HomeMy WebLinkAboutBuilding Permit 04-0299
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please !YO!:: or orint and sign at bottom)
ADDRESS
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Date Rec' d
/0.2..8.03
I. White File I PERMIT NO f
2. Pi., Ci~ . () . " Z-I'J "
3. Yellow Applicant .. -e I
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LEGAL DESCRIPTION (office use only)
LOTJ BLOCK I ADDITION P"P !lIt.<.. ~?1t
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HI' It? ,JJ
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TYPE OF WORK 0 New Conkuction
I t< (! , DLower Level Finish
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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 r-"'r--~J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the y....t'....~i to perform needed inspections.
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OWNER
(Name)
(Address)
BUILDER ^
(Name) U-./l .
(Contact Name) -=v
(Address)
J)..:;1c-
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
) ,...
Rro\
L-(, ~,\ l~ \.A
(phone)
I ZONING(officeuse)
Jel
PID 'ZS". -sr.L.{)(J3. n
(Phone) :+!-.~ - <::;t/h- ~I(l/S-
(Phone)
;J)l/ho-Mft- ;1J,0 ~~~
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....--W ,-'"
~.1c--d/3
ODeck
OPorch
ORe-Roofing
o Fireplace
OAddition
DAlteration
PROJECTCOST/VALUE (exc1udingland) $
..'""'"\ -
I~ (JOt). r;O
$ /~Z.. 2-5"
$
$ SO 0
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~~
Building Official
/0/.;.9/03
I Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter ,,~ize 5/8"; 1";
1 Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I
I Paid
I Date
Ib7- zr
- tI. UI,fI~
ORe-Siding
OUtility Connection
Date
# $
# $
$
$
# $
# $
$
$
$ It, 7.2S"
I Rece~o. "'/,Ib
Bv~ J..- .
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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 bour notice for all i.., ,":,:_lIS (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
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'ink - Pla~n ng'
Tht C"mlrr of lilt L.kt <"ounlry
6..UlI-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
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: i "
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/ -; {) "- / jC/ ((:"0..:./) 0.. , i/'U::{'CC
Accepted
v-
I"
Accepted With Corrections
Denied
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Date:
y\~.o4-
Reviewed By:
Comments:
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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."
~~
~hite - Build~
eanary - I:ngineering
Pink - Planning
Tht ('..nlr. of Ih. t..kt ('ounl!")'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prop sed at:
/l/tfoL/
I
~
Accepted
Denied
Accepted With Corrections
,,/
~ ~.fJ~ Date: 4/J~;6<j
Comments: r'~ a.~_ PenrI ~ ~ ~
.
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Reviewed By:
"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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Thll' ('t'nl.' of '...I..k.(.......,.
White - BuildlnL-..
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BUILDING PERMIT APPLICATION DI;PARTMENT CHECKLIST
NAME OF APPLICANT
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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:
I 44. ().;1-- e 1..-. e: el Ie () -r~:j~ I L-
Accepted
Denied
)(
Accepted With Corrections
Reviewed By:
/YJ9-l3
Date:
11- Lt-6J
Comments: . ~"'''' Reverse Side for Additional Information!
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A,..:;;{ "t '9 o.r€ ~ .A -;h-
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~ee Attachments: 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."
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD .
SITE ADDRESS II.JI/()~ 2/UE'B/U 7'RA/L
1
TYP~ OF WORK . IAJ.~'A.N IJ 'P.41L-
USE OF BUILDING .::J.F:b.
PERMIT NO. . DATE ISSUED ~t9/()1
BUILDER ~ POOl-'" S84 PHONE #Z/J3-S4J'-8IIl/S
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ ~WfCn~ of Sil,>E~u,s 1aFOASINSP~CTORCDNCREI"f A9~
FOOTING I /lb r t/-7.o"l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
__ FRAMING I I . I
c:::::...: 5'!Utti~ ~ ~ ~c.~ ~eE ~y w~-rt:A. is "TO/ ~ H::C€O
~ FINAL I "*4 I $fi''''/oS- ,
C NreA. ELle Call between 8:00 and 9:00 A.M. for all Inspections
~SES' FOR ALL INSPECTIONS (952) 447-9850 -
Fi~1\L.
.
~TE nME
CITY OF PRIOR LAKE ,.,. _- /
INSPECTION NOTICE SCHEDULED J/ /D/a,s-'
ADDRESS /Y'mV g~ejrJ 7//
CONTR. ~ Y ~
PERMIT NO. 0 f/ - .-2'19
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OWNER
PHONE NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
~~NSPECTION
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
A;7
COMMENTS:
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[J EXlGRADlFIUING
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLINE AIR TST
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~..........
-----
/'
/
~ 1'/[dS-e.
/ RK ISFACTORY, PROCEED
CORRECT ACT ED
[J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr.
~/
CALL "7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
""""n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
Y-Io<<
,
ADDRESS I 'it{ 0'1 Z Itlt. /','r tP 7/1
OWNER CONTR. IItltJ~!eo1 rH!frrt
PHONE NO. PERMIT NO. 1'>'1- 2,' ,
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
M~WNG
"'DC RI'
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/1-11 ,r,{_
~K 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!
INSNOTl