HomeMy WebLinkAboutBldg Permit 04-0660
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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~. ~i~~e ~:~y I PERMIT NO. 0""-. 0/ '0
3 Yellow Applicant ,.. \Q (t
(Please type or print and sign at bottom)
ADDRESS
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.511JJ-1<ff~ At...v
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ZONING (office use)
(2ISD
LEGAL DESCRIPTION (office use only)
3D /2 -
LOT BLOCK ADDITION f:;)~-+
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OWNER
(Name)
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(Phone)
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PID ~ /3/;OICf- (
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(Address)
BUILDER
(Company Namet
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch o Re-R9ofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration DUtility Connection WMiSC'I9~~ ,di.,oq.
CODE: ~I.R.C. DI.B.C. ~ PROJECT COST/VALUE $
Type of Constnlction: I II III IV ~ A l!!1S Ail) (excluding land)
Occupancy Group: A B E F HIM R u.v
Division: I 2 3 4 5
I hereby certifY that I have 111mished mformation on this application which is to the best of my knowledge tme and correct I also certifY that I am the owner or authonzcd 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 submittcd plans. I am aware that the building
Dtlicial can revok~this permit for ust c Ise Furt rmore. I hereby agree that the City otlicial or a designee may enter upon the property to perform needed mspections. .1.
S' ;;l--(,"-O
X
Signa Contractor's License No. Date
Permit Valuation tI d-SOO, 80 I Park Support Fee # $
Permit Fee $ 74. 75 I SAC # $
Plan Check Fee $ - I Water Meter Size 5/8"; 1"; $
State Surcharge $ I, 2-~ I Pressure Reducer $
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ I TOTAL DUE ~ lJ . 30.04- $ 7to.00
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This Application Becomes Your Building Permit When Approved Paid 7v . 0 () I R10 47 z-<1-7
~~ ~2- -S (0 'L Date 1_-z,.O~ I By
Buildll1g Otllcial Dale
Thts IS to certifY that the request in the above applicalton and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. ThIS document
when signed by the City Planner conslltutcs a temporaty Certificate of Zoning compliance and allows constmction to commence. Before DCCUpancy, a Certificate of Occupancy must be
issued. {2.~ IjZtL10tJ N
I ~ Pla;ningDireclor ~Dale oadJ-l it'fJ/!lS::~~ti~
V 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Thf' Cf'nlrr of th~ L.kr Counlry
White - Building
( Canary - t::.nglneen~
t".nll -""Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ._ ,
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Accepted
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Accepted With Corrections
Denied
Reviewed By:
Af;4[3
Date:
, -- :;)~~Ot..j
,
Comments: See Reverse Side for Additionallnform~tinnl
See Attachments: 1) Grading Plan, 2) Ero~ion Control Mp.SHmrp~
"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."
t.
~hite - Builaiiilt>
Canary - Engineering
Pink - Planning
The Cenff'r or the Llkt' ('ounll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I
NAME OF APPLICANT /fl !( e \7P fY?
. I
APPLICATION RECEIVED ~ ' ~/-() Y
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prpposed at: Il J
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Accepted
Accepted With Corrections
/
y
Denied
Reviewed By: ~ ~
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Comments:
Date: to /z...z....-/t? if
aLl ~ Alo ~.
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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."
White - Building
Canary - ineering
rPin~ - Plannl~
The Cf'ntt"r of Ihe L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
--
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_:) (, II/)- ,,'.-e.- / J
/
Accepted
Denied ~
Reviewed By: ~
Comments: C)
NO~
Lm~
,/
Accepted With Corrections
Date: Jo I Zlf f bY-
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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 c:/G. ~() SP/l.llJo. L.AIt-S R.oAb S..."
NATURE OF WORK ~~ """d&V
USE OF BUILDING ~.I=: p. - _
PERMIT NO. (J#,i*t.O DATE ISSUED J.f2.:rID'I
CONTRACTOR...M.(g 3'o(lP PHONE-'5Z.'tJlf-Z68S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING .:\ND INSPECTION
J FOOTING
I
I I
UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR ~
/#P-
~ATE ,
7//7 ;;'t/
. '
FRAMING
INSULATION
ELECTRICAL
-
n7
J/- '2 Y
J
t(;"1,7 1ft.J,- 14M- /1) ;;'/c./
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
,4V'J-.
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/tJ/ls/OS-
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
ADDRESS ~ 10
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
DATE TIME
SCHEDULED ..# /9 ~-
, . ,.
( C,/ I ~Ch h~ e /Zr/
'1:. ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COIldME}lTS: ,., ..-;
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~S~A~:rORY.PROCEED ~
o CORRECT ACTION AND PROC~t::l)
o CORRECT WOR~. C~LL ~~EINSPECTION BEFORE COVERING
Inspector: ~ _ numbr/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNon