HomeMy WebLinkAboutBuilding Permit 04-0517
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
SJe.()(I-
L While
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 04-.06'/11
I
ZONING (office use)
1<1
(PI.... ~ or orint and sion at bottom)
ADDRESS
.32/1 fO)(~--r~1
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. 4-(z. 003.0
OWNER l _ __.,
(Name) L.,ta: A~h~
(Address) 3"2..1/ fi:,)(~L,\I2I>;:t:L
BUILDER ~ <'\::>
(Company Name) R&>A~ 1Oj./
(Contact Name) ^ ~~b-
(Address) l'Yf'Jo UOOtl:>~F
(Phone) ~\41 :=5-04~
4-~ (PhOne)~~7~1-.~
(Phonel~)f I Y'-:~_.at!
\_ 'OC>~~I')h ~! M.u ~ L ~
- TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
DAddition DAlterahon DUnhry Connection ~MlSC
r.p'oot..-
CODE: IiIi.R.C. DI.B.c.
Type of .co~struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Sldmg OLower Level Finish
o Fireplace
PROJECT COST IV ALUE S
(.xcluding land)
~
L=).~
;
I hcrCb,"ertify that I have furnished information on Ihis application which is to the beSt of my knOW.ledge true and correct. I also certify that I am the owner Of .authonZCd agent for tbe .
above-I n pr eIty d th all construction will conform to all eXLStlng state and local laws and will proceed in accordance with submitted plans. I am aware that t Ie building
otTIcial n voke thl t for t cause Funhermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed inspectIOns.
X./- _""~~~ s715<'1Qt...1
Signaturlr Contractor's License No. .~
I Permit Valuation WlOMt1, 00 I Park Support Fee # $
I Permit Fee $ 'It. 2. ZS I SAC # $
I Plan Check Fee $ - Water Meter Size 5/8"; I"; $
I State Surcharge $ S:.." Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ \ Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTALDUE ~ f:l1.o4- $ I tel? z.s
~ ~L..J
Building Otlicinl
S/Z{,J(l i
DatI
I Paid
I Date
I '" 'h:J.')
'(~-I-/jf
,
.
I Receipt No_ LIb '1ft.( P
By V)
This Application Becomes Your Building Permit When Approved
ThiS LS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requL'Sted. 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 notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagl. Creek Avenue Prior Lake. MN 55372
Thr Crnlrr of Ihr l..kr <-"ounlry
~h;t.. - BuiidinQ')
Canary - t:r'lgllleenng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT PEt2-FOfUI1Atv ~ POO L
.
APPLICATION RECEIVED 5 .11 .04--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 z.. 77 r:: O}( --rn 'L. T"ilA-.
Accepted
Accepted With Corrections /'
Denied
~ ~ Date: 54s-~t/
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Reviewed By:
Comments: ,f?A.. J
"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."
,
-
Thll' ('t'nlt'f of lhor I...kt' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Pf iz,Fo ,a~ j /;..J /,J ~ P 0 (j L
APPLICATION RECEIVED 5 . /1 . 04--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 Z 77 F"" ex fA I L- -T7t/<.-.
Accepted
Denied
Reviewed By: /jIJfI3 Date:
Comments: ~"'''' RFlVAr!'\A Side for Additional Information!
rx
......
. Accepted With Corrections
b',2-]-d/'
See Attachments: n Gradin~ Plan. 2) Erosion Control 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 provision.s 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."
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD .
SITE ADDRESS 32..77 F=b ~ -raJ c.. \2AJ L"
TYPE OF WORK 1~-c.;,.It)r.l~?COa.-
USE OF BUILDING So F;I).
PERMIT NO. 04.0511 DATE ISSUED Sfz.'S/o'l
BUILDER ~ "-~ ~ 01' PHONE Hl.SI - H1.::.3!IfO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
=:~~~~~~':~~~ y//)"''';, /o/{ DATE
RRT. ~I.PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ FRAMING I I ~ .
c... !r-H1tti" IiUI 't6lt...."" -~. a)1lt,.q. iN R..", ufIlT'i,., Il14rD I~.
, FINAL I (q1h I. 4-'2(,-cb l
~\..Fi~l", .
FOR ALL INSPECTIONS (952) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .3 ~ 7l....--&J;.~. { Tr-
PHONE NO.
OWNER CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
piNAL
o SITE INSPECTION
COMMENTS:
/l! Bf\
UO~_ d-KD.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,...., .
-h'Lp
{k
TIllE
t/- '5/7
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o ~LACE FINAL
~SLINE AIR TST
o
..---
~~ SATISFACTORY, PROCEED
o CORRECT A ON AND PROCEED
o CORREC , CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
/
7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
11i$IIOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I()~J -() 1
PHONE NO.
3277 Fo~ ~i,ril
j), ,-C r ftlt.. r, Pe.l
PERMIT NO. (J) L.{ -f9S/7
CONTR.
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~FILJ..ING
DCO~
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
6~'(;' - 01 II
....
)(wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI