HomeMy WebLinkAboutBldg Permit 05-0083
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF Zu. ..,\G COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/. Z7. oS
~Et ?;...,. I PERMIT NO. 05. OOB31
q'Iwe~I}'_lDdsimal_1
ADORES: ;
is;; 0 -; ("A-L-IY)V'( iWg, N 8.
LEGAL D IlSCRIPTION (oIIioe use oDly)
LOT
BLOCK
AuUH.ON 61~/;VWOOD
PlD:z5. 0.35: 00,".0
OWNER
(Name)
b. Ih~L CluJuStb
,~~o..., CPcU'lU""'- AIJ ~ N ({.
(Address)
BUILDER
(Nam~'
(Contacll'i ame)
(Address)
TYPE OF WORK
o New Consb'UCtion
o Misc.
0L0- L<vd Finish
(, Q.Q., toOE:S
PROJECT COST IV ALUE (excluding land) S
o~"..,......_....
J I ZONING ,alii<< we)
;e IS 0
(Phone) qSd.. '-f<-H). S'.:l.-34-
d,eu.... (,/2. q/o. 5234-
(Phone)
(phone)
~
0_
OAddition
ORe-RooIillS
OAl....1ion
ORe-Siding
OUliIity CoonO<llDn
I hereby am 'i that [have Ibmished "...:.",... ,:,... on this app1icaJiOD wbidJ. is to the best afmy knowled&e true md com:ct. I also certify that I am. the: owner or
aolborized~ for die aIJove.menIioned propeJly and 1IIat all consauaion will conJbnn In aU existing..... and local laws aucI wiD proaed In ..-'. :...._
IUbmiIled p . 111III awar< _ die buildiDg otIiciaI can ........ dIis pennit for jDJI cause. FuJdlermOle, 1 beIoby a__ !be city otIiciaI or a cIesigDee may
enterupon property to pert'orm needed inJpec!ions.
x~.~~
51_ C___..___ J License No. Dale
I Pennit Valu ,lion ..$/...so 0 , D 0
I Pennit Fee S 2.''5 ' 0 0
I Plan Check ;ee SIlo, Z OS
I State Surdu 'lIO $, 'S ()
I Penalty $
I Plumbing p, nnit Fee S
I Mechanical Permit Fee S
I Sewer '" Wiler Permit Fee S
I Gas FiI<:pu. e Pennit Fee $
~;h~(;;;;
BuiItOllicia1 Date
ThiI is to catif ' tJu.t the request in die ~ appIica!ion mcI, . ......" ". I., j documeoll is in aa:ordaDcc with die City Zmina On!inmce IDlImay proc:ml u ~ nus clOQunent
wbal. sipxd b) th~ City PImoer .. "".-..,._ . "_..".,. . Certific:a ofZooingcompliaoce and allows coosauction to w. ..... _ "." Bein. .."J' ....~. a Certificate ofOcalpancy must be
~Jm.~
Plll'lrling Director
I Park Support Fee
I SAC
I WaterM..... SizeS/S"; I";
I Pressure Reducer
I City SAC aucI WAC
I Water Tower Fee
I Builder', Deposit
I Other
I TOTALDUE
#
#
#
#
$
$
$
$
$
S
$
$
$ 4/.75
I Paid -?oJ. 75 I Receipt No. #!t.f..,7
Date I. z.B.05 Bv ~
~~~,
1 1210/ OS w"- c~ f.ICluA 7',,1'1:
Date Special CaldIIlons, Iflll)'
24 -.. _..... aD iDspodIoDo (m) 447-!I85t, tax (9si) 447-4245
16200 Eail1e CreckAvcnue Prior Lake. MN 5S372
""@~. ['KIO", (
o ~?:;
White - Building
J::lIn~ry - I=nginll=tering
Pink - Plannirlg)
-
lh~ ('~nlrl of lhr L.lit ('nun..,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N) ,ME OF APPLICANT
AFPLlCATION RECEIVED
T~e Building, Engineering, and Planning Departments have reviewed the building permit
ap'Jlication for construction activity which is proposed at:
Ac cepted
Accepted With Corrections
De nied
Re viewed By:
~ 1'J1.M...~ -
V ry,;r-u... al/n.M /., a.
Date:
( 1').7 lor
Im,' 11~ i,..;~
Cc mments:
3')( /;;.' duX
_-pta-..<' ~; ~.I.:r.L., ,1.(0,,'.\ .....",.1
~I' I'~ ......I-tt.. .
"T 1e issuance or granting of a permit or approval of plans, specifications and
cqmputations shall not be construed to be a permit for, or an approval of, any violation of
ary of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr ~suming to give authority to violate or cancel the provisions of this code or other
or jinances of the jurisdiction shall not be valid."
O\-PK/OI('~
T
~~.
//
C~_~ile " Buildlii!l>
t;anary. . I:ngmeering
Pink " Planning
-
lto~ ("~n'N "f .h~ J.gkp ('OUR In
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Nt,ME OF APPLICANT
AF PLICATION RECEIVED
f) MtttK.K.. CleOU.56
/ 27. ()S"
The Building, Engineering, and Planning Departments have reviewed the building permit
ap 31ication for construction activity which is proposed at:
/5507 (!At-/l1UT' /lv6 /1/6
Accepted
Accepted With Corrections
/
De nied
Re viewed By: ~ M.iJ Date:
Ccmments: x?~ /Jd ~,
~ ~ Jo. jd.!.t) 1/)( ~~o 1/
;~ '1 ~,
I/.;l,?/oo
~....,
~ 3~t1{( ~
"T 1e issuance or granting of a permit or approval of plans, specifications and
ccmputations shall not be construed to be a permit for, or an approval of, any violation of
ary of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr 3suming to give authority to violate or cancel the provisions of this code or other
odinances of the jurisdiction shall not be valid."
PAIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION
RECORD
/SSfJ "7 . Me
LIz. ~ . S"nI/Jq
:S"D.
DATE ISSUED I/JII/.S
-. -
BUlL DER.MM.JL te JII~l(S"e PHONE # 'tz.- '/,-5Z.t(
NOl E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
CJ .A _ECTOR / ~
I FOOTING u& I r:Jl I J../ 1/67
PLACE NO CON RETE UNTIL ABOVE HAS BEEM !liGNED
I
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PER MIT NO.
0S',606:1
I FIN AL
/1
i/VVI
J
I
'1. LA - ITv)' J
FOR ALL INSPECTIONS (952) 447-9850
. . . -
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
L-( ^/J-US
~
ADDRESS
/ /...'r"07 La/ MVI-
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATI~ /.
....crFINAL V(C{~
o SITE INSPECTION
COMMENTS-=.--
~
( {) D-'---
'----
------
CONTR.
PERMIT NO.
OS'"- ~:3
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-'-
, ---
1--,L,
,
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~L FOR REINSPECTION BEFORE COVERING
Inspector: r r Q OWner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"""""