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HomeMy WebLinkAboutBuilding Permit 03-1439 (Please '!vpe or print and sign at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT lC. L/ 'I 'I . . LEGAL DESCRIPTION (office use only) LOT It BLOCK ADDITION OWNER (Name) /lM Date Rec' d 10- ~3 ; ~i~i:. ~:~y I PERMIT NO. d 2 ~/4-.3r J. Yellow Applicant ~ Parle Ifl/e- I ;7~G;;'eu") I 12L~ l &/ PID~~9 - t)OI-D ~ANA~~ ~, ~ c::t/,.-' /7 L?r' (Address) / ~ -Y-rr BUILDER .... / ' /7' (Name) ~dJS// _"~.s-7/' (Contact Name) ~, : ~L/"' (Address) /' . /" / / ///J~ c_..I.ta/~hL'7U 'i TYPE OF WORK DMisc. (Phone) '7,,;2- 9</O-t0.207 (;",.s v-L- ,<:'k/U/A~"/ (Phone) 7<' ~ - 7 (~- ~/.3 " (PhoneV"'//' .6/J- ~S?/ - ?/J7 7/'.-/~ j~:df#i'- ~ 0/ 4'>>' ,<0,,'7,.{ D New Construction OLower Level Finish DDeck DPorch ~ddition ORe-Roofing ORe-Siding DUtility Connection D Fireplace DAlteration PROJECT COST IV ALUE (excluding land) S d 5, oot) I hereby certify 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 authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the 0 erty to perform needed inspections. ./ X ' rd. d~-(~ /2,(' _:?/5"?qL;-'py~ 67 \?-O:,L ./'" ~ture ~~ - Contractor's License No. Date Permit Valuation Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee Gas Fireplace Permit Fee I Z~ ooD,oo I $ I i/.~(, toS- I $ 2?fO. "57 1$ N.so I $ I $ I $ \: This Application Becomes Your Building Permit When Approved -~~ Building Official /l1/;a/()3 , Date J I Park Support Fee # $ I I SAC # $ I I Water Meter Size 5/8"; l"; $ I I Pressure Reducer $ I I City SAC and WAC # $ I I Water Tower Fee # $ I Builder's Deposit $ I Other $ I I TOTAL DUE rJm;($rJ 10, Uj,OJ $7ZfR. 72- J Paid '/Ol-b .-j~ I Receipt No, [/V /[ d,[J Date /LJ ';:}'4 -~ Bv h:- U 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 issued. /0. 13,,00 \ 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 Th~ ('rnlrr of lh~ ".b ("O\l"lty White. 8uildin'L--. C--Canarv . Enqineering:) Pink- ,Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPI,JCANT APPLICATION RECEIVED -) ./ i ..Ii .,' i ( t"/,,'j/-'/ ,_.........r~",,~(.'~ ,.., ~ ' " , / l/,"" -~ I {l/4/.<VlL-J (~fJ7L-4-.L<:..--- , /().. ~. ... -3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J' 11[/'1 ;-1 / If'" I '-:':1- ',/ /i A ,lit. i' [.l-C/' I..f1'" i !./,./"C.. '- ," Accepted x Accepted With Corrections Denied Reviewed By: /YrJ--~ Date: J()-;27 - 03 -- Comments: See Reverse Side for Additional Information! See Attachments: I) Gradinll 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." ii~~ ~ -Builrl'ftg' Canary , I:-ngineering Pink . Planning Th~ Crnlfr of thr L.k. ('oUnlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~/fL, '- ~ !()- &--3 -r The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J ~ 1./ 'IL.f~ P ~ If u-<.---/ Accepted Accepted With Corrections ~ Denied Comments: Q < Reviewed By: ~ ~ ~~ a-U ~r- r- -e'_ '=I' 0-/J ~ /'~ ~ ~~ II ~ _ /J ...-?<-r ?' P ~ Date: /oI3~3 ~"",.J::;- ?e1 PA-W~, "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." The Cenlfr of Ihe l..ke ('ounll')' White . Building Canary . Engineering ~ - t'li:lnnll-j~ "> BUILDING PERMIT APPLICATION DEPARTMENT CHECKlIRT NAME OF APPLICANT APPLICATION RECEIVED I I j;../L_':>.t/ c./ ! "'""I r-" ~ (. ::-,~, /1 / / --,""'I -I / ~ ''')-'' ( j;':_<-,'(c~ ,/ t'.:.".t' i..""... ,~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J 4.. 11'/ 'f - -- II Ie. IT //C-,/ Accepted Y Accepted With Corrections Denied RevieWedBY:~~~ Date: 10,0-0:) 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." PRIOR LAKE INSPECTION RECORD SITE ADDRESS 110 LILt" t4Are..~ AlE, NATURE OF WORK ~JJ USE OF BUILDING S'. F:' D . . PERMIT NO. 03-1.4;3q DATEISSUED ItJ/I~/d:! CONTRACTOR rJ~'~ .~;&~ WIT. PHONE~.'L- ""~'>>-1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE I FOOTING 1...0 ILl ~ JIL I ~Li 103 I FOUNDATION (Prior to Backfill) P~#~t/\'1. ~ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION LJ~ :J..I{F"""f' 1fr31t1t1 ~ /11y? ECTRICAL /-1.{.-oLf JII/V9 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS c: ~...rior to Sodding) BUILDING ELECTRICAL /J Yf/Y '?,1.cJS HEATING DO NOT OCCUPY V!/y/ UNTIL ABOVE HAS 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. '1-4 -c( BEEN SIGNED FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS .I(1'I.l~ fJ.vIL OWNER CONTR. PHONE NO. PERMIT NO, 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 fMECH FINAL COMMENTS: ---------==- /(' ( j~G .......... ~ "'---- --- DATE TIME ~, ~-t)j' 3,/4'1Q ( o EXlGRADIFILUNG o COMPLAINT o FIREPLACE RJ o AREPLACE FINAL o GAS LINE AIR 1ST o ---..- " --..... C)p ) ./ ;( WORK SATISFACTORY, PROCEED ! D. CORRECT ACTION AND PROCEED o CORRECT WJf~' ~OR REINSPECTION BEFORE COVERING Inspector: II /IV Owner!Contr: , CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. '....n CODE REQUIREMENTS A1IE FOR YOUR PERSONAL HEALTH" SAFETY!