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-
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~ANA~~
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(Address) / ~ -Y-rr
BUILDER .... / ' /7'
(Name) ~dJS// _"~.s-7/'
(Contact Name) ~, : ~L/"'
(Address) /' . /" / /
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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
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J' 11[/'1 ;-1 / If'"
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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
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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: ~
~
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Date:
/oI3~3
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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
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKlIRT
NAME OF APPLICANT
APPLICATION RECEIVED
I I
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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:
---------==-
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.......... ~
"'---- ---
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!