HomeMy WebLinkAboutBldg Permit 06-0070
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE.
AND UTILITY CONN~TION PERMIT
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Date Rec' d
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1 While File
2 Pinle City
J Yellow Applielnt
I PERMIT NO. 0 0 ~ '7 ()
(Please t}'1IC or print and sian at bottom)
ADDRESS
\,(:j4l
ZONING (office use)
(\\Js ~
\ C)~rna
LEGAL DESCRIPTION (office use only)
LOT~LOCK ;Z, AOOmON / / )O(tl r ;,rIy'~ c~1:
OWNER
(Name)
PID..:::{j"-:- (.;J J () - () (J ,5 - ()
Is -f:
~~D '0<\~~
(Address) \I\)'\.\ ~\~ A\)"t ~
BUll..DER ~.""^ C) _ '"'_
(Company Name) \""~J \81~ .~\)\~~~
(Contact Name) r ':PV\~V \1:'f0Q~
(Address) I~O'" 'Cf:Lc.clc ~ f\\Nl <;.(
(Phone) q5;"") ~~ '-\'r~3
(phone) tot:;} 'J\W) '~4--~
(Phone) WS \ ~ ~\ 7'1-
~'-.. V\A\A ~\l\~
TYPE OF WORK 0 New Construction ODeck. o Porch ORe.R~ng ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtilityConnection pisco ~\tl6 ~lprr(\JP<c.,E ee~\~
CODE: iQt.R.C. DI.B.C. PROJECT COST/VALUE ~Jd.~ ,0" I
Type of,t~nstmction: I II m IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I hereby certify that I. have furnished information on thiJ application which iJ to the best of my knowledge true and correct. I also certify that I am the owner IIr authorized agent for the
above-mentIoned property and that aU constnu:tion will confo I exi5ting state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official can revoke this permit for just cause. Furthermore. I eby a that the city official or a designce may mler upon the property to perform needed inspections.
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x
,~~rc
I Permit Valuation--
I Permit Fee
Plan Check Fee
----
~ 3(~..ro
855.00
S9;. 7S:.
'3~ . ~-o
Contractor's License No.
I Park Support Fee
SAC
$
$
$
$
$
$
$
$
$ 1 LILlll ,J'~
#
#
$
$
$
$
$
$
$
S
Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#
#
TOTAL DUE fllJl-,~IL(1. J- - I-() f.o
II/IFI- 9-5
-;:}-A-'f)(..,
~
'A= ....... P..... w><n Appmn'
ui lIin(J1lfacinl ~LD~
ReceiPt No. 5Dl""(~-rY.
Bv
Paid
Date
~
ThIs is to certify thallhc request in the above application and accompanying dOCUmenlS is in accordance with the City Zoning Ordinance and may proceed as requested. ThiJ document
when signed by the City Planner constitutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cl'rtilicatc of Occupancy must be
issued
Planning ~tor
Date Special Conditions, if lilY
24 hour notice for all Inspections (9~2) 447-98~O. fax (9~2) 447-424~
16200 Eagle Creek Avenue Prior Lake, MN 55372
P R 10 R LA KE DEPARTMENT OF
.' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS DOLll \otOV\b ~. 5'6:.. .
NATURE OF WORK Fh~. Oo..~ ~ ' "'P~ .
USE OF BUILDING c;lF D 6 )
PERMIT NO. --L:2.f,- ? 0 DATE ISSUED , ; '3C> 04
CONTRACTOR :tLr~\N..r" ~r:<A-\ PHONI= ~l '2 - ~- l,::>-q'!:,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
I ~
HEATING (if required)
FfREPLACE
GAS LINE AIR TEST
~
~.
.
q'//:" ~b
~bloh
., I
11/1/
J/)4
/114
1//1
(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Hoo~ W~~ I ~ I ~R~~
. ,FINALS
- GRADING (Prior to Sodding) If' / If
BUILDING {
ELECTRICAL
PLUMBING
HEATING
H4-
//
S/~(;
S-/2/66
DO NOT
,
IJ! /11
;lIlt
. I
OCCUpy UNTIL ABOVE
NOTICE
,
I
HAS BEE~ SIGNED
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
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P vi Jue-r5 Sf>. Vt/ I t (~e.s:
1- d- 7-O~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/70'//- 71-/ro/lJl-o
,
Accepted
Accepted With Corrections X
Denied ~ J 1\
Reviewed By: ~ y
Comments:
Date:
d 30 Jot,
I r
\. ~~ Peno.~k- r~uUI'~Dri.. "d. .p\~\o~"Cr I ek.. e~c..
2. U~ S"","6~ ~,.~ ~o~ ocJ~ ~- lAc,U$~
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o
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~. c... \.l tor b~2.. ~ ~ " '^-S.~d\~
'1. Co t'JClI~ C~A- \t.,\J\'\J..&"'j-- Ft.t ~tc.};:
B. A\l ~gU~O\'\ C3W ~e.eJ. ~ ~ "t.~h
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /7CJ.Y/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~ULATION
.Ji!I"FiNAL
o SITE INSPECTION
SCHEDULED
fiVO;1~
CONTR.
PERMIT NO.
o PLUMBING RI
D MECH RI
D WATER HOOKUP
o SEWER HOOKUP
D PLUMBING FINAL
o MECH FINAL
GQ.MMEN}6: ., ~
U ee7r,w ///q, (
~
s~
, ,
~-e-
TIME
~-70
o EXIGRADIFILLlNG
D COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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-$/ b/6(
/ /
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'- - /
ATISFACTORY, PROCEED ________
o CORRECT .~~~
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr.
/
./'
71~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSIfOTI
ADDRESS
/7&L//
/2 TIME
SCHEDUlED ptA6
::0~6'~ ~ 4e.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6-70
o FOOTING
o FOUNDATION
o FRAMING
~ I~TION
~~~--
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~MEN)'S: / ...A ~ ______ /'
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o WORKSATISFACTORY.PROCEED~.- ~ -- /G- ~ .;ICe!.
o CORRECT ACTION AND PROCEED
~RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~_ _ '_." Owner/Contr:
~.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMENit ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
INS/IIOn