HomeMy WebLinkAboutBldg Permit 06-0108
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2 . 1. C(p
I White
Pink
3 Yellow
File
City
Applicant
PERMIT NO.D le .0 r o~
(Please type or print and si~n at bottom)
ADDRESS
/4777
C~ (/ ,/6
/lvElv(/6
ZONING (office use)
R IS.1.J
I
e;p/I,C/ /I }.J
,
LEGAL DESCRIPTION (office use only)
LOT G BLOCK7
ADDITION /C-I'Uert/--:fbI!J ('A; Vb
PIDZ5: 1/&. ()CC,.O
OWNER
(N ame)
;n,/Un /Y)Ca.q ~f)
(Phone) -652- 2Jo" Ljf)
, (Address)
~g;~~~ Name/.(, . CWO nfDYl eO J1S J-izu cfY/A
(Contact Name) /3~6 S-WO n r dYl
(Address) ) 7 l.{66 -cJA3 uO, ~ f/~t)-
(Phone) 1'f' Z,.P1 P ~ 2<:;' 1 )
(Phone) 61 2 -- 6 ~ 6 - 9 t { 3>
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition I29{.lteration OUtility Connection
CODE~' .R.C. DI.B.c.
Type of onsttuction: I II III IV V A B
Occup cy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
OMisctc!.tC/A~ RfLjr,(J c1.e--J (;~h~4
PROJECT COST IV AL UE $.t5 ~ "5 0 U i "-
(excluding land) - oJ
I hereby certify that I have hlrmshed mformation on this applicatlOn 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 existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
;<(;~;:i:?t;;rn;";,:',"-'~",'-" '"",", '"" ,"" ,","" Offi2:';/0:9, tfjfZi ,", ,m"" '0 '010= '''21:;1;6
Signature Contractor's License No. ' Date
Gas Fireplace Permit Fee
.(3o/!JtJo, aO
$ 4479- ~c
$ ~, I B'
$ /~.. t:J-o
$
$ ~d, th!J
$
$
$
Park Support Fee
SAC
#
#
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$ &2- l' {;f3
Permit Valuation
Permit Fee
State Surcharge
Penalty
Plumbing Permit Fee~,
Mechanical Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Plan Check Fee
TOTAL DUE
~~
~/I s-/d ~
Paid
Date
8Zf/ (..t/
...) ; / 7. {i..
:YDt No. :.///0
This Application Becomes Your Building Permit When Approved
Buildlllg Ofticial
Date
Thts IS to certtfy that the request m the above applicatlOn and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows constructlOn to commence. Before occupancy, a Certificate of Occupancy must be
issued
/q,/ ~or
See ~"'M:~ 51'~
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
;2-IS-06
C!'~!t~ - ~uildino
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ Si/f//1/VSO/V COAl~/7C.
2.7.00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
147'7'7 COVE //{/t/A./L/t;
Accepted
Accepted With Corrections
~
Denied
r--
Reviewed By: ~ ~.~ Date: J /; r~ ~
Comments: ~ ~~ ~.. ~ ~,b
_Ix-~~*~~/~
~. ~~~ ~~,~~
/ (/,(]' ,
~~~.I~~-y~!
~~ ~ dY1" erR.. ~ ~ I'PL--~
d ' / -.--~
~ ~ ~ ~."I,~-f) Aj ~ 'iI LrJ
0- -f~,
/
"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
CallaC.V - F . ering
(" Pink ,,- Planning
j3UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
./
>
"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--..-.....
"l; ....'. ~/
.'
L.
(
Accepted
>>
Accepted With Corrections
Denied
Reviewed By:
d~,,"~ Date:
/~ /
7: e-,../ v:;~ q-,C,4/ f;"'prt:,v~,"e.&
;2-/'7- 06
,'.
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I~ ~ 1h/411#lL..
NATURE OF WORK ~/O"" ,l/1.'r~rl.,J,.
USE OF BUILDING ~. , _
PERMIT NO. 00_ 0108 . DATE ISSUED ~11~tJ 4
CONTRACTOR ~SIJmIIW1J dI~ni PHONE',I-&rt. -"'.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
.
n , ,
I
I I
TE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
...,
VVV<"
1/1/)//
.~ :> cJ0
~- YQ0
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDiNG
ELECTRICAL
PLUMBING
/J
iM/
/J
t/Vy/
~/~ty
~v /01.:J
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
jt-f777 60~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~ ~ULATION
~~~~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
((-t: . ttVldck (
COMMENTS: .
~---
/ /'-~ ~/ ~
( / I rur fiG?
\. L-/"
"--
DATE TIME
g/' &---a
(;.- (Og"
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-
')
/
~
(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND P OCEED
OR REINSPECTION BEFORE COVERING
. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
Inspector:
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!