HomeMy WebLinkAboutBldg Permit 06-0459
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
PERMIT NO. 0&. 04-59
(Please type or print and si,::n at bottom)
ADDRESS
17~FO JUf15el Tr61,:L 5~J
p.... 16-t i.~ & ~ A11U .r;-~.-~ 7 Z-
LEGAL DESCRIPTION (office use only)
Date Rec' d
S. '4 alP
ZONING (office use)
I2/SD
LOT
BLOCK
ADDITION
PID 25, 134-', 00-7, 5- .
OWNER
(Name)
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(Phone) tZ;-a ~l.t l{O - ~33
(Address)
BUILDER
(Company Name)
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~lV\A GI~' ~
, <;) 1\'\1\ h; ~ l'1
(Address) /7lJ?6 5t'~;f lvJ:1/,(;.
(Contact Name)
(Phone)
(Phone)
~:';-1 -7 1.
~5- J.. -it l..{ 0 - ;gr;-.~
?6- ~ 't.( 110- '"273 3
pw U1 ;t AfJ7 .M IV
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIOn
ORe-Siding OLower Level Finish 0 Fireplace
-t:u!erJ'lJr /0fci?ev l?yyyjL.
CODE: f.R.C. DI.B.c. o Misc.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
/0 (fVV/~
I hereby certily that I have hlrnished mf()rmation on this application which is to the best of my knowledge true and correct. I also eertily that I am the owner or authOrized agent for the
above-mentlOned property and that all construction will conform all existmg state and local laws and will proceed in accordance with submmed plans I am aware that the buildmg
:licial can revoke thiS p It ,~or Just cause Furth' ,~her agree that the City official or a deSignee may enter upon the propelty to perform needed ~;; ~ C.
Contractor's License No. ' Da~
7 $,,~(). 9fJ
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Ret6Pt No. .5i J 4?
f51 . /
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Permit Val~ion
Permit Fee
Jt-
I tf),{JOO rOO
(
~
$
$
$
$
$
$
TOTAL DUE
Park Support Fee
SAC
#
#
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
Sewer & Wate~ Permit Fee
Gas Fireplace PermIt Fee
This Application Becomes Your Building Permit When Approved
/
Paid 3:>t?, ~ r
Date (, t.., p G
~~~~
l3uildlllg Ofticial
5/3 tJ fi, (.
. Da(~
$
$
$
$
$
$
$
$
ThIS IS to certily that the request m the above application and accompanymg documents is-in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
'hen signed by the City Planner consututes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
'ued
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
CWhitp- .... - J:\ui~
Canary - Engineering
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~TIf1 0/51-1
5_ /9. 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7080 SUNSET I~/L 5(JV
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~ ~ Date: S-/'?d/a "
comme~ts: A-r -;r<>-<- -":J ,~ ~ ~
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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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF'
BUll.DING AND INSPECTION
SITE ADDRESS -17080 $LlfJS'e I. TTl.'Ail- S, ~ ,
NATURE OF WORK INrEJa ,.,,,- Klr~ /2,~~I:I67-
USE OF BUILDING S..f:: D. .
PERMIT NO. O~.O4--59 DATE ISSUED ~/tJ"
CONTRACTOR S/~ Gir,., PHONEk(2..-S-S"'1-~?1'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDI
ELE,CTRICAL
PLUfYlBING
HEATING
DO NOT
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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
DATE TIME
{/-- 7~
ADDRESS
/7 rArD
,
)<f.ot ~.}-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(; - 4.s:-1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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~WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AN~ ~EED
o CORRECT W~i I. ~ REINSPECTION BEFORE COVERING
Inspector: ---l--i-f Owner/Contr: -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl