HomeMy WebLinkAboutBldg Permit 06-0754
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
/5/4)
Vve:>+
Auc.
SE
\
LEGAL DESCRIPTION (office use only)
LOT L/ BLOCK
Po , ~ f"
~Tifu(.;
ADDITION
OWNER
(Name)
/J1 d. -\-;-
T ~-f <.0.. \'\. e \ \ ~
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
L!'o .-.\- \ a.." ~ CC:H'\ s -+ or '-I c..-\- \ 0,",,--
~O.-" 13eY\.s: 0."-.
l
/00 I S- ;:"), il/sbu {'/
/
J.. "\. c (Phone)
(Phone)
Elect"; ",-,-,~'l
J
,4""'--
s
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing
~Addition ~Alte~ OUtihty Connection
CODE: ~.R.C. DI.B.C. 0 Mise.
Type oft;;'~stmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
Date Rec' d
?f!O(b<o
I PERMIT NO.O~. 075.4-1
ZONING (office use)
PID 25.64--(. 002.0
C;S"Z.-
D /'Z - L/ J q - 6 ~ II
w\.~
.S- S- ~{ 2. t.:
ORe-Siding OLower Level FinIsh 0 Fireplace
PROJECT COST IV ALUE $ <:./~. 9 Z S ~
(excluding land)
I hereby certity that I have furnished mformation on this application which IS to the best of my knowledge true and COlTect. I also certlty that I am the owner or authol'lzed agent for the
above-mentIOned pro perry and that all construction WIll conform to all existing state and local laws and will proceed 10 accordance with submitted plans. I am aware that the buildmg
ofticial can revoke tl115 perm~ust cause Furthermore, I hereby agree that the Clry official or a deSignee may enter upon the property to perform needed mspectlons
X L ;Z-2C~L..- ~ ()~63 <fS'"1 Av.:J \0 ZcC)6
~~ Signature Contractor's Lic~nse No Date
;
Permit Valuation
9''''< t:t?t), c.- I
S?J':-SO I
.J .P~ '3 I
,2/. ~ I
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTALDUE Muel:J
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
This Application Becomes Your Building Permit When Approved
/, (JO f" .rJ
Pk //1 /() ~
~~
J//9~6
, Date
Paid
Date
Building Otlicial
# $ I
# $ I
$ I
$ I
# $ I
# $ I
$ I
I $ I
8.lfI.Ol? /}I $ ~ 008..53J
Re<k~fN 0.5 ? Z 4t::-! I
B~ I
(;
This IS to certify that the request in the above application and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested. TillS 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 mllst be
issued a-f ~~~ 8-/7-1/6
/ r Plann~ 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
White - BullstLna
C. Cana~ EnQineering")
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/)
Co 12 T ll'rJ 0 Co/Vs-TelfcTj tJ IJ / /v'C ,
-'
'il/ / rtL,/ 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5"7 ~II
tJ~ ~, S~L-~
Accepted
K
Accepted With Corrections
Denied
Reviewed By:
/JIJ'YJ
Date:
g -/7- o.t"
Comments: See Reverse ~ide for Additional Inkrr.1:::tinn!
See Attachments: 1) Gradin~{PJlll1, 2) Erosion r()ntToll\1eaSl1!"~s
"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 - BuildiriQ:::>
1:,....lc:1I y - iCngineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C, I2-TLAt;Jo CttWs I t!.ucl7'tnJ / ;Ve..l
./
APPLICATION RECEIVED ? / J to / Otp
, - ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5"7~1
/'
w~~, g,6;.
Accepted
Accepted With Corrections
Denied
Reviewed By:
#'~
Date:
;y;~
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 - ~~ng
Qink. - Planning,:)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/' '", !
!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-, />/ ... /
./ "- ,
, / .
~..,'-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/2~#-
/?T '/
Date:
~-I7-()'c
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15?"" ~ AilE; ~ ~
NATURE OF WORK _.~ 'tIII&~....r
USE OF BUILDING s: ~ D, _
PERMIT NO. (Jf;.D 754- DATE ISSUED I/'?/.. .
CONTRACTOR . I~C" PHONE~.~I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) I V~ I 0{----1..tlY ·
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
- ./L/1)v
FRAMING
INSULATION
ICAL
JvY7
cw
I IY(, 4}(,
IrYI'(/a,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/J
11\~
\. ~'UlA
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
ADDRESS
j~74 /
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
.o.)NSULA TION
~FINAL
o SITE INSPECTION
COMMENTS:
(
\
\ \.
\\,
'...........
"
DATE TlMt.
SCHEDULED II-~~~
1.11I<.5 +--~
~
1
r I ~ /
~
-----
....-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
O~t
f/)
c- I &-L!
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~OX~~L FOR REINSPECTION BEFORE COVERING
Inspector:. 1/ V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI