HomeMy WebLinkAboutBuilding Permit 03-1010
(Please'!vpe or orint and sign at bottom)
ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
L0.p20 BLOCK ADDITION
OWNER
(Name) (\LJANf
(Address)
(Arn,
BU1LDER
(Name)
Date Rec'd
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~;:;:' ~:;y I PERMIT NO.;. 11? _mlJl
Yellow Applicant ~ u.J IV U
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SS'372
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(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()
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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.~;;'
$
$
$
$
$
~
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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,~
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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
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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
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Paid
Date
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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
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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
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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
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APPLICATION RECEIVED
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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.
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C(t"e ~Idered ~tvu..cturc:r
~ l o.fpor Setbac..t::-
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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
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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
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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
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~~ 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