co - J 2'-{) APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction acti~t~1~s P/~ af;? d Accepted Accepted With Corrections ~ Denied ~ ~4~~ a I vJol.fo d. t? ~ 0 ~~ S',h, kf- ~ ~ ~ Z 10 I ~. .::t4 --b, €. -1 ~,. ...0.:< (~) <ULf r ~~ /11.~ ..a.T~ ~ dl ~ v j 0 Date: W't-(J /0 7 Reviewed By: Comments: "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," Thr('rnlrr nf Ihr I..h ("ounlry White - Building Canary - Enqineering C "inK.- - Plannln!l:> BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT f {hi . .1",./) APPLICATION RECEIVED "--,' /-r) ,-' ././ '.. , J.' { , ;/"j f ! -",/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activ~t~(WhiCh is pro~;se~ at~"1 Accepted f Accepted With Corrections Denied Reviewed BY:C12(~ Comments: Date: (p. Ict ,O~ v'Renlf1lnq Wa,I\,s. '-' C(t"e ~Idered ~tvu..cturc:r ~ l o.fpor Setbac..t::- -0{Ceedl'l()! 4- Feet In h~ht- Cl.t')d, bha 1I 111" If) i7t I Y) fv?h1 fA <SIde p-rt>perit I lYle.., "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." Thr C"rnl"r o( lhr l.aJr." Cou,u..,. White . ~uil!linq . /' \.,;anary ... t:.nglneermQ ) Pink . Pla'hning NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST :/l-1'. /~'{:.J.. ,D-;l( ,i.,/U-(.L... ,/".,-..,/' .r" , \/-r )6 '~:::'J ~ I,i' ,.-/ ),r;;/J/, I",. p' . ,\'....~.(."J \~ti /-, ;~~~../ iJ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at.,. I / L/ f) ,f f::d I . {Y../ l ". Accepted x Accepted With Corrections Denied 1:.b' ..\- Date:' her /05 S e Reveise Side for Additional Information! Reviewed By: Comments: See Attachments: 4.\ tialaiiFl.!! Plsfl,. 2}, Erosion Control Me:;rsures 3) Erosion Control Plan "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 SITE ADDRESS -1!:L9d.O Lori -;:; cI. TYPE OF WORK "R~ ~ iN i'6 lI.JtJ.../I USE OF BUILDING .s F PERMIT NO. O~ - /0 IV DATE ISSUED BUILDER BOIL./dt!!..r- :z.flla.O~ PHON~/. ~O-~~? NOTE: THIS IS NOT A PERMIT ~OR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ^_ \ PI ,L -_. ~ o. -+ "I \ -:Quo' I o~fsery t-,i.Jc JIA,.,iJ, I'<'"'D t-I<CE,~ a I wf>.u...- {)rUe 10 -to ,,' INSPECTOR DATE I FOOTING I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I DEPARTMENT OF BUILDING AND INSPECTION I FINAL ~ Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 DATE T1IIE CITY OF PRIOR LAKE ~;fcfjgs INSPECTION NOTICE SCHEDULED ADDRESS Lc.{q1fJ /~, t;1rt, OWNER CONlR, PHONE NO. PERMIT NO. ~-lOln [] FOOTING [] FOUNDATION [] FRAMING [] ~ULATION ..;orFINAL [] SITE INSPECTION COMMENTS: [] PLUMBING RI [] EXlGRADlFILLlNG [] MECH RI [] COMPLAINT [] WATER HOOKUP [] FIREPLACE RI [] SEWER HOOKUP [] FIREPLACE FINAL [] PLUMBING FINAL [] GASLINE AIR TST [] MECH FINAL [] 60 ?Wn.", VtS4r;a~4 (-1 )LOO "t /t/I.~O(/ ~l~ D,LV'C . C. ~~ ~~ 7 ~ cJ~ (J11' --f) <A'l~\ .. _I. []~RKSATISFACTORy,PROCEED ~ CORRECT ACTION AND PROCEED [] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. W Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ '....n DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS I tI1) 0 Lor I R,/. OWNER CONTR, PHONE NO. PERMIT NO, 63-/0/D o FOOTING o FOUNDATION o FRAMING o INSULATION ~I....al , 0 SiTE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~LLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: r;~.L}- ,t)/L ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InSpector:4~ ~ - Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ll>ISNOTI