HomeMy WebLinkAboutBldg Permit 04-1133
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ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
w/u,oWS
LOT q BLOCK 3 ADDITION
OWNER
(Name)
~(')\'er .(-
<J" 4'1
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Date Rec' d
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White
Pink
Yellow
File
Cily
Applicant
I PERMIT NO. 04-.11331
7Jt.A / L-
ZONING (office use)
R/5D
1ST
PID z.5.IOPJ. oz,z.o
A,~n
LL lit'Ll Be.,d ~
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$ '4/2. 75 I
$ cf)lae, 2..."1 I
$ 12..So I
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
,,1, loti
, Dr/e
1/ I' ,~~ </
(Phone)
QSJ- W)- 7'170
::'V.w
(Phone)
(Phone)
DRe.Siding DLower Level Finish
o Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
~dditjon DAlteration DUtility Connection 0 Misc.
CODE: 1SirI:.R.C. DI.B.C.
Type of ~stmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
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I hereby ce that I have furnished information on this application 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 tlO 'd propClty and that all onstlUCtlOn Will conform to all eXlstmg state and local laws and Will proceed In accordance With submltled plans I am aware that the bUlldmg
:1'" "n vo Ih"~" '" Furth"mo". I h""bY'g", Ih'tthenty offi",! m, d"'gn" ma en1<1 upon Ih, pmp'tty 10 <,,11olm ::JijP:IU~ _ (')'/
Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
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(~lIildi1l!!.Oftibal
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $ I
Builder's Deposit $ I
Other $ I
TOTAL DUE ~ 1I.3.D4- $ (, 93. 54- I
Paid
Date
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I Receip1tl:>,_ A:-~.3:J4-
I By -f%U'1"~
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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 Certlflcate of Occupancy must be
i~_~
PUnning Director
24 hour notice for all inspections (9::;2) 447-98::;0, fax (9::;2) 447-424::;
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
~~
While - B.uilding
~"narv . IOnQ,"ee~
PInk . Planning
Thr (,nl.. of Ih. L.kt ("Ollnl..,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED It)' x' i~ --0/
The Building, Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
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Accepted X
Denied
Accepted With Corrections
Reviewed By:
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Date:
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Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
"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."
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White . Building
Canary - !;naineering
C Pink - Planning :)
--
Thr ern I" of th", l..k, Counlf}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED I
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /
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Accepted
v
Accepted With Corrections
Denied
~
~
Date: I r!D ,/() if
Reviewed By:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
cqmputations 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."
~~
0lalhite - HUllding-::>
C:anary - t:ngmeering
Pink - Planning
Th~ ('tn..., nf Ih..I.lk.. ('ountn
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HO 61-- flat{ 4efL/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application forc03~ti:lqtivity w~;~at: &cuJJ ~
Accepted
Accepted With Corrections
~
Denied
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Date: /I/a Ilot(
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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,"
~._,,~-
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PnlOR LAKE OEPARTMENTOF
M. . BUILDING AND INSPECTION
I
INSPECTION RECORD
. .
SITEADDRESS ~(OLf'l WILLO,W ~h m,~
NATURE OF WORK<SAQ., ~r:>fT(C)~ t! feo", ASI4IE. ~
USE OF BUILDING S,,...OI
PERMIT NO. 04. 1/.3:$ DATE ISSUED ~
CONTRACTOR ~ PHON~""'W7-~7~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING LIlA//' . 1I-!t!.cA,1
I FOUNDATION (Prior to Backfill) I ,~I l;jz Z~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
,
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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'FINALS '
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JI1J"P' ~-'!.H5
ATING v V d" 1J~~
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
3&l/q
Wi/!tIt~1 /J..,e,h
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,l!M'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~-----
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( L---- l ~- '--
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DATE TIME
~ 1-6'CI;)
4- - 1133
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
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-------
--- --
~
~ SATISFACTORY, PROCEED
o CORRECTPi?CTION AND ROCEED
o CORRECT W FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL C47.985D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TlME
ADDRESS
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, ~ONTR. -p',b(rl- tkl1''''
PERMIT NO. 0 "r 1133
SCHEDULED
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
_g...a_N,SULA TION
~AL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
kGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
hrey,k. /-1K
~WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
InSpeclOr:~~ Owner/Contr:
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CALL ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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