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HomeMy WebLinkAboutBldg Permit 04-1150 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please tyoe or Pri+ and siltll at bottom) ADDRESS , 3~1/ Wt/lhllAAllnJ LEGAL DES~RIPTION (office use only) LOT 4 BLdcK I ADDITION I Scr Date Rec' d 11- Q-04 While Pink Yellow File City Applicanl I PERMIT NO. 04- ,/ /50 I ZONING (office use) RJ 1/ /M./fh~ fJ(]Yl d4 rr .;11.5- (jOL/+o PID d S- ~- (Jt-j:~ /I D AlrvJ ~ S kxr/ ! C;; A-vh f{ BUILDER ! ~ ~ L-- (CompanYNa~eLI (,,6JM!ts .p1~ r../YlY.~ (ContactName~ -;;;""""y ~J"'v'V' (Address) '( 7fl) wl;;'~ r,f- Rtj}(' lrf/.-I<;K- TYPE OF WO~ 0 New Construction ODeck OPorch ORe. Roofing i ~ddition DAlteration DUtiJity Connection 0 MIsc. CODE: ).;z!I.R.~ DI.B.C. Type of l;'nstru ion: I II III IV V A B OccupancyGrop: A B E F II I M R S U Division: 1 2 3 4 5 OWNER (Name) '"J'ON-e..J (Address) (Phone) -'is[ ~ 7G/~- '50{>,..... (Phone) f:,;Z,>,rA7-1" 7f:t '/ (Phone)~n.. lJ{.) -1 7q7 Mv</ ~~~)? ORe-Siding DLower Level Finish o Fireplace PROJECT COST IV ALUE S (excluding land) /-r~ v' 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 aulhof\zed agent for the above-mentIOned pro 'City 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 thi ~it for Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspectiom. X --:1.: c. ./ ) .., 7..f..l {J?. SUJ Cf -LI- (J ~ -a y- i ~gnature Contractor's License No Date # Permit Valuatior #/)'. (]o(). dO I $ JLj'?, z..~ $ q~. 7/ $ 3,':>0 $ $ $ $ $ Permit Fee Plan Check Fee! State Surcharge I Penalty Plumbing Permi' Fee Mechanical Pen lit Fee Sewer & Water] 'ermit Fee Gas Fireplace PI rmit Fee This Application Becomes Your Building Pennit When Approved ~ II IfF/Or I Date Ollicial Park Support Fee # $ SAC # $ Water Meter Size 5/8"; I"; $ Pressure Reducer $ Sewer/Water Connection Fee # $ Water Tower Fee # $ Builder's Deposit $ Other $ TOTALDUE ~~ Il.Iq.04-- $ 2.~. if" Paid Date 7-+&. -f'(., /Z Z.&'~ ThiS IS 10 certify Ihat!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 qity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be ;~ ~ /MJ'~Dr"ato Planning Director I' . " 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 ---________.....L-__ _ -.l..~~X PRIO", ( !:: ~ u '" Th~ C..nln of 11.. I.ah Counu",' White - Building ....--r;;;i!~f",; __- cl.glneerlr19.::> Pink - Plannon9 BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAM E OF APPLICANT APPI.ICATION RECEIVED -.".--' , i~ if ! ~- .ll' - I' ' , ~ , ,/"~ , 1-.\ '-,- I I~+:,j i'---; ()(- ; \~_...' ! ~ 'I ; ~ i _____ [' I" ,_,,-,;"__,-', '~-C !'J ~ 11'-- " I - , I } I- i.. Ii .(~- The 3uilding, Engineering, and Planning Departments have reviewed the building permit appli :ation for construction activity which is proposed at: '-::.9-1' I \,;'1 Lf,l\ _'((i) LT' __/ ',._ .. "~' \J I \.,.. l..i 'J ~ ~ 'i "",' '-..I' L....- "'---' . Acce :Jted )( Accepted With Corrections Deni,!d Revillwed By: /YJ&-15 Date: II-It-o/.j Coml nents: See Revp.rsA SidF! for Additional Information! 