HomeMy WebLinkAboutBuilding 02-1525
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
G(O<Ase-Ccc)~
NW
LEGAL DESCRIPT~office use only)
LOT 3 BLOCK j ADDITION'
OWNER
(Name)
(Address)
~~~~~~R ~\yp C~)IS~"~ t {~{he5
(Contact Name) VJ 1\1\ (C P I f (1~) j.:- Ii
(Address)
TYPE OF WORK
New Construction
ODeck
OLower Level Finish
o Fireplace
~
PROJECTCOST/VALUE (excluding land) $ [.)(.~ C'OO
OUtility Connection
o Misc.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
00, O'fJ
00.00
35.50
O,tJo
This Application Becomes Your Building Permit When Approved
~MP
Building Official
/ /II "It; z--
I Date
Date Rec' d
//-7-0Y
White File
Pink City
Yellaw Applicant
I PERMIT NO. 01.-" I fJZ5 I
I
ZONING (office use)
d.. -IJ-I1-0
') ,
(Phone) 172 - ~;( ?-?tJ 2 2-
(lll tV 0-i3 ~
.-...
(Phone)
(Phone)
(J j'...- ~ ..., -'? ,
I /,/ ',;.? (,.- - "-'uc: 7-
(f" r' 7 /) -. ',,'~. x;'>;-. (./'-4'
L,...-.-,,,,"")u 2~v_
, r
OPorch
ORe-Roofing
ORe-Siding
n this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
and that all construction will conform to all existing state and local laws and will proceed in accordance with
.ld' 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city 0 tcial r a designee may
P. tions. 3/~ 2---
DAddition
o Alteration
$
$
$
$
$
$
$
$
$
"
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"
".
,
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~~~
"00",,0'"'''' 11/1'1!,~'Z-- 4ul aL{P"i"~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
, '~..'.' r.~.<t; .,r.
. ~'I,"""",-'t..,,:,. ....r-.-... ~'li;.\.-,j~L' .,' '."f.:l~l,.:;"~' ~ . .....t...........,. ,.' T
-
Thr ernltr nr thr ...k, Counlry
White - Building
Canary - Engineering
Pink - Planning
o
'1f
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ d2(JAJ$)C kf-(}ytU2--a./
APPLICATION RECEIVED 1/- l' 7- 0 d --
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.3 0 9R Gf rOV \f.. (7it-
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/rfFiJ
Date:
/ I-~ /-oJ..
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan~ 2) Erosion Control Measures
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."
White - Building
Canary - Engineering
Pink - Planning
Th(' C'rnlt>r of the Lab ('ounll1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~ Id-r~
APPLICATION RECEIVED /1- 7- 0 d --
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /J.
.3)o9f ~rOUSe, ~J-
/
Accepted
Accepted With Corrections
Denied
~M~
~~~~.
Date:
1;f9ft~
Reviewed By:
Comments:
"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
Pink - Planning
The ('tntt>f or thl' Lakt COUnll")'
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ' "
APPLICATION RECEIVED
,..t._._,__~'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r
Accepted
/'
Accepted With Corrections
Denied
Reviewed By: ~ 7~ Date: ///t9:/0v
Comments: A.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."
Jan 21 03
U~".L"/UU
I
09:40a Jim Llo~d
l~V ~z:u~ ~.~ tilZ44i4245
952-440-3036
CITY OF PRIOR LAKE
f'. 1
i4J 001
OllHIl - PIU
"..u.ow - "-'~1fT
QOUl - CIT.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMrT
S,W.No. .~- /So-~
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APl>J:': CANT: ~c/ ~:Y~ U 1,'Gi\ f/t,,;J. d-h C _
ADDR: 38: ~ 6'~. 1St'1/ ('/'( Pi I'f)/, j,J<c:
SIGNj: rURE: ~~ i_ J/:tt;yctJ
SITE: \DDRE~:--S07~ (n~ c;,
FXLL IN THE BLANKS
PHONE: CJ5J-7'90 -,76:;)0
DATE:
/".;11-03
BLDG. PERMIT tt
PlD#
1. Ii ;timated length of water service
7'0
feet.
2. ~l ,Ze of water service
/
inch(es) .
3. 1. )cation of any Couplings from structure
()
feet.
4. l' 'pe of sewer pipe. ABS____ PVC~ Cast Iron____
5. F;;1'" i mat~d longth of SCWCL llne 1( 0 feet.
6. C' ean out (if required), located at
S .ructure.
feet
from
~-==~'~==~;==~======~===~==~~===~=~==================~===~~-=====
Thib " pplication becomes your permit when approved.
BY
DATE:
====~: -==-==~=~~~=~=~~=~;;=~~~~~-=====~~~~~~~~=~=-==~==~~==w==~=~
FEES:
$
$
$
35.00
.!JO
35.50
Sewer and water line connection pp.rmit.
Surcharge
TOTAL
* po" ~ for either sewer or ~ater individually is ~.~ plus
$ .50 surcharge.
1<
S.,Jer and water permits issued for new construction nust be
ro; ::orded. on the buildin~ permit card at the time of issuance
b: insure that no dupl1cate sewer and water pe"ts are
i!; ;ued. , ........
,.-" ./).!,
'~r ::' ..,. .0. '. ,..1',.......
tJ/;i'~ .-'. "!!-'.,
. '-.",. IJ
DATE ]; no
RECEH ~ #
16200 Eagle: Creek. Av. S.B., Prior Lake, Minnesota 55372 I
An Equal Opportunity Employer
-:--<612) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3 ()9P ~ ~ ~ KJ~
NATURE OF WORK IJELJ ~SI1r-uc:r-i(),.)
USE OF BUILDING s: F: () t'
PERMIT NO. 02'-15Z~ DATEI~ED /11/7/"'Z--
CONTRACTOR J'Y/e"-l~'" !lls<nJ ~C" PHONE 95/ -?~o-Kf?(g '7
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~, " 1~~9f1-~ DATE
I FOOTING 8vcg; B.", (11 I / ~ ~
FOUNDATION (Prior to Backfill) z,ll? D7./
PLACE NO C()NCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS /
(
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
~<?
OCCUpy UNTIL AB VE HAS BEEN SIGNED
NOTICE
. 3~
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