HomeMy WebLinkAboutBldg Permit 04-0530
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5. z+. i)4-
1. White
2 Pink
3 Yellow
File
City
Applicant
PERMIT NO. 0+. 053DI
(Please tvlle or llrint and siKJl at bottom)
ADDRESS
4lSS rnlnfaJo~+. ~
ZONING (office use)
IZ IS [)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
IA )~\\~ 3"
\k~ ~C\ "'- <.
(Phone)
(tv)
q_~~~-4~D-d32f
~9t,. .5VjO
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK QNew Construction ODeck OPorch ORe-Roofing ORe-Siding
)(J~ddition o Alteration OUtility Connection 0 Mise,
~1$
CODE: Mr:R.C. DI.B.c.
Type of qotistmction: I
Occupancy Group: A B E
Division:
OLower Level Finish
o Fireplace
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
~cw
PROJECT COST /V ALUE $
, 4"xcluding land)
ADo tTf6~
I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge tme and correct, I also certify that I am the owner or authoflzed agent for the
above-menlloned property and that all construction will conform to all exisllng state and local laws and will proceed in accordance with submitted plans, I am aware that the buildmg
offiClal can revoke th perma for Just caUlfurthermore, I hereby agree that the City offiCial or a deSignee may enter upon the property to perform needed mspectlOns
" -
X N.... S.2-'f'Dtf
i/ ~ign~r Contractor's Ltcense No Date f
Permit Valuation I ~OOO, ()t) Park Support Fee # $
Permit Fee $ /(J3. DO SAC # $
Plan Check Fee $ L:, t", , ~ S' Water Meter Size 5/8"; 1"; $
State Surcharge $ '2..0~ I Pressure Reducer $
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ I TOTAL DUE l!J4uelJ (q,.". 0 f" $ J 7/. 9S
This Application Becomes Your Building Pennit When Approved Paid /7195 Receipt J4 o. 4-(,Q7/
~ ~ 5/,1-' ~ c( Date (, . .::? () "- BY!!.
8uilding Otllcial , Date'
ThiS IS to certify that the request in the above applieal10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
when signed by the City Planner conSlltutes a temporary Certificate of Zonmg compliance and allows construction to commence, Before occupancy, a Cerl1flcate of Occupancy must be
issued
~
/\ Date I
Z<rhour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
10. '1'8. D1F
Special Conditions. if any
Thf' Cf'nlf'r of Ih~ L.k~ Counlry
~it~ - BuiiilliiiP
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WIl,.;l,lAH \/OrJBANIC-
b.24-; 01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4/q5 t1 f)L--D r2ADO S I
Accepted
~
Accepted With Corrections
Denied
0<. '. -/ i7 r
Reviewed By: ~ ~
~ o-Lf
~ ~~ ~..~ (x
~ fo ~ ~~t741~
Date:
5/fG.4 Y
~
~ o.t~
t/
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."
White - BuildinQ
...-;"fl:!arv - EngineerinQ)
Pink - PlaimJng
The' Crnlrr of the' Lake COQnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IiI"
\~. "\
L
1-, ['...,!
.. '! !:
/ J,
,., '. ( ..j'
(' .! l(~---
4--
4,--~-""
;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ~_.,--
I _ ,-
l f ~.~.I
/( /
~ .\
{) /<.:'
Accepted
x
"
Accepted With Corrections
Denied
Reviewed By:
/119f3
......
Date:
6 -2--()V
.
Comments: -5ee Reverse Side for Additional Information!
See Attachments: t) Grading Plan, 2) Rro!lilion Control Measures
liThe 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."
White - Building
Cal"!ary - Engineering
C P~I'l~ - Plan~
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\
\,
\.. I /\
I ._~._
/ l
:-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
l.-
I ' i
C:,-'"
\/
Accepted 'I..
1\
Accepted With Corrections
Denied
Reviewed By: ~~crt-
Comments:
Date: 5'n-of
v~~
uY4r
I-p- 2>''1- ~ I q-z~ ~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed fo b~ 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
.
INSPECTION RECORD
SITE ADDRESS t.f.JJ!S &x.,olLo..Dd S1: S tJ~ I
NATURE OF WORK t;AleJtGIF A~ind~
USE OF BUILDING S,~ 0 .
PERMIT NO. _ () ~. os- Jo DATE ISSUED S/U,/IJII
CONTRACTOR IJJILLI~ \1: li,J ~.4C. PHONE~ -SZ~", ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR, D~TE ,/ ,
FOOTING .~ I TiYCcy
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING
INSULATION
ELECTRICAL
~
/I /14
I '
.
j#./f-
. ~
/&;///01
I
j
, I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
YIlt}
, ,
7/1(//d/~
11tS'!(/{'
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
.
This card must be posted near an electrica1 service cabinet prior to -rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
71/ 7'5--
DATE TIME
SCHEDULED ~~~~
I
~~rQ do /'\~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
l/'-SJ>D
r
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
~AL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION ~ MECH F. INAL . \ 0 .
COMMENTS: ~r~9-c #~~~
/ -
~~f~Jce,/ /-d:,./ 7~'~
.
~'
/--/ /f ~
~
,/
~/
C//C
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIVOTl