HomeMy WebLinkAboutBldg Permit 05-0954
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF Z...'.\a.\G COMPLIANCE..
AND UTILITY c....'. h \&!.CTION PERMIT
Date Rce'd
9. Z7 (j~
~ E. ~ I PERMIT NO. 06-09 S4- I
~.!mIJ!-""_.-
ADDRllllS (\ I ZONlN:~olIIco"') I
\ 13<10 ve.ertie'd Dr\ve- ,...,;...
L1IGAL~ES.......... ..DN<__ClGIy)
LOTIl..BLOCK 3 A......wON JJEe/i..HC;:U; q? PlD 25.400. 053.0,
..' u.~..:....:
l...arrv
n '?;4o
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(phone(Cl?2.. ') l1l.J/ - t{l.; 1-1 Y
(Name)
(Address)
=:NlIIIV",_~:>\a.r f'I\,(" ...;e<:;+
(Contact Name) '?o::eN- f\cc...ha.,e..
(Addressl \ '2.8 Zt'I ':I:...6 v~ ,,,,l P"rk.- "8'\-.d.
(Phone/l",j S'57- SIaL
(Phone) 'Sc. Me.
?ty...-ou-l-l-l,f.'\N 55Li4\
, TYPE OF WOK 0 N.... COIIJ1I:UCIioa OD<ck 0P0JCb OJle.1lDoIins DRe-SidiDa OLow<r Level Fill"" 0 Fu.p....
OAddilion O/Jlora- OUlllltyc....... l)1MlJc. '7c:l\c.-h.=>'oe. :r:'Y"\"-.-tc.11
CODE: [JUI..C.. llZIu.c. PIl0JECTCOST/VALUE S I~
Type ofQ."",.. '*' I n m IV @ A (i) (.........In' WId)
nc.-~Gnlep: A B E PHI ~ (I) 5 U
D1~ 1(%)3.)'
lbercby~thatllllYel\mUsbecl ",,;, '." OIIlIdI~Wbicbl&1GCbcbaf~1'IlJ .-'. ,.. ,.uueadCGlRCt. labocadfytb&tJUl\tbeOWDCr~llUlhori&td..."'dIc .
l" .'" .IJ.,.. prapeny Ind ~.. '.'", ... wWc:onfbnnlO lIlexiRlqnatt IIIlIknl1awIIDClwillpnxecd in .."",,", .tduubmldcd piau. lima.. ,blttlle ~
:-~?1~CU""" ,. ..I_.......""ciry_...__.....---IO-Cfii6'[;;r:;;
Siooalun c-r'. LIcooJe No. IloIo
1/
1/
1$
I $
$
$
$
$
$
$
5 7(,.,.00
PennitV~..tion 7~S-oo. () '"
PennitPl!e 5 7'-/. 7_r::;
Plan Cbl!d< Fee $ r--
I S_S~ $ r. z.."
I Penalty S
I P1um~ Permit Pee $
I Medlarljc8I Permit Pee $
I Sewer ~ W..... Permit Fee S
I o...,,~ Permit Fee $
Tbta..... _y_IIuII....._~"-""
~~~ 'lWtfS"
I' I '.,'ldin< Of&i11 0IIc
"".10'_"""'_'" ........-"""....-"""""""""'.... ____ Cby ZaolnJClr1IiaaIl<r.... _..- ..~. Tbia~
_..,........Clly.........." ...... '.,. ". ~ofZaolnJ",,,,'IlI11'''''__IO....... _-......I~ ~
......
I Park Support Fee
I SAC
WaterMeter SizeS/I"; \";
I PmIure Reducer
I Sewer/Water Coanection Fee
I Water Tower Pee
I Builder'. Deposil
I Otbar
I TOTALIMI ~ 9.,;U'.c!s=-
IrNO.
;r
1/
1/
I Paid
I Date
7~.aO
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...... Db'el:Ulr'
DIllIe SDecMI r.-..- If..,.
14 -. _lor 1111.......... ('J!\1) ..,-'1.. (ffl)44'7-4Z4S
\6200 BacIo Creek Avenue Prior LoU. MN 55372
--'.~-".._._-"--_.-I--._._....~_.....
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Tht("tnlrrrorlhrt..bCoUnll)'
('White - Build~
Canary - t:ng,nl:"nng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-SOL--/1~ /'-'1/011/65/
q, Z-7~ Os
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7590
1J66/ZPlbLO /?/C-/(/C'
Accepted
Denied
Accepted With Corrections
/
,
~
Comments: :t.A..o.., J ~
AH! d~ t!>-:f- ~
~'.. AAd~ cg H-L pL'i_.:~
t!JY2".. . d t.-<J~ 5~CJ"
Reviewed By:
~
Date: 'l/~["'~ s-
,j~,_,.J ~~.:~
17 .
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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."
~
PRIOR LAKE
INSPECTION
RECORD .
SIT6 ADDRESS 1'1.3'1tJ ])i=L::K... FiEuJ J:lttd!;
I
TYPE OF WORK JltMA. nlY ~ ~
USEOF BUILDING ~~A,.
PERMIT NO. ~50q54- DATE ISSUED 9/u/.,r
BUILDER StJLAIt!... H1.IDIAJl!~ PHONE #M-55'?-'pOz.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I I
. PLACE NO CONCRETE UNTIL ABOVE Ij:tAS BEEN SI~NI;.D
C1FR~MING I /IV;-- I /~p.J/aJ-
r ~ ~E 1)a~ "T'-"E ~E T/~ . /.. (
~ FINAL, I N/t I /i/ZY/iJr
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ 7J~o
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~MING
o INSULATION
..,.a-FlNAL
o SITE INSPECTION
COMMENTS:
DATE TillE
SCHEDULED ;I~~~
/kerfJ.,/J d
CONTR.
PERMIT NO.
5 ~ -;701'
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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WORK SATISFACT~" rnOOCCO
o ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR INSPECTION BEFORE COVERING
~
( ~ ./
Inspector:
y ,r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETYI
INSNOTl