HomeMy WebLinkAboutBldg Permit 05-0957
(Please type or print and sign at bottom)
ADDRESS
S'B4-7
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9 Z7tJS
~. ~i~~e ~:~y I PERMIT NO. oS: 0057
3 Ye\low Applicant 7 '
TIr1L5I5K- //U'f/L- S'&
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK 2- ADDITION fII () 0 0 t-~ ~ H1? ~
~/' ~'"'- U e t~C)",
T: ~b.er- ~ \. ~~ \ .::e
OWNER
(Name)
(Address)
') 'r'>4: '""\
BUILDER ("\ _
(Company Name) '-U.So...~
(Contact Name) ~rh-. d~
(Address) 3'874
ZONING (office use)
;e/
PID Z5-: Z 2-5'"". () 07. 0
(Phone) cr ~O'" a, )' '""\ a.. ~ a~
(' c.') ^ <; ct--
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Co~ tk~~~ "tr \
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(Phone) (P l a........ qt..{ D -:zr @) ~
(Phone) _
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TYPE OF WORK l2rfew Construction r-16'eck o Porch ORe-Roofing
rv-ddition OAlteratl"n OUtility Connection
CODE: ~I.R.C. OI.B.C. 0 Misc.
Type of &nstroction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hereby certify that I have furnIshed 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-mentIOned 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 building
;lcial can okc t ."permlt ~us~~ :rebY agree that the City official or a designee ~y ~~r the property to perform needed mqct:'~ i- c:> ~
f Signature Contractor's License No. Date
/,
1"19. dOtJ. 00
$ . 3Ztf. ZS
;z..'O.7fa
q I C;-O
Permit Va1uation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
I
I
1
I
\
I
\
I
~~~
This Application Becomes Your Building Permit When Approved
~~ ~ ?/uIo5
Building Ollicial . D!te
ORe-Siding DLower Level Finish
PROJECT COST IV ALUE $
(excluding land)
Park Support Fee
#
o Fireplace
$
$
$
$
$
$
$
$
$ 644-.5/
- - -,
~ o-o!:> J
~
~
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 mtlst be
i~_~
Planning 'Director
9/z,~s
SAC
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTALDUE ~ 9.U.OS
I Paid
l Date
y ~~L? j _
Vf- ;;~
Receipt No.
By
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
White - Building
Canarv - c:.~g
~ - -p~
Thf (',,"err of Ihf I.ah Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'lr:-I'~-/ / I ( V /-/ (I (,/\, --77<: .
" '7 7" (; ,-
I. t:.. , . ~-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~. ~.: 4'- -7 77 r/ /;E I~ '-TX:;-J I L ~.-:: E.. .
Accepted
Denied
Accepted With Corrections
/
t
Reviewed By:
Comments: ~
~ :kJ2~
Y2-g(o -s-
la' ~~ ~~
(J
en /cra-d- ~
Date:
,
~
PJ
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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."
Tht' ("rntrr or thr t.kr ('ounll'}
(" White - Buil~
Cana'ry - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(!AS /1 /\10 V 1'1 C, 0 N5T1<-.
9.27. os
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5847 l/rlL3eL 77Zn/ L S.6.
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~~ .
Comments: ~
r
7~
Date: ~s-
~~
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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
SITE ADDRESS saLt? .1 iWlIf:1t. Itt.A ,'e"" - J -
NATURE OF WORK ~/rl'~ (JJo L.. L. F'i#Jlt,,)
USE OF BUILDING
PERMIT NO. 05.0C/57 DATE ISSUED 9.Z9.0S
CONTRACTOR tI'If,qNdvA PHONE (,/2. fl'()l 7108
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUII.DING AND INSPECTION
,'I INSPECTO, DATE (J
I FOOTING /./f?t!: ~ fIi1'/~;;'/:~ I ~ lo)#-/tJ~
FOUNDATION (Prior to Backfill) I M I ,It? )J> /;;-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
y~
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tofr7/~
1/ / / /CJ-5~--
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IAr",,. J H,.,G/Alt.A1' I p4--' /eJP7/~~
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECT ICAL
f%q/
,
/2/f/or-
12-/6ld~
.
HEATING r!i?' /J11/dr
,
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical 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
SCHEDULED
ADDRESS
,'~~?
~~~r
OWNER
DATE TillE
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PHONE NO.
CONTR.
PERMIT NO. :r- - 7:)7
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~NAL 0 PLUMBING FINAL
o SITE INSPECTION rCH FINAL
ZZo ENTS:, / / -~ /'
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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VWORK TISFACTORY, PROCEED
f D'cORRECT ACTI lit ANU t"'Ku~ED
o CORRECT WORK, :'~L ~rNSPEcnON BEFORE COVERING
Inspector: j/f~ ~Owner/Contr:
, ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY!
DATE TIME
11/10/1)5' g.'$O
ADDRESS 5~ If 7 ~ TIU.-,
?\l1N~ {/f' :::NO. fK-01 S-7
J F lNG' 0 PLUMBING RI
OUNDA TION 0 MECH RI
FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
Jt SITE INSPECTION 0 MECH FINAL
C.OMMENTS:. S4 '~ ~~.' "
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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7 - . \ A". nw::- !
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o WORK SA T1SFACTOR , EED 7 (
~ CORRECT ACTION AND PROCEED
b CORRECT WORK, CALL FOR REINS ECTION BEF
'1iJ;r
, I
VERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
OLO STAia-s (Z~Ve::,(J 0,..)
. _ 0 ,c:- INSNOTl
fJ e. c- o-a.-,..;e:n.... I,.) L.U~ 10 0 c...O 't> Q ek ~ Il.-~
rv~ p~ eAf1..,.Jc::.