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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