7 ~ee Attachments: n Grading ~hm, 2) Erosion Control Measurell "The issuance or granting of a permit or approval of plans, specifications and com~ utations shall not be construed to be a permit for, or an approval of, any violation of any (f the provisions of this code or of any otherordiMnce of the jurisdiction. Permits presl ming to give authority to violate or cancel the provisions of this code or other ordinmces of the jurisdiction shall not be valid," '~~~ PRlO~ 2 y~ U 0i r)Vhite - Bui~ Canary - E:ngineering Pink - Planning Ih~ ('en I.., nf I f 1.."-.. ('ounlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAMIE OF APPLICANT APP JCATION RECEIVED IHOMAS THoMPSON II. q. 04- Co NSff2- The Building, Engineering, and Planning Departments have reviewed the building permit appl cation for construction activity which is proposed at: 3~11 WILl,OWV'!OOD .s I ! Acc,pted Den ed Accepted With Corrections / Revewed By: ~~ ~ o-Lt' Date: -#-;f~ if Con/lments: I "Trie issuance or granting of a permit or approval of plans, specifications and cor lputations shall not be construed to be a permit for, or an approval of, any violation of an] 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," ;~...~~ Tl1fl' C....I..r nr In I.ak.. ("ounlf')' White - Building Canary - !;ng,ineering ~...'"" _- ...,a"m"'i! .:> BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAfII E OF APPLICANT APP _I CATION RECEIVED -rH C i' ! fV:" 'I J I . I , i' . I hCII!/:r (4- '..i I :" ,--.-.- '_ (I lie The ,Building, Engineering, and Planning Departments have reviewed the building permit appl cation for construction activity which is proposed at: /' II 'L .' '. '( \ ~ I L (, \;( C LJ t . Accl Jpted Accepted With Corrections f-/' Den ied Rev lewed By: -~ 7-~ Date: /~/d7oC/ ~ ~ ~/~n.:t;; /~ _ ' 17 J r <--J:.o ~..... - ..-.r c./I~...,/.; v~ / J I J Con lments: "Tt Ie 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 an" of the provisions of this code or of any other ordinance of the jurisdiction. Permits pr1suming to give authority to violate or cancel the provisions of this code or other orqinances of the juriSdiction shall not be valid," PRIOR LAKE INSPECTION RECORD SITE ADDRESS -3S' l WIL.LC~ a.,)" D sT, NA-URE OF WORK AIJI (T ,"#1) US : OF BUILDING 3. /:": D # . ~ PE =lMIT NO. _ 04--- //50 DATE ISSUED / .. CO~TRACTOR ~IJ t:tIl4r, PHO · · 7 ~O E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW , THE PERMIT IS BY SEPARATE DOCUMENT C y~ ~ ~~ {O ( INSPECTOR < DATE,.. / ~ ::J~~ING I J/t4- I /~/ ~j? I I FO,UNDATION (Prior to Backfill) I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DEPARTMENT OF BUILDING AND INSPECTION , ,//1- ~ /~#- //z6/t:fS /j2q"S~ , .. ~ , / 1" Z6~S-- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 'Jf'''~'''~ I I FINALS GRA DING (Prior to Sodding) BUlL ING ELE T EAT NG o NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections a~d maintained until all inspections have been approved. On buildings and additions wtjere no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 DATE TillE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ';';)0 ") ., ADDRESS ~7' ->61 I, ,I , l/I-""! "0f-c,.';'</(ffr-' ~' OWNER CONTR. PHONE NO. PERMIT NO. t..-' 'l'jU 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 EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: .~ (U~ ) I I j /"" I ( - / ( / ,. LJ.-WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL ~ REINSPECTION BEFORE COVERING , / Inspector: I l Owner/Contr: I CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY! INSNOrl