HomeMy WebLinkAboutBuilding Permit 03-0944
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I' ,.OJ
;;i~~ ~:~ I PERMIT NO..II?_ .IIqAJ~1
3. Yellow Applicant U""> V ~
qtlease ~ or orint and sim at bottom)
ADDRESS ZONING (office use)
4'1W D~~ sr. Sf?
LOT
BLOCK
LEGAL DESCRlPTION (ollice use only)
ADDITION tv fJ<f I Or L.-()7S 6 ~ (p-9
OWNER '
(Name) I:%> ~ ~~ f1~~
(Address)
BUILDER
(Name) V(Zlc1Z-t1'1 DG<:.c.w...1 nw.'l...o
(Contact Name) ~ l42A..~~
(Address) UA.4 vJlL-l.oll-J ~ 9.
TYPE OF WORK
o New Construction
DLower Level Finish
(!J
PIDZS: OO!. 0'4--. 0
(Phone)
\,.JL
(Phone) 'h'1..~'\ '''i{..5' I
(Pho~9<;;1... 'L-"\'L. o.{~Z.:L
DDeck
DPorch
DRe.Roofing
DRe.Siding
OUtility Connection
llil' M1S~PI/",III1z6 /'
~ ( , \1
I here. c ~ ha I ve ished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authonz ve-mentioned property and that all constructIon will conform to all eXIsting state and loca11aws and will proceed in accordance WIth
submitte )1 ( at the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upa the 0 ~d inspections.
x\. y- 1-'6~O?
1 Signature
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 !ee
/
TmSNC"
o Fireplace
DAddition
OAlteration
PROJECT COST/VALUE (excluding land) S
$
$
$
$
$
$
$
$
ID. OO~ ~
. ler. Z1s
1f7.f1
5" . -
r f,
ding ;V.~Proved
---- ( Date
Building Ollicial
Contractor's License No.
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC #
I WaterTowerFee #
I Builder's Deposit
lather
I TOTAL DUE tA1ur) 1. n 03
Date
$
$
$
$
$
$
$
$
$ 304.ad
I Recei.ko. ~"'~
By r:
o
I Paid JO.,.. ,,0 ro
LDate /. /8.a:J
(
the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
titutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
.:J, I,? 10'3
"Date Special Conditions, if any
24 hour notice for all im, ,..: .""" (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
"
~~
White - Building
Canary - Engineering
Pink - Planning
Thl'Ttfllrfof thl' I..kt("ou",ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NA'ME OF APPLICANT
APPLICATION RECEIVED
?~/OK-/ 11/ LJE S/GjN
7. 8. 03
8l/IL-D
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4730 Ur)K:~07A ,::n<-6Ei SE:
/ ' L /7T?e L /"1 K.e;.e..:::"
Accepted Accepted With Corrections
I., .1
~.
)\ i
Il-
I - .
',,'1
II!!'" ,.
,
,.
"
Denied I~
Reviewed ~
II
iI
Date:
+-1 ( 1- !fJ3
.
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," .
Th.. ("..nfuof fh.. ........ Country
White - Building
Canary - Engineering
Pink - Planning
BUll-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
?/G./CJ;V Tl/ 05S16}1v' BV/LL)
7 !3. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4- 73 0 o~ U.J / r-t .s-m..Et;; I S e:
1'1-/ I" v8 L-/} Ke,e&"
Accepted
v'
Accepted With Corrections
Denied
/J ^ /,'
f'-LJ ~
~ ~
1~j~
Reviewed By:
Comments:
Date:
~ALt..- Fo{l-
I t.JS ?6:.::r 1000S
"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 4i2,o DA~.f"Ao $. C;;:. E.
NATURE OF WORK ftL~RAn~
USE OF BUILDING , (G A/~ I I
PERMIT NO. 03 -Oq~ DATE ISSUED 7/17 /03
CONTRACTOR t."(A-lT ~E.Av<;c- PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO~NT DATE
I FOOTING I {rlo I a,..-I'V::.
..
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMElIT OF
BUILDING AND INSPECTION
(
FRAMING
~
.~
~qUired)
pB.
911/D 3
.
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/"\/
/-r/-:?
.
