HomeMy WebLinkAboutBldg Permit 04-0880
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sip at bottom)
ADDRESS
\4lo4to WTL~~~'I
L~rAL DESCRIPTION (office use only)
i:6T Bt6CK ADDITION 1~ Wnto
Date Rec' d
/J-30-0tj
~. ~i~~. ~::y I PERMIT NO. o A.. J 0 IJ. D.O I
3 Y.llow Applicant 7. lJ fI
ZONING (office use)
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(Address) \4l~ W'T'L~~WA' I
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BUILDER -~ ~
(Company Name) ~ T'oo,-"\- St>A
(Contact Name)'i".r ~I'\~lr-
(Address) \~OO ~~ ~\lEi '^bo~t.t\t\\ ~
(Phone) (q52.)<X>~2 - I ~S4
(PhOne){y.Slb~l- :=;~
(Phone)lkil>,l ,- ~
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TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing IlRe-Siding OLower Level Finish 0 Fireplace
OAddition DAlteration DUtility Connection ~Misc. - Yco L.
CODE: ~T.R.C. DI.B.C. PROJECTCOST/VALUE $ J5,...OOD
Type of ~struction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
x
1 hereb- Jertify that 1 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-r nllO I',Upt:.. nd 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 vok this per it .ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
~~~~ 4I21/~'
f/gnatutJ: Contractor's License No. Date
'--/
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
"lJ/ ' ()O, 07J I
$ /to2. z.~
$
$
$
$
$
$
$
,s:tJD
This Application Becomes Your Building Pennit When Approved
~~ ~JC- o/i( k
Building Ollicial , Date I
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
#
--.......
$
$
$
$
$
$
$
$
,.~
---
~
tAMaOr.}, .d~J $/(,7. zs-
//, 7. >.-r R~. ~NO. ~7771
"J.I." ,.. B(j _ '
I Paid
I Date
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning 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
The ('enlrr of the take {"ount.,.,
r W.biP - BuildirRD
. Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~t~ 'PtkX 1Sp~
APPLICATION RECEIVED 1- o-oL/
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ILl ft, C{,~ W~ fJk'wu
I
Accepted Accepted With Corrections /'
Denied
Reviewed By: ~ ~tf-
Comments: 5" ~ ~ ~
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Date:
"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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White . Building
Canary - Engineering
"-"'In.~' . ~lanmr'1::>
Tht ("tnlt, nr tht !.okt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT
APPLICATION RECEIVED
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r)o(J( 1 Sp c'-'
,
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It I & (( h l//APr:{d j')/CIkL/
I
Accepted Accepted With Corrections /'
Denied
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Reviewed By:
Date:
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Comments:
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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 ~pt be valid."
Th~ ("ltnl"r of Ihl' L.k~ ('ounlry
\Vhit. - Buildintl.
~ Can~ry...=. t:nglneering,)
rlllK . tllanmny
BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
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:;:~:::~:;;I:ED~;::~:7kU~iPtl(J( 1 s,p~
The Building, Engineering, and Planning Departments have reviewed tne building permit
application for construction activity which is proposed at:
) / i / / ; / / l I /1 ,-/1 1'/) //
I ~i <0 L( h l..-.f/;{j/ ()& ../ Ie. lA./L,
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments: See Reverse Sitie.for Additional Information!
See Att9chment~: 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."
I K'4P'
CONTR. 1/~~rM--.u ~
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~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ii./t'l(' tv,'U,
OWNER
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
&~/:yo- <9 tl--
DATE TIME
(o.J'~7
~'!'ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: #~~....-- Owner/Contr:
~F' _ _,~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
08/11/2084 15:2B
6517318372
"'l:.~~CE PDOI.S
PAGE 02
REQUIREMENTS FOR SWIMMING. POOLS
PRIOR LAKE CIT'V CODE
SUB SECTION:
403.500 MINIMUM BEQU:am1RNl'S~
(I) Pools 5I1aU not be Iccaled within toll feec (10 ') (rnlllsLm:d ho~tail)') from \mdararoond or O\'erhead
IItiHty Un.. ohll type..
(.2)
(;I)
PClels sballllot ~ 1OCB.~d witJail'l anYl>rivlte or publio Lrtillly, draiuage. waJlcway or olber eaJmel1t.
COI'l$trUCtian of pools sbal1 ba uDClenU:etl so If to 8,\IOjd hazard. damage or oon.ldhble iacoavDsot
to adjaecllt FOJl~.
Thelgt owner shall be liable for dlm~ell to any bu;ium or Jll'l"lt! ,., ",. '.. oJ caused durinl pooJ ;onstrl1Ctlon.
