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HomeMy WebLinkAboutBuilding Permit 03-1392 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~1ease .!VDe or Drint and sim at bottom) ADDRESS :J9/~ ~/l[<.r ~rQ <.U/. Date Rec' d 9.30,03 l ~;:: ~:~ I PERMIT NO. /l-? -!..'?a2-1 J. Yellow Applicant l.J..-) ...J7 . I Z~~~~use) I LEGAL DESCRIPTION (office use only) LOT + BLOCK ZZADDITION SpelNCj L/1~ 7lJwNJf76 PID 2.5. (33.005:. { OWNER-7--. (Name) +-&...J. Yttt<l^~ <. S. ('",,,,L.,,.. e~ <LV. (Address) ~'lT1 V BUILDER (Name) 1)0< 1'"'<>.", -\- (Contact Name) \2 0"-" , (Address) II ,~(' c e. (0 fJJ .6 "'"'t::"-. r . TYPE OF WORK D New Construction DLower Level Finish o Misc. (Phone) (Phone) 7/....5- ?d"S--o/'o3c) (Phone)-KIA') -4"'7l?-IIS"/ aJL ~ ~ ORe.Siding DUtility Connection 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 loca11aws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may ;ter upon~~.::: needed inspections, ~O :;);J./?'I<f 7 ,..., - ~ Signature Contractor's License No. <)l\.,"" \",k~ ~~. U ODeck OPorch ORe. Roofing o Fireplace )'t-iMltion OAlteration PROJECT COST IV ALUE (excluding land) $ ~90a,?d I Permit Valuation qa Wi? " I Permit Fee $ r h 7<;' I Plan Check Fee $ ~UJ. 44 I State Surcharge $ -I t:;. - I Penalty $ I Plumbing Permit Fee $ 4Q. - I Mechanical Permit Fee $ I Sewer & Water Permit Fee $ - I Gas Fireplace Permit Fee $ --- This Application Becomes Your Building Permit When Approved 1t../2If . Building Officlal /'P 1~IoJ . Date' I Park Support Fee I SAC I Water Meter Size 5/8"; I"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE ~ IO.l2.n\ I Paid I Date ~ 061'U7 /t)./.r.tJJ # # # # er/30/t:1 ~ Da~ $ ~ $ ~ $ -- $ $ ~ $ -' $ -- $ $~ ~C;q. /1- I I I ReceiO'1t t1'~(p r ~ By ;Wi 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 .......y"'....]. Cenificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~~ \OIID~.lJ?:J Imfi-rb't~A:~:ti~~4nn(J{- 24 bour notice for all Inspections (952) 447.9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 ~~ CWhite . BUI~ Canary-=-Eifgineering Pink - Planning Tht ('tour of lht L.kt' <:ounlry BUILDING PERMIT APPLICATION D~RTMENT CI-lE.CKLlST NAME OF APPLICANT APPLICATION RECEIVED D/I/1();JT I/II~ tJ. 3 0.63 The Building, Engineering, and Planning Departments have reviewed the building permit apPlicatio~~/~ruc6e~i~c~ro~~t: JvJ Accepted Accepted With Corrections .......... Denied Reviewed By: Comments: f-j)w- I ,}J6dIJ p""'..IW\.Jt ~ fo i. i 3 "P~ -r;- Date: "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." ~~ White - Buirdi(lg .(.~ Canary - En'lineeririg ..... "IO~ - Plann~ Th~ ('''nlf'f of 'hI' I..", Counll'Y BUilDING PERMIT APPLICATION DEPARTMENT CHECKLI~T .NAME OF APPLICANT APPLICATION RECEIVED Drl//O!J/ IIV~. 1.30.63 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Z g/~ tefJi7:.- k~- 100. JvJ Accepted Accepted With Corrections }(J . Denied /\ ~r-;;, _s4(O Reviewed By: .c..-1":.JC.rLn-J1 , \J\J Date: 0{ . ~O - O~ Comments: '- v' V (LVI a..nQ..L ~ Ul lfY1~I~ ~CJL'. C!...U--rtCnr U1d..L~.ev3a.';j.qo ~ J(-. lf2G!o me 0/)+ be- YLfhozd pno. to ~c...L Df, w. \~ q fo ~c!'t/) rt,$?LlbDJo LUVf~ . . "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." Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT /0. Z-8,(;3 / ()'1ease ~ or orin! and ,ion at bottom) ADDRESS 2- ;>' / r Cl;:7tJ T&Z- /Z-CJ I. Blue File I PERMIT NO I 2. Go~ c;~ d'? -'3Q2- 3. Yellow Applicant ~ /- / , ZONINGCo_usej I LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID 2.S.I.3:l. MS. / , ! OWNER (Name) (phone) (Address) . ~;;~~A~R'~ fltuniJ ~q ~ (Phone) tf"p A/~r ~?69 (Address) iJ-l ~ 5<<umi I ~L IljJfrfr/9, AjJ,4/,r ')"CJ"/r (Addrlss) (City) I (Zip Code) (Contact Penon) t:A11.,,'1 ---.TJt /74 (Phone) t/..}.-~- '7?r;L APPLICANTSION:::TIJ~ ~~ .~ DATE /i? -,,)A?-tJ:J . --, ..--- . /' A~ICAI~T PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain . Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Quantity Type of Fixture Rough-ins Water Heater Water Softner I Stand Pipe (Washing Machine) I Sewage Ejector I Backflow Assembly I Backflow Assembly Test I Lawn Sprinkler I Other FEE SCHEDULE Industrial, Commercial & MuIti.family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Building Official Date Building Permit # 0] -O~ 2- 1 $ · r~ IJ fl/ . $ ...--:so "V $ ../" fJ P. IP~ I Dill, U. OJ .- Estimated Cost $ PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) 24 bour notiee ror an inspections (952) 447-9850, rax (952) 4474245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 Rec~ "'r --'- Tbis Application Becomes Your Building Permit Wben Approved PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS LEt; Ib ~ ~ ~. Lv. NATURE OF WORK ~ bO I T'\o.-.l USE OF BUILDING ~"""... A //Z... PERMIT NO. 03 -1'5qz.- DATE ISSUED CONTRACTOR 't)A-W'\ t?~. I NL. PHONE c..(2~4~o-"c;-4- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ,..,.. , FOUNDATION (Prior to Backfill) ~ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS .. FRAMING INSULATION ELECTRICAL PLUMBING HEATING (If required) . .AI~JI. l~ lA/IL YW'" IM/ / /-4-0\. 1/.7-r/3 - M' yy(./ /OJJorQ~ /1-4-0> . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED , I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy .- M/ /$ff/J ~~~. fI/P 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 mle y'~r~ ./ ..2%/rr ~ ler- n DATE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. t!J...? - /'s?Z o FOOTING o FOUNDATION o FRAMING o INSULATION -a-FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: // / ~/.! I'e 1'!1t1/./'t..- d, ,.73 . ~ b?IU-e. ~ V / A' .. /? $/.) ~j/S (!/ /L. r ./ / -or' /;' / /' //)-1'" 6/ /c ..-----......---------...... / /" -/~:J ..) ./- ./ ~ . //oSe. /7/c ~ /4RKS~TISFACTORY. ~ROCEE~~ P;;~ORRECT ACTION AND PROCEED o CORRECT WORK, CJA;l; ~~YSPECTlON BEFORE COVERING Inspector. ~ Owner/Contr: , CALL ..C7_9860 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! """"'" CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS }..~~ {~L a OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL 'fI SITE INSPECTION o PLUMBING Rl D MECH Rl D WATER HOOKUP o SEWER HOOKUP /a"PLUMBING FINAL 111 MECH FINAL COMMENTS: A f.5C1f IJ'.t~ -r,;'. I /'>fL ... t1'E't",..l Olntd- C"/k. .f.v /'1111 PIIl;'I_/,;"... a I1J Mol""'''' nov 1"1> d/J<;.- ..p;j,. 1f' U,'w. IA./~V f1Hds t""?',dL f:;ur~1 tv 1.,., DATE TIllE {~ Xro4 7-/s"f L.. o EXlGRADIFILUNG D COMPLAINT D FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o -fo.... +: Hit / d,/~u.-,^v .1'<- / f: //fa JI4!r o WORK SATISFACTORY, PROCEED ,;tf CORRECT ACTION AND PROCEED D CORRECT~;,C"R REINSPECTION BEFORE COVERING Inspector. Y f/ r.-r Owner/Contr. I CALL 447.9850 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE. -, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI