HomeMy WebLinkAboutBldg Permit 06-0023
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~n at bottom)
ADDRESS
Y7vy
(J1IlYflntlp It
.1 II' t"-t-l
LEGAL DESCRIPTION (office use only)
LOT 8 BLOCK I
ADDITION
7; h../~
OWNER
(Name) 511ft/lv'I1. '-II- fl,5':,.J
(Address)
i./7lt'l /J1(bY/tnlil/C Jft-'t'll
BUILDER
(Company Name)
(Contact Name)
(Address)
/Io,l1't /wt! 'f V
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0& . 0023
.N.t.
Date Rec' d
/d.-- d-~ --05
ZONING (office use)
/21
1$-1--
PID d5' 1J1;)- (}() y--'{)
(Phone)
&12 . fCU)- 83" 7
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
~ddition OAlteration OUtility Connection
CODE: IXi.R.c. ~
Type ofE~stmction: I
Occupancy Group: A B E
Division:
III
H
2
IV
I
3
V
M
4
II
F
1
o Mise
A
R
5
B
sO
PROJECT COST IV ALUE
(excluding land)
$ "~//)(I')'::.
I hereby certity that I have hlrmshed mformation on this applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authoflzed agent for the
above mentIOned p lY and that II constlUCl1on WIll conform to all extstrng state and local laws and Will proceed rn accordance With submItted plans I am "ware that the bUlldrng
:fl~ ~slelmlt for JU cause Flllthelmore, I heleby agree that the City offiCial or a deslg3~a~enter upon the property to pel form need; ;,/e;';s/ t' ~
D/ L/ Signature Contractor's License No Date
Permit Valuation
rI/~ (jt)O, iJO
$-/ z..3~ 7S-
$ I 5"3f U
$ 1.t:7t 5""'l1
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
Huildlng Ofticlal
J/~~'
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ 3CJ5 ,#1
~q)g~
TIm IS to certify that the request in the above applicatIOn and accompanymg documents is m accordance WIth the City Zoning Ordinance and may proceed as requested ThIS document
vhen signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
sued * C
~ng~
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE &-itkf- / w 5.0")
Paid
Date
~'?954'l
/. (c.. t' t'
.j
Recei-i No.
By/!
~.
/ / S-/o '='
, , Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
White - Bulldln
CCa,,-ry - Engineer n
Pink . - tlI8
NAME OF' APPt1CANT
APPLICATION RECEIVED I;}..... ;/-;2- ~
BUILDING PERMIT APPLICATION ~RTMENT CHECKLIST
Mawru, Sj~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pro~sed aZ- ~ J A
1f/7&L/- 7U~~t-
Accepted
y
....
Accepted With Corrections
Denied
Reviewed By:
IIIifJJ
Date: 1- b-66
Comments: See Reverse Side for Additional I nformation 1
D."It/u,/'-f,Y mil..!' bi. ,~' 4""'",," F/oV"l Ir'fUr~l' L,VJ (
l'
See Attachments: 1) ,.Grading Plan. ?) Rro~lf\n r'ontr-Ol Measu!"~~
"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 - Engineering
C"lJlnk - Plannl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.,~.--~......'
j
,...---
)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ "
I. C
/. (
.,
-+
_) f
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
,...
~
Date:
/ /~/o~
I I
Comments:
b' (} diti. d 9th "HI ". ..'
.~ ,:iF un OnCl'r;h . er J,be.~l",q,,;l;t'L,,;"
Units Cannot Encro~C"i" 'hn. to 1P.n~'1:..-i."'p~
a JU..JI!A. a'1V~ ~J~.""".:l. 1'>-' ,,'....'.
. -'-"-r "7
.:t
"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."
qNiii~e - euild~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~QAJ7'U ;J,~
,/
APPLICATION RECEIVED /;)""-;}-;2..- -:;-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: J ,1
1f/7!e tJ- 7U~Clt<Yj__~t-
/
Accepted
Accepted With Corrections
Denied
,..
Reviewed By: ~ ~
Comments: ~ ~ ~ ~ ~
~~ ~ ~ +:J~.
Date:
I/$'h, C,
, '
"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 "'7"'" ~~A";~ QAL.c- STItEC'T N.c:.,
NATURE OF WORK ~tt ~DI),"'.~
USE OF BUILDING 9.~ 1>.
PERMIT NO. _ OG. 0023 DATE ISSUED J11ltJ/' -
CONTRACTOR ~ICJIJ I..,M4ljtl . PHONE "..-It?...,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR D~TE "
I FOOTING /~ ~~t'/t,'l"
I FOUNDATION (Prior to Backfill) I ~~ 1/?7 /c-~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
f/#~
/ J
~;ld/1J6
~;,~ h
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- . .
LATH,. I H...rllllltlN(i". '~.'-r1J j1l->t..-. I ~/rIJ/t'k
FINALS
GRADING (Prior to Sodding)
BUILD~NG
ELECTRICAL
1/1/); '1
1 \~(,-{N
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
DATE TIME
CITY OF PRIOR LAKE 5/;-;;' U
INSPECTION NOTICE SCHEDULED
ADDRESS Y t"") ~ '-( ~a rl-\'~ l---t ~I-
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - 00'2 J
............
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
------
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'Ill? -'?J I D
.-----
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREfl/2' L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl