HomeMy WebLinkAboutBuilding Permit 03-0160
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!vp~ or print and sign at bottom)
ADDRESS
1-3\-03
; '::i::' ~:;y I PERMIT NO. J\::> - 0/ I.. 0 I
3. Yellow Applicant ()....:) It?
/5e# /5t./1NO
VI Cl-V,eo ;J VI.!
ZONING (office use)
,e/S.o
LEGAL DESCRIPTION (office use only)
LOT (p BLOCK I ADDITION ISt.-A;VO t//C;W
g.':e~R ~ ~T>UGY G. /JIM M 'i' {2..,IA,Ml
(Address) 15 ~i-f '1 ~s lA-oJt::> L! IW
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
D New Construction
PID25-005- O(){P-o
(Phone)
q~2- (-/'fo I S~
'PRL
(Phone)
(Phone)
DDeck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace DAddition OAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ f S OCbO
o Misc.
:{ 1<'.~1.v... R.^",~
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 aware~the building official can revoke this permit for just cause. Fwthermore, I hereby agree that the city official or a designee may
enter upo e prope to per~ needed inspections.
X J Pf.r iA~ _ 1~3/-o 3
I [Signature Contractor's License No. Date
I Permit Valuation ~a)) 00
I Permit Fee $ I SJ. ).f"
Plan Check Fee $ q, .(,f -
State Surcharge $ 4.00
Penalty $
I Plumbing Permit Fee $ '10, 0 fJ
I Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Thl71JJd??A phc on Be rr...our Building Penmt When Approved
JA.,~ 2-7-01
Budding 0 ctal Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; I"; $
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE c"A1Am -z,,~7"'05 $Zq:L....,q((J
I Paid -:ltl! . '1 (. I Receipt No. "T.5'eJ9"'l
I Date g;13/0~ By ,U,,'. ..... ~
This is to certify thatlEthe quest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when7J!)[ig by e Ci I ooer constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
. ... 1.~7-o3 f..r"J al( f/tJ+-('~
.Ianning Director 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
The' ('e'nln of the' L.ke' <-'aunt..,.
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
A Mt15R MA N,
. . ,
1- 3(- 03
r2flD ('J bY
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ISc;A-q ISLAND VIEW RD
I '
~
NvV
Accepted
Accepted With Corrections
Denied
1kJ[ f2L
,
Q....".J () II J1IJ h s
Date:
)..-7-cTj
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /S~4q :IS(a",,) I/fC"V I2J 4JLv
NATURE OF WORK l,+r.J1~V1 R.."""'A,.l..!
USE OF BUILDING ~, F, 0,
PERMIT NO. 03 - 0/& 0 DATE ISSUED
CONTRACTOR r .(~r1~," A-111111e/IttaVl. PHONE QSl - q4o-7S{..~
NOTE: THIS IS NOT A ~RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
,.- JL I
, . r ----n.k{7' . - ""III) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
----"....... ~ --
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
.
~
3/61/b3
7(,4-
~
3/'31 to 3
B(o( I~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(fO)q
/
/1
<"t7
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
zf,~~
I I
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 /5 Vi cJ"
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
D FRAMING
D INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~~~~
~ v~,cr
CONTR.
PERMIT NO.
-:J - (:) .1/. /J t)
o PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
D GAS LINE AIR TST
o
o h-fo Q:-\oc;e tfu-8.fJ
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTJ