HomeMy WebLinkAboutBldg Permit 04-0856
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
/51't./ fre--monf ftVL MAl! P";fJr LOvkr
LEGAL DESCRIPTION (office use only) II ~ .
LOT I t/ BLOCK I ADDITION ~~
OWNER
(Name)
=rlJe1
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
K~ l-I-tN\
MJJ
~5~ 72-
J} r . LA-
(/.~ LJ
8-//-d'j
PERMIT NO. 0+. ()85~
ZONING (office use)
PISD
PID d~- J-Llq~ol{.I-0
(Phone) '}52. - '-I Jjo -72.57
(Phone)
(Phone)
ORe-Siding OLower Level Finish
o Fireplace
TYPE OF WORK hi New ConstructIOn ODeck OPorch ORe-Roofing
Jf:J~~~~eratlon OUtlhty ConnectIOn 0 Mise
CODE: ~R.C. DI~lc.
Type of ~~tmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby cerlifY that I have nlrnished information on Ihis application which is to the best of my knowledge true and correct. I also certifY thai I am Ihe owner or authonzed agent for the
above-menltoned 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 buildmg
:ftCial can revo~ejt f~ ise urth more, I hereby agree that the CIty offiCIal or a destgnee may enter upon the property to perform ne8~;7~ r
J ' Signature Contractor's License No Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
,.f,BOOO.Dt'J
$ 1~2-,OO
$ loS;.30
$ J{,OO
$ .
$
$
$
$
~
Building Ollicial
This Application Becomes Your Building Permit When Approved
~~
8'11910,/
,
Date
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE ~
Paid a17/.30
Date ~~ ()4-
# $
# $
$
$
# $
# $
$
I $
8.2.3.o4--.p d7/,30
7(,7
ThiS IS to certify that the request in the above applicalJon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
~" '"~_"" Co",""" or;;; ~i;'; '"' "'"~ ,"","'0'00 ","mm""~. B,rm" OCW"""" · C,rtifim" "f<J<"",,,", m," '"
Planr\ing Director Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CWhite - B~
Canary - Engineering
Pink - Planning
Thr C'f'n1f'r nf 1hf' Llkf' Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT a ~/}. <a I~
/ lfL-K , _ <--c{ {./ r
APPLICATION RECEIVED ~ -! /-tJ'/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/_",9L/1 f~f-~
,
Accepted
Accepted With Corrections /'
Denied
..
Reviewed By: ~ ~ ~ IC-J
Comments: ~ t::J.-.l1
a.n.~~ ~
Date: ~/o 'I'
-~~
"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."
ThE' ('E'"IE'r nr thE' Lak~ Counlr,..
White - Building
~' -~~g
( .Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
! ( ~ ~
(.A' ())\.
r'.".....,
')
/ / _-/)l/
.. c. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ :/1//1// ) j- C-/
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Comments:
~~~
. ~ I
~ r -:t.;~ . ~ /0
Date:
?/ lq /ot.{
. ~ ~6-o-c.L,
. r
~.
"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."
Thr ("rnlrr of Ihe Lake Counery
~ - auildinQ
~rv - Enqineerin~
Pink - Pla"rimng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/)
,.' .'~ ,? I ./
:; /I""r:,,-\c" j
,:L/:,:;:;j,,-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'1 f- ..'''-'.
/ ,... .. '.'1
-7>1J,;/. ?), ( ,,~""1'~
/ ,""'C ;';'
(..'? fll/
Accepted
x
Denied
Reviewed By:
1YYff3
r) _Ii /)L/
::r . . /(/ ~
Accepted With Corrections
Date:
Comments: See Reverse Side for Additional Information!
3 -/7-~'I
.
See Attachments~ 1) (;rading 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." "
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~I I-fJ.ENt~.,.. AVE-
NATURE OF WORK GAlrAWE A.tJ.p;r;,.:)
USE OF BUILDING SFD.
PERMIT NO. 04'.ot;5lP DATE ISSUED ~."
CONTRACTOR ~ Jl.A.t.T~ p~-"O-DS7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/'-
INJ.' . ,/OR DATE
, FOOTING Iii? I B ,. 7.7
FOUNQATION (Prior to Backfill) I tflf 18 -J!!::j
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
(4
I
I
I
I I
COVER NO WORK UNTIL ABOV~ HAS BEEN SIGNED
I I I
FINALS
I
J
I
I
FRAMING
INSULATION
LECTRICAL
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
./
ll"'3- ~b
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electric;ai 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /C;j!:( t
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o JflI8ULA TION
",ar FINAL
o SITE INSPECTION
COMMENTS:
-(' ~-
-IJu
DATE TIME
SCHEDULED I'~
~..-t
CONTR.
PERMIT NO.
4-!5~j,
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
ha\~ A~
I
~,{ 0
~ SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRErp:jRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CAL ~7.98s6oR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlWTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1{J'l~-67
ADDRESS
IS'S..., I h~I'f()" f- It-v(.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
ol{...SJ~
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
~~FILLlNG
o COMl'CAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(;,/"t:.,.ic - r J I(
- -
~ORK SATISFACTORY, PROCEED
o CORRECT 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 & SAFETY!
INSNOTI