HomeMy WebLinkAboutBldg Permit 05-0479
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5. 2+ ~()S
~. ~i~~e ~:~y I PERMIT NO./)C""_ /~/7. a
3 Yellow Applicant t /:::J - 7' f -,
(Please tvlJe or print and sicn at b. .."....)
Au.."AESS
I L,'J57 B\~b~(,(')1"l2 ( rpi<.J'o2-lAk't:
LEGAL DESCRIPTION (office use only)
LOT 8 BLOCK 7 ADDITION pvOP H/(A.,; 2/JD
OWNER
(Name)
--1 .D h '"
/1 ;l.S7
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
b ~...
/Jlu~j~,:~
ZONING (office use)
1</
PID 25:" 339. 053.D-
~'J
,
(Phone) ~;.s'2. 2.11- /71.5
Ai1~ LdP~ /11". $Jf7Z-.
u
(Phone)
(Phone)
TYPE OF WORK g New Construction f)!1beck OPorch ORe-Roofing ORe-Siding
'1'Addition o Alteration OUtility Connection 0 Misc.
CODE: mI.R.C. OI.B.C.
Type of~nstnlction: I II ill IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
./7
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
2~. PDQ
.,
a plication which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
10 c rm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
er or I ereby agree that the city official or a designee may enter upon the property to perform needed llIspections.
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~"r- (JOtJ, ()O
J
$ ~/2,7S
$ d)foR',2-1
$ .12.. S-O
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~~
Buildil1j! allicial
5h-S-~5"
, Date '
Contractor's License No.
I Park Support Fee
I SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTALDUE
Paid , 1:? S" ~
Date c.>: U/ ,11r'
S--L~ O.r
Date
# $
# $
$
$
# $
# $
$
$
f
~q3.6q
,
Receipt~. tfffU
By ;IP- .
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 Cerl1ficate 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
C'{Vhite - Buliding:,
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J 0 H ,.J R., '1 K K-~I'J
512t{7a~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'75 Lt( e e/;e.o
/L/;)-5 7
- ,
//2AIL
Accepted
Accepted With Corrections /
Denied
<2- "-
Reviewed By: ~
Comments: ~ a..t-f
~-,. 41P~
,
r
~ Date: 5/25/dS-
~.~~. ~7
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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."
,.,...
..
....... .
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.r
......
White - Building
Canary - EnAlneering
Le1nk - Plannlnb
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
--. .:1\" , I
fL( t"-/' i<~ L( r k e iJ
/.; /'2 q /0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ L./ <:J:-;; 7 /-) I. II (: Ir> LJ
-... ,
//<,-/;,--1" I (,
Accepted
Denied
Accepted With Corrections ~
~~
Comments: ?~ ~ ~
~~ - </k~. ~ t -ru~ '""'-'
~ ~ ,~ ~~ ~ ~. ."#J~
~/~~~~~/
J I,. t'
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~ /
Reviewed By:
Date: s-~ S-/os-
,
~~~
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. II
PRIOR LAKE' '~~~~D~:SPE"IION
INSPECTION RECORD
SITE ADDRESS 14/2:;'~ BluE1!J/,: . 1M',
NATURE OF WORK aM, ~
USE OF BUILDING ~ I S1.F: IJ,
PERMIT NO. {r;'/" J-f' i DATE ISSUED
CONTRACTOR ~ PH NE
NOTE: THIS IS NOT A PER T FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE~ DATJ .
I FOOTING I ~r J /..2h/or-.J
, FOUNDAnON (Prior to Backfill) tvc..1 PI/' s:.?/ I' ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
1/ /1'/
.
!
~~~ /!
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ /...I::IJJII'.-A' I I
FINALS
11#
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V!)=J6
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IH I
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted neer an electrical aervice cabinet prior to rough-In .Inapections
and maintained until all Inspections have.be.n approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
DATE nilE
CITY OF PRIOR LAKE r~
INSPECTION NOTICE SCHEDULED
ADDRESS /[/."zS7 Jt!%e4y~ y,/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s-- Y/7
o FOOTING
[J FOUNDATION
o FRAMING
~ INSULATION
JllttAL
o SITE INSPECTION
o PLUMBING RI
[J MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
[J COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
CO~~Tsr . ~
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4/
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( ~:t~-e ft';~ /)
IYt~CTORY_P~
~ ~ORRECT ACTION AND PROCEED
o CORRECT WOR5'.iJLftFR REINSPECTION BEFORE COVERING
Inspector: .!q ~er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
INSNOTl