HomeMy WebLinkAboutBldg Permit 05-0133
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Z,,/(p.oS'"
(Please type or print and si~ at bottom)
ADDRESS
~i~i~e ~::y I PERMIT NO. 05'. 0 1"2 '2
Yellow Applicant ~
/(g(~1- c-11t:GJI06 /1$
LEGAL DESCRIPTION (office use only)
LaO (, BLOCK
~.I10C~~
PID "'VI': ~ 1~. OLl.-.. 0
ADDITION
OWNER
(Name) '('v'\...o...I' ~
f l-A--'er"\-
~k~
~.a-
(Phone) 4CJo ~5't;)'::J..
(Address)
\lollol.f
BUILDER "
(Company Name) r..~u~ LDv~4-
(Contact Name) SOk-.... ~ e. C\S"-Y\.C1v--
(Address) 3e7l{ Co~ ~~k~ TI' L
ZONING (office use)
J{:4J'O
(Phone) 440- 5/elQ
(Phone)6/.J. - q4o-7/o~
TYPE OF WORK 0 New Construction ~ OPorch ORe-Roofing OR~ding OLower Level Finish .q Fireplace
DAddition OAlteration o Utility Connection 0 Misc. \.. ~h;.:.~\& t:>\'cff" \
CODE: b41I.R.C. DI.B.C. PROJECT COST/VALUE $
Type of &nstruction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hereby certify that I have fllrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-menuoned 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
official L revo~ this P'f)t for fftt cause. Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform necded mspcctions.
X 0\;\1" \ V ~ ... . _ tj 9 S'I a. ~ ICo -0)'""'
Signature Contractor's License No. Date
,
Permit Valuation
Permit Fee
~70~OfDO
$ 1'-17. 'l-S
$ 1~.? (
$ ~.c;;o
$
$
$
$
$
Builder's Deposit
Other
TOTAL DUE eRL4..-GO z- Zz.. 65"
Park Support Fee
SAC
#
#
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~()I~ ~(1J.1~5
z. -f-t:.. -I'-fp
Z.2..3 (lS'
I Receipt Np. 4-tJeoq
IBY~_/
Paid
Date
$
$
$
$
$
$
$
$
$ 2t.{(O.4~
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
wh signed by the City Planner conSl1ll1tcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ssued 111 , ~. 2.1 J9'fo ~
~ Planning Director
, Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions. if any
Thf' Cf'nff'r of .hf' t.lkf' Counlr)'
<Whit!'L - BUllan~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CltSA NOV,q e,ONJ /~.
2~ / (P. 06
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ColftJ4- L/1/c:eSID6
r1V6.
Accepted With Corrections /'
Accepted
Denied
~..
~ . - ~I
~.~- ')~ Date: d//7;as-
~-~~~~
~4.,~~,
Reviewed By:
Comments:
liThe 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."
<,<1<',.
Thr Crnlrr or 1hr L.kr Coun1ry
White - Building
Canary - EnQineering
~ Pink' - PlanninSS>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,I ~
/'/. /1/\ (l /J--/
.. I ;-
/ ~ i
/~
/
/ ,.--
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&/(4.--- L/! c /0 /-i{(:;
~
Accepted Accepted With Corrections
Denied
ReViewe~ ~ /71< /JImn_
Comments:
Date:
L.~~
"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 ,DEPARTMENT OF
, . BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS I (,ull'" l.AtL€Si~ W-. '.
TYPE OF WORK tiEa.J ~ '--Lt1AJa...:J:scJL~V
USE OF BUILDING ~.t=:-b. . .
PERMIT NO. 6~.o/:!>:3 DATE!SSUED Z/J"/oS
BUILDER ~"A ~eu.cnOfl\ PHONE#~.'''D.''C''
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING flItl,;-.btlo/l" vrf S"/J"-' I W I t;,~t-oS
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ FRAMING t(.l)~) I j/I/J/ I (.". (C;--th
'-..... ~..... '1' lRJI- -'8oA.lO f\N:.~~t:tr A
FINAL I vWI
~ .;'
().. r' " '-<.r-,
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~./,,~
ADDRESS /{,I (, l{ L.4~ <:,'c:!,_
OWNER CONTR.
PHONE NO. PERMIT NO. ~-/33
o FOOTING a PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
a FRAMING a WATER HOOKUP o FIREPLACE RI
o INSULA TIOi?ed L.- a SEWER HOOKUP o FIREPLACE FINAL
)(FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~ ~ ----- --.........
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( t -t U~ .,1"-1 )
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~RK SATISFACTORY, PROCEED
'.:;{"CORRECT ACTION AND PROCEED
a CORRECT ~OiJl1"R REINSPECTION BEFORE COVERING
Inspector: --V Y Y Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPEcnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTl