HomeMy WebLinkAboutBuilding 99-0582
5' 0 () D~ 0 0 0 0 ." 0 )>> -0
z_
0 ::I: :e c ~~
~ en"z""" 0 Z C
g 0 s: :::jzen~OO Z m ;:Q mO
)>> ;:u s: ~>c:l:iS m ;:Q m 0"
" z~-c- z en ::!."
r- m en
t'l r- en en ""'~>~ 9 O;:u
>:I t > Z ." - "'" z-
t!:I "'" -t ~~ 0 zO
lC:) ~ en en o;:u
S cO '0 " ::!n Z
co ;:u > ~~ ::!>
~ C1l r 0 0"
~ 0 "'" mm
" 0 0
~ 0 > ~
;:Q r-
~ -I r-
" ."
~ ::I: 0 ;:u
>:I m ;:u 0 000000
t!:I z ;:u 0
~ m m m :I:."en:e:l:'"
X z m mr-~>mr-
-I c oC "",oC
>:I Z ~ en ::I:3: m:I::I: ." 0 en
~ ."
~ ~ en m ,,!!!;:u;:u;:u!!! m 0 0
~ ." :::J 0 ZZ:I::I:-Z ;:u Z ::I:
::! m <D "'" >C)OO C) 3: -I m
0 :::t 0 r-"oo ;:u =t ?' c
~ 0 C
-I 0 Z -"" - Z
0 a. zcc r-
~ tD ~."." 9 m
Z :-! m c
~ N "
.,.. 0
~ :I: ;:u
m
~ 0 0 l)
c 0
;:u < 000000
en m
~ Z ;:u C)""om
)>> z >;i;iO~
R- c C) ~mm3:C) rJ
~ ;; -.".".,,~
~>>>c ('Q
~ Z >ooz::;;
~ 0 _mm"",_
!'" ;:u,,;:u r- ~
"",-_ r- i
enz z m
""'~ C)
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
5//q/qq
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
c-
/(.
LOT
" (.
/
2N.o
ADDITION
(Address)
) 7<;"50
(Address)
6. BUILDER
(Name)
(Address)
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Depth
'""'-. G. /'
_./ v,
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-582-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
;ez.sD
12. NO. OF STORIES
PID 2S-Z27-{JO~-O
ADDN.
13. TYPE OF CONSTRUCTION
(Tel. No.) Lj.L/7 lit,
,t. "",)....v'
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 9-;:,-
Re-siding 0 Finish Basem~.)
SEATS
16. PROJECT COSTN~J.UE
_3 S 0'\ :.::.-
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
I hereby certify that I have fumished information 0 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
tha II co ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
ause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ede insj:1ections.
5/ ?
License No. Date
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
Side
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
~s ~k
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATIO~ liloc> . at")
SETS
COPIES
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid e',"l- r
Date n 2..~ I{ t1 By
that the re uest in the above application and accompanying documents is in accordance with the City Zoning Ordina ce and may proceed requested. This document when
Plann onstitutes a temporary ce~ ~.z~nr~lL~Pliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
Crty Planner ~ Special Conditions rt any
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM C-R"" S U
Division 1 2Q\
Permit Fee ................................... $ 817 .2. c;-
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
2.00
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Thi
By
Issued
City:
~\ ~\~L\
",'
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
<j{q < ~)-
'3. 5s 4-+--
24 hour notice for all inspections 447-9850
The ('enler of Ihe L.k~ ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'-
",,:'\,~.
~-;....
>" ,l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Denied
v
7}1?J~
Accepted With Corrections
Accepted
Reviewed By:
Date:
~~/Cj1
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."
'-,--~' --....--------.---.-------.,...,..,,-., '---""""-'~-'- '-.--,--,~
qq-SB2-
The Crn.eor or the l..kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
?f/IUI,o N6UI3~-1
5/~ /c;c;
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7530 SV/\/'ICrry G/!e-
Accepted With Corrections X
Accepted
Denied --A-7)R J
Reviewed BV....(2fj~ Date:
Comments:
~~ b~~~~L~<;;~~~j
)--2 {-9 f
"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 1'1<)~o ~onr~ QJ-.
NATURE OF WORK 5",~ F",~
USE OF BUILDING S ~D
PERMIT NO. crCj -5""82... DATE ISSUED 5' -"2. t{-?'7
CONTRACTOR p~;\ l.'f ~eu~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
- I
ill) I i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
-~-~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I t-t .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
----- --
BUILDING
ELECTRICAL
PLUMBING
HEATING
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.
Call between 8:00 and 9:00 A.M. for all inspections'
FOR ALL INSPECTIONS (612) 447-9850