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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 ~~~ ~.p~ -t.. 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'(." - l' 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 I( ,.) -";;;,?' 1.-,( - ,J,. .I-:;l !C/-. ... 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'/-,,,... ~ v '-{ 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 ::"/ 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_~....~ / /J --. J. I ' ~i~~~.~-I-o ~0 ~ ,;;..., JU-i -: t~ ~ ~~ ~ /~ d.o-.-e.. /,4., ~, ./ .~ ,~ ~ --<-- ~-- ,.-1 A.A~~. ~ I -./ ' "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: .----- -------- / ( /1 I J f)c,-e- l.-/ \ - ~ ~ ~ r., " ~ +-1 f.a ) / ----- -- -- 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'