HomeMy WebLinkAboutBldg Permit 04-0041
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White File
2 Pink City
3_ Yellow Applicant
p-J-3 -03
rf~ ~~ ()Z.~()310
I PERMIT NO'04-. 004- / I
(Please type or t rint and siJm at bottom)
ADDRESS
J6JCl
L a /~I'" ~;ije
ZONING (office use)
five
LEGAL DE: ;CRIPTION (office use only)
LOT
BLOCK
ADDITION )(
PID..::tS-OCf fp-oa-8-0
(Address)
({:c ~d,J I<'p"t].
'1102 LClke'5)C Jive
Pi'" \" vr
(Phone)
L;::J /c:C
9'52 - 'lYe -!'13j
/hw
OWNER
(Name)
BUILDER
(Name) C'vv r(ly-
(Contact Na ne)
(Address)
(Phone)
(Phone)
TYPE OF V'ORK
o New Construction
DDeck
DPorch
~ddition
ORe-Roofing
DAlteration
ORe-Siding
OLower Level Finish
o Fireplace
DUtility Connection
o Misc. I'I'.~.
PROJECT COST IV ALUE (excluding land) $ j () I (] C' 0
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 agel t for the above-mentioned t'.~t'~.~j and that all construction will conform to all existing state and local laws and will proceed in accordance with
submItted plan' ~aware~at 2bUlldi Oftlclal can revoke thiS penmt for Just cause Furthermore, I hereby agree that the City OffiCIal or a deSignee may
enter upon th1rop to perti eeded I pectlons
X ~ ~ ?S 7/.-( ,-~3
Slgnatur~ - / Contractor's LIcense No Date
I Permit Valuatlion K/ ;S tJ 0 t) ,00 I I Park Support Fee # $
I Permit Fee $ -z.. z (, 0 0 I I SAC # $
I Plan Check F ,e $ I 43.10 -r:> I I Wa'er Meter Size 5/8"; I"; $
1 State Surchar ~e $ Co I () '0 I I Pressure Reducer $
I Penalty $ I I City SAC and WAC # $
1 Plumbing Pel mit Fee $ I I Water Tower Fee # $
I Mechanical I ermit Fee $ I I Builder's Deposit $
I Sewer & Wal ~r Permit Fee $ I I Other $
I Ga,Fitep!ao Permit Fee $ I I TOTAL DUE I!IlUI!;O l ;:r7.o4-- $3'10. &15
Buildil .g Official
I / ;J.. t,1I4
I ate
I Paid
I Date
J,?O.('5
/. .J.?_ /1 i/--'
/)
I ~;:iJ~rO- ~Z31
~ D2.-l)3Io
This Applica ion Becomes Your Building Permit When Approved
~~~
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This is to certify :hat 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 1 l1e City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
.~~~~ ~.r7~ ,.;:n.o'l-
"'l'J'-I' '-1r~~,; N) Date Special Conditions. if any
i4 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
2:~1iPRIOIi'(."
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u '"
White - a\Jildin~
,..- ~':,~?"Y . EnqineerTi'iD")
. Pink - Planning
fhe' ('C'nl. r of IhC' l..kC' COUnl11'
BUILDING PERMIT APPLICATION DEPARTMENT C'1ECKLlST
N, ~ME OF APPLICANT
AI'PLlCATION RECEIVED
.
,t;~
I /
./1 {i!~.lc..l~
I
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Tile Building, Engineering, and Planning Departments have reviewed the building permit
al'plication for construction activity which is proposed at:
. J
!.x:- ' "
_. ,,-,~'~ /1/.\.("2..___
/ "''''::2
/ .'... r ( I,
I -'(-.' . <_/, h
,."".
Al :cepted
x
Accepted With Corrections
D,mied
Ro )Viewed By:
J7J1- ;3
Date:
1-22-01t
C'Jmments: See Reverse Side for Addilionallnform;:\lion!
Rc./c./n/i'14 V..! { to &. J10 J..1,dtr 1'/-,,,...
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See Attachments. 1) Grading Pbm ?) Erosion Controll\i1e;lsures
"l he issuance or granting of a permit or approval of plans, specifications and
clilmputations shall not be construed to be a permit for, or an approval of, any violation of
allY of the provisions of this code or of any other ordinance of the jurisdiction. Permits
plesuming to give authority to violate or cancel the provisions of this code or other
o.dinances of the jurisdiction shall not be valid."
Cl.~~ PR/0tj> (
t: ~
u '"
White - Building
Canary - I;ng,ineering
r.>'lnK -....an",n5l>
TtU'Cl'n!<r nf lh., l..kf Country
BUilDING PERMIT APPLICATION DEPARTMENT CHECKlI~T
N Il,ME OF APPLICANT
/ .I
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c,
.-./
A =>PLlCATION RECEIVED i '
Tne Building, Engineering, and Planning Departments have reviewed the building permit
a )plication for construction activity which is proposed at:
/ / ! ,
" l..~ /~_
\(
A :cepted 1'-.
I
Accepted With Corrections
C enied
Reviewed By: opF.QJCr~~-
Comments:
Date:
l'rP7'cJ!
,
"The issuance or granting of a permit or approval of plans, specifications and
(omputations shall not be construed to be a permit for, or an approval of, any violation of
<.ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits
~resuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
-'.~~ PRIOoS' (
t: . ~'~
U .t1"".
C;White . Builama >
Canary - Engineering
Pink - Planning
-
Tht (-..nl-r nf lh.. t..k.. ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~b1t0..d
APPLICATION RECEIVED /;2-;) 7--3
~/~
- U
T,e Building, Engineering, and Planning Departments have reviewed the building permit
a Jplication for construction activity which is proposed at:
/fo/O~ {;(~ ~~
Accepted
Accepted With Corrections /
C enied
Feviewed By: ~ ~ Date: / /d2-/o ..;
Comments: h~~ ~ ~ ~,~
~ .;.;, ./.'j), ~~ ,..-j,..~
1/ v tl ../
~ ~ ~Y-ap~~,
w A(.....,~ ~ ~ y_~....~
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"lfhe 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
€ ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits
~ resuming to give authority to violate or cancel the provisions of this code or other
(rdinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
SITE ,\DDRESS I Co t 0 2. L..ok\LE'st~ ~
NATU ~E OF WORK Bt~E. ~b I,.lo~
USE OF BUILDING ....~.~ b ·
PERtvllT NO. . 04. OM/ DATE ISSUED ~,
CONl RACTOR 'Kl~ArlO e:EE)o.\f't PHON~lfO . tcl3z.
NOTE:: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
I FOOTING JMJ
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
t{-lOll
R#~ ~
/.
,
,
GR) .DING (Prior to SOdding)
BUI~DING
ELaCTRICAL
rIf
I
~D .14-. ((....
,I>...., -o'~,
.,
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 buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR t. '... INSPECTIONS (952) 447.9850
OA. TE TIlliE
CITY OF PRIOR lAKE
INSPECTION NOTICE
SCHEDULED
/crN.-vS
ADDRESS
.If /fYl- f-q/". <ik ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(Y..f - 04/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION / _ _
Jil"'FINAL VGY"S<.-
[J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
[J MECH FINAL
o EJUGRADIFILLlNG
[J COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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--
--
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~ FOR REINSPECTION BEFORE COVERING
Inspector: V V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
11iSIfOT'