HomeMy WebLinkAboutBuilding Permit 04-0548
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(;, 4-_ () 1--
L White File
2. Pink City
3. Yellow Applicant
(Please ~e or orint and Si211 at bottom)
ADDRESS /5535 01'16q/1 77V7/L-
D~f\ 4. Af'ldr~t:.L Ei:..e.."'\<e..r
LOT J BLOCK'
LEGAL DESCRIPTION (office use only)
ADDITION 'T"h c... T".. e. e. s.
OWNER
(Name) 0" 11. i
,
(Address)
/ ~""(~---,~ ,3-
TYPE OF WORK
o Misc.
v
o New Construction
DLower Level Finish
I PERMIT NO. 04- ,OS~ I
ZONING (office use)
te(
PIDZ62(,7. 00/.0
)!'Jme) 95~- ~"L.() - Ro ~G.
/f /--'/
(Phone)
(Phone)
DDeck
ORe-Roofing
95 ~ -t/.,tl- .2. 7 i',f
(./2.. -.H.f- 5:;<1-1
ORe-Siding
Dutility Connection
PROJECT COST IV ALUE (excluding land) $ ..2 r ~ <1 n" ~
~
to the best of my knowledge true and correct. I also certify that I am the owner or
,.on "n conform to all existing state and local laws and will proceed in accordance with
's 'ermit fi just cause. Furthermore, I hereby agree that the city official or a designee may
DPorch
o Fireplace
~Addition
OAlteration
x
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
.,
'1fI S LJt:Jt!J, 0 lJ
$ ~5,~
$ /72., tJ/
$ 7.:So
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~ ~ 6(;>/ClV
Building Official Date '
Contractor's~o.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE~
I Paid .y-l'5:/~
I Date G. _ 9, (I ~
t6. . cCJY"- p::-
Date
# $
# $
$
$
# $
# $
$
$
{,'JJ.84- $ #5./&
(1
I Receip(~o. ~ ,t?.r
Bv A~
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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
issued.
Planning Director
Date Special Conditions, if any
24 hour notiee for all inspections (9S2) 447-9850, fax (952) 447-4245
~~
White - Building
Canary - Igngineering
{ Pink - PlannIng-:,
Th~ Cfnlff of thf I..k. (.'ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT / / //1./ (. '/, '((.1 (:;Ii
1
APPLICATION RECEIVED (/. <1- (4--
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ S S.s ();/L{ (/../>c/(c.{
Accepted
/
,
,
f/
Accepted With Corrections
Denied
Reviewed By:
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STA<-1 ~
J
Date: ~/~ q
/7~~~~ ~ -b
7~ _.
Comments:
t7':J
I
"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."
~\
~ - Buiidii;e:o
CanarY - Engineering
Pink . Planning
rh~ C.nln of th. L.k. ('ounl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1J1a~
I
(p. 4'.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
/0S3S ()JnUUJ~ '-~ ,
. - ~
Accepted
Accepted With Corrections
/'
Denied
~
~.
~
.
~-'
~ Date: 0/7h~
,
~ ~ ..J.o ~)
~ '?' ~d _ ..('.,"It; .
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
SITE ADDRESS /5'5.jt::; ()/HBA TLfrIL _
NATURE OF WORK ::J.~ Jf/f1IUII /rr/fUU / ll/llFOlt./AI
USE OF BUILDING 5:J:: lJ. . ,
PERMIT NO. tJ~ .OS4f1 DATE ISSUED fp/Shu,/
CONTRACTOR' · ~HONE"i.-~-". S')'ii
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I
INSPECTOR
DATE
I FOOTING d""N.{~k.4 __ (if ~ I ~r-/,.if
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
;Itr ?P~'t'-
~
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;y~~y
7~Y
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#PI ?'#7/o'i
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A
//// Ar
/0//;2/0 'i
BUILDING
ELECTRICAL
//U"
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
SCHEDULED
ADDRESS
/S-S:SJ c5'~e99
V
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.,..An'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
-------
r. .. /
h.p? <?
DATE TIME
/p/~
~I
tJ}/'-SYY
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/J/
U/C
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.------
. ~ORK SA TIS FACTORY, PROCE~D
/&~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IliS/'IOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/