HomeMy WebLinkAboutBldg Permit 03-1528
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,t;
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
11-/'i-~
PERMIT NO. 03-j52.5 I
ZONING (office use)
(2-3
oj- /6JLJ3
MtJL/'/J II-JJ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~~e~R Harry
(Address)
71A t:J i/
I I
PID 5-- CJOI- OJ. 4-
(Phone)
t:{-;1.--~' - 08 SS-
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
Re-Siding
OLower Level Finish
ODeck
o Porch
ORe-Roofing
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
o Misc.
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 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 property to perform needed inspections.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
:2-(;;<90. --
$ 1
$
$ 1.2~
$
$
$
$
$
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ I b- -
Paid
Date
q.~ -
, /( -
1- )7- J
I ~;reiPt N~f;<< Lf ,),
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
issu~d.
JI.17.0Q
Date 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
White . Building
Canary . Engineering
Pink - Planning
The ('rnll"r of the takr Countl)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
1/(/ I r \ I
, I
,_..-~
I
/tj ')\}
!
/ / -^^ /,)-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I "l
I/? " .' -..J
j/ I .I" /
. .' : I
,
r-
i I
1/ // C' '
Accepted ~
Accepted With Corrections
Denied
ReVieWedBY:~~
Comments:
l\.l7.{)3
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."
.
.
The ("enler or the l..kt Countr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Harry ~Py
/1- /'7-0 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: I j(}
I&/?? r Ihd03 /Jlu/N /It/C-,
~
Accepted
Accepted With Corrections
Reviewed By:
Denied
I'OLt
Date:
Comments:
"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."
'~~"''''''''''''''''''____~''"~~'~'''_~_~~'''~,__~...._"__.'._"....,_.."'__............',...."..'o..."~_,,,._____.~..,.,"'~__,_,,_~~.____;"______~_.. ,"', ~"'_,_".._.,....~_.. ..,~, '_" ......., _.'~.__.___._...__..~~~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS Lktgj MAiN AVs
TYPE OF WORK ~ r ~ ~
USE OF BUILDING s-s A- L
PERMIT NO. 03 -I S,Le DATE ISSUED I t ~1 03
BUILDER ~ PHONE # 'f5t,...#-1~
NOTE: THIS IS NbT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~M>- ~~G6tit\INb I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
"~
I
I
'~" I
, f.,\
\) :~
'... ! ~
V) I~
......... !,
~ i~
~ !
\I I. \
\\\ -.
~I'~i\~
" I ~J' i . If}
\~ \,,1 ...
~ 'i~
~ ~
~ ~
~. ~
~
,
I
I
I
,
. """~.<>~"~--'''._'''''''''''---'''''''''~--"'--'-''---''''''~-'---,-"~--,,~,,~...........---------."""""'''t'----,.,.~..-.....,-..~____..~~._.,._
,..-..... . ----..- -...~_..'...._._..
I
i
I
I
'~
,O~
l~o
i~;
~~
I
~
~~/
/" /
"'-
~
I
I
I
I
I ,
. i
,
. ///
}:/
/'
y
~
. I '.. 1
r n
-_...... _.~-_.~-
~ ~/-------
~ ~.--'
~ ~I~
..;) . ':oJ I ~
...
./
t
i
;/
V
~
~.
~
~
. l~
~.
, !
\1
~i
~
~
~
I
! ~,
i ~
I
jl ~
. _. __m__'___ __~.___.
U'/;>I
_._--._.~ --
~~
~
~ ~ 1
.~"\14!
.... , ~
\~~\:
l...... ~ ~
~
....
~i~
. '<;.~
~,
ci1i3
v
~ ,.1-""" I ~ -'>
~/j
i
I
I
~
~
"-
't
\n
._..
~ 2.!...C I' /JI n? -'>
7!::Z-YtU
(" "';// 2/;Y :::J
/J
~
"
~
~
(j
--.....,.-..--..
t
U./ (3/ /. ~ .~!L' H (">? ~
"
-<
,~
......
';~
~
V)
~J
\:,\
-i
~\
1\
\\
\
~
-:z
__ ~~ ",HI'? --_
~"'~_______""___4'4^~'_~_~"__~_,,~.,._____~_______~_"~_~__.___..___~...
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OA. TE TIME
'/10f>
ADDRESS Ml - I G, 20J
~,
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3 - , '5 2~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A:f FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
,
OU-C(~ ~f
~~ORK SATISFACTORY, PROCEED
o CORRECT A AND PROCEED
a CORREC 0 ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSItOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
s: 27-0 Y
,
ADDRESS 1~f/7 - JlfJ'2 03 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
~ -'S-~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o G~~:~ TST
)4 .
(1-
fJ\,\J '
,~ '{\
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I/'fSNOTl
CODE R QUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1-1Z,
ADDRESS J1At:r7 ~
OWNER
CONTR.
PERMIT NO. ?-
I,SL~
PHONE NO.
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 EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o fiASLINE AIR TST
,E[ _J~~Q .#{'S
COMMENTS:
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ORK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C
9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl