HomeMy WebLinkAboutBldg Permit 04-1125
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
10. z.8.04-
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 04- .//2 5'[
(Please type or print and siltll at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
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ZONING (office use)
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LOT 7BLOCK I ADDITION
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OWNER
(Name)
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(Phone)
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(Address)
~c~~~~ Name) 'i7. J4. ~''':~ Ca-.t~"'4
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(Phon~ ~g-tS-"'h,;JS-5lJ
(PhorP5I..l-)eJO - )57</
tJd7~ /17# 55"~~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
~ddition DAlteration DUtility Connection 0 Misc.
CODE: IK1r.R.C. DI.B.c.
Type oC&nstruction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish 0 Fireplace
PROJECTCOST/VALUE $ 3~0'l1i1. on
(excluding land)
I hereby certity that I have filrnished information on this application which is to the best of my knowledge true and correCl I also certify that I am the owner or authonzed agent for the
above-mentIOned property 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 Ihe building
:li~!lJ'71;;::;o".Ihmby,g"'lh"'h'''ZC~~;;'~6~'UPO;hOP~;p''folmO''d'70b;k~
;Zre Contractor's License ~o. )117; , o,..fe
Permit Valuation 4-30 0 Park Support Fee # $
,ODO, 'eJ
Permit Fee $ '4l..~.5o SAC # $
Plan Check Fee $ 305.18 Water Meter Size5/S"; )"; $
State Surcharge $ I~.o 0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # I $
Mechanical Permit Fee $ Builder's Deposit I $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE ~ 1t,,/.04- $ 7S 9. , ~
This Application BecOnles Your Building Pennit When Approved Paid 'l~i~ f?? I Receipt No.l-ti{) -5)
~~ /l/,/ot{ Date J-::J.-"7),-('JU By c.;
r-
l3l1i1din.!! Otlicial ' Date
ThIS IS to certify that the request in the above applicatIOn and accompanying donlments is in accordance with the City Zoning Ordinance and may procr..'tOd as requested This document
when signed by the City Planner constitutes a temporary CCI1ificate of Zoning compliance and allows constnlction to commence Before occupancy, a Certlficatr of Occupancy must be
'''~ ~(Y).mm. II) lo~
Planning Director , Date I
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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Special Conditions, if any
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White - Building
Canary - En!Jineering
(Pink - Plannlrig)
Th Ceo'nof lht I..kt Counlr)'
BUILDING 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:
. A \l ;-\ \j E .
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Accepted
/
. ,
Accepted With Corrections
Denied
Reviewed BY:~ m. ~-
Comments: -rto ~ ~
/II ( /o<t
I
e'\ ^ OO_..,.J. .
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."
~\
(vvnite - Build1ijg:::>
Canary - Engineering
Pink - Planning
Thf ('enlfrot lhf l._h Counlr).
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D. A. N Y ~ gE,f\1 ~ONTRACT1 N C,
APPLICATION RECEIVED 10 _ z6.{) 4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4 () Y3 5 Et t26l;f\I VV A Y A \J e.~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~~
p~ f71H
Date:
/ I II /0 c.f
- I
Comments:
p
"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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I 'f () 8''5 <S R.c:.c: N W /t..!J A. VE .
NATURE OF WORK ~6~ ~i'rlo~
USE OF BUILDING :-:\.~D. .
PERMIT NO. 04-,1125 DATE ISSUED III t/oel
CONTRACTOR ~. ~y~ ~~ PH6NEbtz...U.()"'S'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF ~E INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
D~TE /
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
BUILDING
ELECTRICAL
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DO 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 building. and addition.
where no service cabinet Is available, card shall be placed nellr mllln entrllnce.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/9'Op,\ ~~-..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...,..liH'1NAL
o SITE INSPECTION
COMME~TS:
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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WORK SATISFACTORY, PROCEED
o ORRECT ACTION AND PROCEED
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DATE TIMe
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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(Q ,/c:.
o CORRECT ~~) ~OR 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/
INS1IOTl