II I
t/.!/~
//-
BUILDING
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 1J!t) ~f~ ~f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o fOUNDATION
o fRAMING
o INSULATION
Ji!l"fINAL
(0 SITE INSPECTION
o PLUMBING RI
D MECH RI
D WATER HOOKUP
o SEWER HOOKUP
o PLUMBING fiNAL
D MECH fiNAL
COMMENTS:
'\/1 fA (}f
( .L.:tJ II ~1. 'If
/
~RKSATI
D CORRE A
D COR
~f'~
<- - 9 ..; 7'"
D EXlGRADIfILUNG
D COMPLAINT
o FIREPLACE RI
o fiREPLACE FINAL
o GASLINE AIR TST
o
crORY, PROCEED
o ND PROCEED
LL fOR REINSPECTlON BEFORE COVERING
OwnerlContr:
U
"7-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
.....",
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETYI
ADDRESS
4730
DATE
SCHEDULED 1ft 7JI. <I
nit1/.. /) n...
T1IlE
CITY OF PRIOR LAKE
INSPEcnON NonCE
A. 'G)O
:::;r,
OWNER
PHONE NO.
CONTR.
PERMIT NO.
tJ3-~'f<{
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
ill FINAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
[J EXlGRADIFILUNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
COMMENTS: -:;1r. ~.~
-fl>> PIlAO ;;t;r t/!:f~.-L- ~"~ \
~~~-I~'
~J rJuJ "'-0 ~ ~ 1/~'J-
~~A-L:!'r~'" ~ ~~
~;j ~.'UJ:".....,
~d fJA.I2;'.-./J Vo~,;", ~~
- / r - - --~'"
,
r 'tJ.IfJl'lJJIG (oJ ,qs-z - L/~ 7 - 9?5#
[J WORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
~ CORRECT~' CALL FOR REINSPECTION BEFORE COVERING
Inspeelor. __ , OWner/Contr.
-,.
CAll 0&47-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
.-on
DATE nil.
CITY OF PRIOR LAKE (rlG-oY
INSPECTION NOTICE SCHEDULED
I
ADDRESS Chb~
OWNER Li'tt\.e. ~ CONTR.
;ZNO. PERMIT NO. 3.6Nt..f
FOOTING Cl PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION Cl MECH RI o COMPLAINT
o FRAMING Cl WATER HOOKUP o FIREPLACE RI
Cl INSULATION Cl SEWER HOOKUP o FIREPLACE FINAL
Cl FINAL Cl PLUMBING FINAL o GASLlNE AIR TST
Cl SITE INSPECTION Cl MECH FINAL 0
COMMENTS:
-/J. t:'>.''no'" ~.M <: c:r'V\. ~I-o~.,.,{ rl,., . ~
. 7~ ~__ w..<
~~.__..~....--.
.k:'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Cl CORRE~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'v' n OwnerlContr:
CAI' 7"~O FI1R TIf': N':XT '''''PECTlON 2. HOURS IN ADVANCE.
QUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
"""""
tlATE
TIllE
--
\~~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1::J-01
ADDRESS q 'l) D \)A/~
OWNER L;~ la..ka)'5 CONTR.
PHONE NO.
PERMIT NO.
O~- .., l.f CJ
o FOOTING
;!iFOUNDATION P.,t-
FRAMING Fto.... +
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH R\
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~\I ~,.Q 0 h l'c< l".\- s:.-to{>
UJ' ,'J.( of), JI~Q,t~
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORR WORK, CALL FOR REINSPECTION BEFORE COVERING
~ Owner/Contr:
~j-98~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UJREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSIKm
ADDRESS
173~
DATE TIME
SCHEDULED 71' ~/03 A.1i
~~#
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03 - ~'1
o FOOTING 1 ~ 0 PLUMBING RI 0 EXIGRADlFILLING
o FOUNDATION D. ff 0 MECH RI 0 COMPLAINT
o FRAMING,..,... 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
)If SITE INSPECTION 0 MECH FINAL 0 ~
COMMENTStr>> ~a-e.:J-' ~. Q~
~- h AoJ~~.
.~ ~ ~ JAJ'f..e
~, ..MJ1J.<J ~ ~ ~Jr! J
" ~~~"~d-k
~ ~ ~a-I-' ~ ;::-
~ -~,,~ -~. ,~
- (!;Jtz. I r1 4~ L ~ DI.J... ,_
J 0 1"" - ../
-
c--L..LI- ~~
JU/. ;~~
~ '1Iit...-.
it.,()~<.
II
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT W~RK ALL FOR REINSPEcTION BEFORE COVERING
Inspector: ....... Owner/Contr.
CALL 447-9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
.-oT>