TCl tbl: uta feasible. bIcIc.tl.uSh Walti' Of w&ter from pool drllna;e shall be di~ oem the O'MI.erS' ,. ...J~
. or ODtc! '.....',. led pubHc dram. "".Y', 8l'lR shal' ~ dr&iD OQ/,O adjaccDt JlTiVJte 111l.CL ~ae 01110 JlClblic: streets
or other public drailJJl&. wIlY' shall J"eIqQiro pe:rmwion oftblr ll'PJ'01'!iate local Cil3t officials.
Any pool 11s1=1 shalJ be ~ted TOWard the poollJ\d no<< tOWard adjaDll1It property.
Tba poolarel shall be rnoJOJed widl a ncm..olirnblbJe type safety (mce at lust five (5 ') iD bisht to preveut
UJlPOlttro1led acotR to the pool are~ and the fence slIldl bl'll a pte se1f-elotins. aid .eWolatchinS wirb rbl!llltcb
mlCCQ;ibJe to small ebildretl cd ~ leasf (oup filet (4') fiooOl the If'Ound JewsJ. The feAeJC daall be completely
inNl1ed before fiUb'l1 the pool.
All wiring, fncIa1.lation of heating UlIits, gndUl#1 insca1latlon ot pipe or <lther constr'UDlion shill be sub.Jecc TO"
inspection.
NWllInCes, Neb III UDd\lC .Goile. Uehting of a4)acmt p.o." .. ~/, },ea]fh and ..ref)' bUlJ'4I. damage to "..etation
On adjoJrUnI proPf:ny, 1M the like, .shill not be ~rmifted.
FiLljQ.S ofpODb &om .fire h)fClrutl or otbcr pubJ.ic tacilltias .hall require the pmnisI!an of lbe lqlprOprie
local C~ official..
(4)
(5)
(6)
(7)
(I)
(9)
(10)
11JNl)ERSTAND nm 1I'OUGOING AND AGREE THAT I,.,cu, SWJ::MMmG POOL WD..L NOT BE FILLED
VrUJ1 W...._ TMrlL ALL f' r AllOW UQllI1lEHI:/ml AU SA:J1SFJED.
SIGN~.l uJd: OF OWNER..::t::/ /)-- -~. DATE ~~
POOL CONTllAC'IDB _-4 .A.LA...I~' Cii/u d..t:t-A7 DATI. ~- />- () Jl
. I ( . _ ,
ADDRESS II ,s.. .
The City ruervel the right to order em writttll) tbe remowl orille ".ter Ia tIRe evetat AllY crt.i.e abo.e eo.djtiolil
Ilre ftat satitfled.
~ Eagle Creek Aug. S.c., Prior 1...8M. Mlmesota 55372-1714 / Ph. (612) 447.4230 I Fax ((,121447.4245
AN EO\ 'AI. OI'PCm!JNl'Tr I'M'" rlV!P'
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...__.:.._.;.;..:_~~~'~~,-".-~~,~'::"'~_......._:~_:~-~~-.:_~~':""'_::"'- . -'
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS -'~(,."~ bJiUJS ~"~AI.M'
TYPE OF WORK lIJ -t,;,.." IJI/I AeL
USE OF BUILDING S.t::'b, _
PERMIT NO. DATE ISSUED ~fl&I,"
BUILDER __ ~ r~ PHONE#/JISI-,.,.,.-ntfo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT.....t:L_. _. ~
r.lJ....- "5'~ ~1AA.Il ~~ ~~DATE
-r>f FOOTING 47 ~ -}..: 71- 0 'I
PLACE NO CONCRETE UNTIL ABOVE HAS SEEN SIGNED
~ FRAM~NG 15~E: W~TE#(.... CA-I-J ~~. .~.oQ) 70 Pi>dl-,~ /9-t.,'7;T. ~/, /krl:.T
~ '81\U.1~ 5 PeJC€ /61r1 t~. (JP II/t"ut' / . .I , (
c:::: FINAL · 1 fjl/j 1 , /:PI 0> ~ .
APIe:n.... a€:r.J2.K A- e.... h j,.I" '-' I' v
FOR ALL INSPECTIONS (952) 447-9850
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DATE TIMe
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
A.DDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
o FRAMING
[] INSULATION
~NAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
o SEWER HOOKUP
[] PLUMBING FINAL
[] ~H FINAL
~O/
COMMENTS:
~Cfrl'c'i/' ;:;:2-, /' ~~
./'?/ --
c& reS ;/ ~/",nC'" e
~3/~
j
[] EXIGRADlFILLING
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
I /
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ft;~-~/ 4-[
~-e ,k5'
kRK SA~r.-;ORY. PROr.C~"
o CORRECT ACTION AND PROCEED
[] CORRECT WORK/ C~~~ REINSPECTION BEFORE COVERING
Inspector: ?7 J Owner/Contr:
CA.LL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I/IISNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!