HomeMy WebLinkAboutBuilding Permit 04-0765
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
7/h-cJj
I. While File
2. Pink City
J Yellow Applicant
I PERMIT NO. 04-.01b51"
(Please tvIJe or mint and shoo at bottoml ,
ADDRESS 'J}.7() ~d.;"1I9 ,f; ~
Pr-,(II' t.q K.fJ1 #/1. t;';?tf;I
ZONING (office use)
Ie /5.fJ
LEGAL DESCRIPTION (office use only)
LOTll'l.BLOCK:z*jADDITION ~~ tar Ao/tI'f:d~
OWNER
(Name) ) +e-ve.- Har-hIJt:{I4A
(Address) 'iJ.,1IJ /...~ ~6J/ G. I!dI1f J.dj{p..,M/
PID :;..s-- tp $/t10Ir-o.
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(Phone) rO-/flr7-'!I52'
5";'0'2
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BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New ConstrUcl!on oDeck oPorch ORe. Roofing
~ .li!Addihon DAlteration DUnhty Connectton D Mise
CODE: .R.C. OI.B.C.
Type of onstruction: I IT III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding DLower Level Finish
o Fireplace
PROJECT COST/VALUE $
(excluding land)
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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 construct" n will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
:"'" <on,. e t~'~e?l,"st F hereby 'grer tMt the city offici,! 0" .";gner""y enter upon the pmperty to perro,", ne; ~;;~! 7
,1"" Contractor's License No.
! Permit Valuation "'2tJ, MIJ. () 4 1 1 Park Support Fee # $ 1 /
I Permit Fee $ , '1 1 SAC # $ I
-3.39.0D
I Plan Check Fee $ 2%~~'1 I Water Meter Size 5/8"; 1 "; $ I
I State Surcharge $ I Pressure Reducer $ 1
1 Penalty $ I 1 Sewer/Water Connection Fee # $ 1
1 Plumbing Permit Fee l?w OaWc: r .yt1, DO ' 1 1 Water Tower Fee # $ 1
I Mechanical Permit Fee . '$ I \ Builder's Deposit $ I
I Sewer & Water Permit Fee $ 1 I Other $ 1
I Gas Fireplace Permit Fee $ I I TOTALDUE $ too 9. 3S 1
/I
This Application Becomes Your Building Permit Wbm Approved I Paid II OY..3S I ~~ce;fio, ~~
~'~ ~/~}~ f I Date 7 2J. 04-
0
Building Otlicial
, 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 a>; requested. This document '
when signed by the City Planner constirutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ct'rtificatc of Occupancy must be
i...sue~
<... (~I)'\, ~ ""7-1{,0o.+
Planning 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
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TIw ('tnl'r of Iht 1..11., COIl.'1')'
White.. :JtI1!1!!iI)~
L.. t.;anaru .. ~nUIlIIht
Pink . Planning
BUILDING PERMIT APPLICATION DI;fARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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1,7'- .'.1 -/j( ./'f.,,) /'~, -~i-'--
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
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. .
Date:
7-;/0'-01./
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Comments: See Reverse Side for Additinn::!1 Information!
See Atta{"hmenh~ 1) Grading 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 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."
Qlhite . RIJildin~
Canary 'Engineering
Pink . Planning
Th~ Ctnltr of lht L.kr <:ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
LH?- ~~
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APPLICATION RECEIVED fJ- &, -0 L/
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lf;;L70- d~~ if
Accepted
Denied
Accepted With Corrections
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Reviewed By: ~_ ~~
Comments: ~ a-& ~
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Date:
71/z!nc{
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"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."
"
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White . Building
Canary . En ineering
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Tt"("fnlfrnflhf-t-.h<"ounlry
BUILDING PERMIT APPLICATION D~RTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED FJ- 0 -ofl
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
LjJ. 7 ()- I.., ";f-
/
Accepted
x
Accepted With Corrections
Denied ______
Reviewed B~ . ( ~ Y'0. ~
Date:
7/15/-0'-1
, ,
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 DE,PARTMENTOF
8UILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~ 'lfJ J.M.nc.J I~ I. AJ...
NATURE OF WORK ~/a~
USE OF BUILDING, s,/!:"f) . ..
PERMIT NO. O~, 0 '1~S DATE ISSUED ~/Ul/
CONTRACTOR ~11:,'/6 NM.IltJAJJN PH NEJt~. W1-WS'Z.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INIPECTOR
DATE
I FOOTING J(yV f?-,>(~ I
I FOUNDATION (Prior to Backfill) I ~// 9- /~ I ]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
AMING
INSULATION
ELECTRICAL
PLUMBING
H I G
~
. -
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,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. .
ffiN.5(. WYt~!? I ~ I /e>/:2%--/~
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
"G
I I
S/'Z?,/f1-,
I I
rfiP
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 4 Z) ZJ LiJrcls S/.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
[J jlllULA TION
~~L
o SITE INSPECTION
COMMENTS:
(\~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Jt
r--...
J...-(D
DATE
1z7/en
nilE
'I. -O)(A~
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CRR RK. CALL FOR REINSPECTION BEFORE COVERING
Ins or. '---, Owner/Conlr:
~ Aj'8~R THE NEXT INSPECTION 2. HOURS IN ADVANCE.
~REMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
-,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/(!)-(d.tF1
ADDRESS 4 t 70 Lo,-,A S /.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(f) I.( · 7(,~
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
.o(EXIGRAD/FILLlNG
"6 'cOMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
'rc.1., -D i..-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~"c ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI