HomeMy WebLinkAboutBldg Permit 05-0124
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/ J. - 9-3-d-/
e or tint and si at bottom
], White File I PERMIT NO I
2 P;,k C;ty . Os-'. O/? A
), Yellow Applicant L:-~
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LEGAL DESCRIPTION (office use only)
LO~BLOCK L.j ADDITION /JI/.-.D.5
ZONING (office use)
/!./.5D
PID Z5,-fO+. O~5
OWNER /,
(Name) /lkr/tm (j /5.on.
<.../
(Address) )/S- ett~
IJu tJIle.~
(Phone)
95). - 221r6~ 2---2-
~537.P
IJ
BUILDE~ ~ 1:
(Name) 't'v ()f~ )rtAf.S
(Contact Name) ~ (:)N Jl'//;
,
(Address) /3/:2-/ fJre.-serve.. C+. ~tfVM~
(Phone) 9SJ. -;;. U:, -(;,01- 2-
(Phone) 9").2- - 2,~:s- '-I'!3S
.5;531 !(
t1N
DPorch
TYPE OF WORK
u;rNew Construction
DDeck
~ireplace
DAddition
ORe-Roofing
DAlteration
DMisc.
1.(2., c.,
DLower Level Finish
PROJECTCOSTIVALUE (excluding land) $
z'60(1)()0
ORe-Siding
DUtility Connection
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. Furth(rmore, I hereby agree that the city official or a designee may
enter upon the prope to perform needed inspections.
x ~/O-
Contractor's License No.
Permit Valuation Park Support Fee
Permit Fee $ SAC
Plan Check Fee $ Water Meter Size 5/8" I';
State Surcharge $ Pressure Reducer
Penalty $ Cily SAC and WAC
Plumbing Permit Fee .$ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
#
#
#
#
&::n r:;;;BUilam~/;'2~;proved
Builamg Official
/2./~/~LJ
ale
$
$
$
$
$
$
$
$
$
~
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
:::C~~Plmn~;;MYc,rtill;;~O;7;;mceandil104ntoc;;{' ~fiCt~
Planning Director ~ate Special Conditions, if any I
24 hour nntice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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White - BUildi::2 _
ce-anary - Enem tinQJ
Pink - Planning
nl~ (...n.... or lh..l..k.. Coun..,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-1/''--;(, . I) '., 1//),'/1
/ __. : : ( I .._~.t ( I, / j';_ -
Accepted
Accepted With Corrections
~
Denied
~ 9~ Date:~;I; I ~ ~
, I
Comments: 9-~ ~ ~~ ~
&,,~
Reviewed By:
~
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"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."
0" PK/rJR"ry
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lh~ ('rnlfr of lhr L.kr ('o"nlr~.
~ite /Buildin!t>
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M6;eLVAl O&-SON
,
/2. Z3.04-
/ttJ1'1 &5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;4-/5() WOOD (!j1VUC 77v't-11
Accepted
Accepted With Corrections
/'
Denied
Reviewed By: ~ ~
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~ +e .fJ~":- ~p ~ d{
~ ~D~ % ~~, ~L'
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Date:
t; IN ;;; ,;-
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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."
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~t.. - Building
arv ~ EnaineermQ )
ink - Planning
("Ilr Ctnltr "f lilt I..kt Counlr~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, . ./. '., "'-()' A ,/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/"1/5()
lVO L:L
. '
il/'h 1.-1.'0
~ ",_" i i/ L"..{'--p"
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J14/!;
Date:
;)..-Lh9S-
Comments: See RAVp.rs~ SidE'! for Additional Information I
~tl....".( f3{1/.{(/ rVI"VlIJWtU1Y S,,,,{ v"'ItH+ ~0 ,"", ~5
J-I<.Ko ~, tV/u"IJ....../J vCf( 51..,/ I'''' p4u c,s~'
"
~r G,-.,eI,-"'j pft.,,_
1../~ lar
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
"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."
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DDI.D . CIY"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No.
--5-- /;,LL(
NOTE: Sewer and Water
c:ontractors mUllt
be registered
with the city.
APpT>: CA.NT: L /Dye( ['1C-a ()tLtJ!" f)
ADDI!:! 9S: / ~/7 f" flo..,.,.y L.u.~ 1J.r,..I"
SIGN;' rlIRE: ~;; j4j~ p
SITt \DDRr.SS:-1lfJ~O W,..."..j.A~ ~
FILL IN THE BLANKS
pHONE: '7.5:; - )J<{ -SO 96
DATE: if' ?-cJ>
BLDG. PERMIT .
1'10#
1. E;timated length of water servioe
~D
feet.
2. Seae of water service
I
inch(ae) .
3. I. ,cation of any couplings from structure
feet.
4. ~"pe of seWer p1pe. ABS_ PVCL Cast Iron_
~. F: ,timat..d longth ef oIi..".~ line ",) feet.
6. C ean out (if required), located at
e ,ructure.
feet
troRl
J.._===, ''''CI==tc&:o:_=::,__"-====;;O;_~~=-_''-=::::ZlIl_-',=,,*:Eo;;c:__,,,=--__,,==_'''G==~_~=_:IC:'II::::&_==::
Thi~ " pplic"tien beComeS your permit when approved.
BY_ DATE:
=__~~: __~_~~.c=tt_;__~~~__u~_.;====__==~___=3~_S===O===~~=~--.=---;
FEES:
$
S
$
J5.00
_50
35.50
Sewer and water line connection p~rmit.
Surcharge
TOTAL
.. l"" e ter either sewer or water indiVidually is ~..61> plUS
!l .50 surcharge.
. S" Jer an<'l water permits i..sued tor now construction lIIust be
r<: :erded en tho buildin<1 p<<rmit card at the timeof'iss\lanee
to: insure that ne duplJ.cate sewer and "atGr pannits are
i.1I iued. '1
DATJ?: I' UD
!\HOUNT PAID
APR 2 0 7005 j
j'
,
Rli:CEIi' ~ ~
REC'O ~\{
16200 Ear:1" Creek A.v. S.B.. Prior Lake, MinnllllOta SS3711 Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal OpporlUuily Smployer PAID WITH
BUILDING PERMIT
10 39\1d
ONI 9NI1\lA\lOX3 GAOll
~6B.r~~~.6
~.:9B .BB~/L0/rB
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I'IIS6 WOD"JII". t.lC It.. T~A "
NATURE OF WORK. Ne. /AJ ~ S' ~cr,d~
USE OF BUILDING . D ·
PERMIT NO. OS.0/24- ~E ISSUED I S-
CONTRACTOR ~ YIJ Oi.S(J,J 1fA0 PHONE - 2V- "':!IS
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECT..9R
I FOOTING (;1;('
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABO
ROUGH - I
SEWER I WATER I SEPTIC
FRAMING L-,L. f"f? W
INSULATION
ELECTRICAL
PLUMBING /,-.,/...,
HEATING {if required)L..-,L-. -..
FIREPLACE
GAS LINE AIR TEST k
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~7 f1ollS. AJ/f./(I' I I
ill.t FINALS
GRADING (Prior to Sodding)
BUILDING -10 ~'-os-
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
DEPARTMENT OF
BUIoLDING AND INSPECTION
DATE
2..-~/
--0
BEEN SIGNED
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 ALL INSPECTIONS (952) 447-9850
I.. ;.';,,'
,- ~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/O-]/-OS-
1l{/~o VtJ OlU"K. Trr. , '/
IYlcrly.. Ok0'>7
PERMIT NO. t/,s....t ;,r
1l('''~LLlNG
'0 COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
ADDRESS
OWNER
CONTR.
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
COMMENTS:
GraA-~K-
~.(/bBv1- ~ /C--
Srr
r.,{ WORK SATISFACTORY, PROCEED
V01:0RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTt
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME:
ADDRESS
L 1')0
~
OWNER
CONTR.
5-/~i
o EXIG DIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~GA~~rTST
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
J;F MING
o SULA nON
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I. ~ A-~JL
t ~r-1L
o WORK SATISFACTORY, PROCEED
)( CORRECT ACTION AND PROCEED
o CORRECT ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CALL - 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/N$JIIOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1~::1I5 0
OWNER
SCHEDULED
I ,~ Q\..wck
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
~ PLUMBING FINAL
o MECH FINAL
DATE TIME
5./-;J.~
S -0/'2r
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRE ACTION AND PROCEED
o CORRE WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto OWner/Contr:
CA 0447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOn