HomeMy WebLinkAboutBldg Permit 05-0995
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and silPl at b ,. . . " . . . )
ADDRESS 1&7'" 1~/4-u:lV~
f'r,'.r L..../u, I tf1,.J
I2J. N uJ
6$1>'72-
LEGAL DESCRIPTION (office use only)
I~ I...,.,J v;~
LOT 2. BLOCK
ADDITION
OWNER
(Name) ~t': &.Ill
C; ro L...
HdL~rl.
.eA.1I:.JA J
tJ
Cr.
,
(Address) S I {;
BUILDER
(Company Name)-.S 4.ft'U. c&.S
(Contact Name)
(Address)
~o"c.
/~j';d5
I. White
2. Pink
3 Yellow
I PERMIT NO. o5.oqq51
File
City
Applicant
ZONING (office use)
RISD
A!.I PA/ItI It^,
PID 25. 085. Ooz..O
(Phone) "%" II 0 ,..3 I ,S'
/YtJ
~ 1"Z..3
(Phone)
(Phone)
TYPE OF WORK
o New Constr~ion 6ft>eck DPorch lifRe-Roofing
IOfA.ddition ~Iteration DUtility Connection
DMisc,
jlfRe.Siding ~ower Level Finish 0 Fireplace
CODE: Q@,R,C. DI.B.c.
Type of,l:onstnlction:
Occupancy Group: A B
Division:
ill IV
H I
2 3
V
M
4
I
E
IT
F
1
A
R
5
B
S U
PROJECT COST/VALUE $ 11,0, DO D
(excluding land)
I hereby certify that I 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 authof1zed agent for the
above-menl1oned pr elty 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 can revok IS permit for JU use urthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspecl1ons,
"
x
/ Signature
f/70, ODO. () {)
I
$ Yl(O,DtJ
$ S L/f4. 00
$ 3 S". 5""0
$
$ '-/4.dO
$
$
$
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee ~
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~~l-
Building Otlicial
/DIs-~f
. Date
Contractor's License No,
--1D"~
Date
Pressure Reducer
$
$
$
$
$
$
$
$
/O,/().Of) 1$ /, ~(,/. 60
ReceiPt No.~"Pb ~j
By ~
I Park Support Fee
I SAC
Water Meter Size 5/8"; 1";
#
#
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
I TOTALDUE ~
Paid I z..j fL, /-6'V ~
Date ItJ --/0'" OJ
/".. .p - P,5'
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
White . Building
Canary - Engineering
Pink - Planning
BIIILDING PERNIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ElK. 01-// 8K.//1 IV
10.3.05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/57&q /SL!?)ND V16w' /20 NW
Reviewed By:
X
/Wif3
Accepted With Corrections
Accepted
Denied
Date:
IO-~-Q~,
Comments: ~',~~ ~'for Adriitio.. IDf~~J:
'+;.
,..~~ A~~' l'\nnmi~a pl.. 2) ~~~s
. .,' . . . ..", ," . ..... ," . "/ .',. - - .' - - . -
"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."
c-!Yhite . B~
Canary . EngrnINring
Pink . Planning
BUILDING PERMIT APPUC,ATION D.EfART~NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
e,eOI-!, B~//tN
10.3.05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/57&9 /SL-~tJ.o vIew TZO N'W
/'
Accepted
Accepted With Corrections
Denied
Reviewed By: ~ '
Comments: ~ tLtt
~-~,
,.
~
~I
Date:
If) /'1 Ills
, .
t&o.t(~
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,lI
._----~.-
_~---.".,.-.--~-~----m--__:_:--- ___.__ '__ _______..__.__
<~, .;,"J
..i~'
White - Building
CanarY - Enalneerlng
~ink ~ Pl8nn~
BUILDING PERMIT APPI..ICATION DeeARTM,ENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I' !
, .!
/
i //1/ /
;/
/' ,,-"
"--"'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, /
I ~~.-.:' /. / /;-~ ;. / / i L) ~ I t I Ij' ;..../_/' / //
Accepted
~
Accepted With Corrections
Denied
Reviewed By: /::?~~. ,Delte: / IJ / t.f los-
~ /' "
Comments: C:;:;~7~ CA.~ .It!:. ,/~A Il'rd t!("~ ~
~~. S/~~,_ /d ~~ 5/~ S'eL~ reI'M'}~
"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 /57.9 Irt~ I2J. IJ,/Al.
NATURE OF WORK -AD/JJ,lfJ,J,r J .DEr1' r s-nt liu J /ttTE1Ut71iJ1.JJ'
USE OF BUILDING 'SFio, .'
PERMIT NO. 05.0qqS DATE ISSUED I~~ S-
CONTRACTOR ~II\~ tSllAtf PHONE"2-'I4' - 3'''5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\Jc.., Oek rb f^ t;/"/~" INSPECTOR DATE
I FOOTING I. I ~ /2-
I FOUNDATION (Prior to Backfill) I 0/V../ I 12...- (}- 0('
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re uired)
~.
t
I/;J ~5'~b
I I
11)P/~6
/1
VW/.
tp?-
1-(jJ.'-- .(,
l/u/4b
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
ItArH4I /~~'" /,Ut.N' I Y!/V' I "3--)'/~
, FINALS .~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
wv
((' ?- 7~
vVP /-(,'0&
f11P 1 ""L ' vb
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
DATE TIllE
SCHEDULED
~,.($
ADDRESS
ISle f ad f/J~
OWNER
CONTR.
PHONE NO.
PERMIT NO,
CJ9
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)d1=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HooKU~
JiY PLUMBING FINA
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-----
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/ / I J\r
/ / I ( )~
( (./\
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----. ---
~ ---...........
(I I ')
tL-j
/
/
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,tWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND P CEED
o CORRECT WO , CA F R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY/
INSNOTl