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
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Scr
Date Rec' d
11- Q-04
While
Pink
Yellow
File
City
Applicanl
I PERMIT NO. 04- ,/ /50 I
ZONING (office use)
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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", (
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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
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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:
~~
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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
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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/
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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
,
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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
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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~ )
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/"" 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