HomeMy WebLinkAboutBuilding Permit 94-0228
REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH ~D SAFETYI
S OO~~OOOO ~ 0 ~
K ~m~OgZ~~i8 ~ ~ 8
m z>r-C'-I ." m :v
'V cr-r-~!:::! ::z: :II m
::or~ ~-4Z25 0 en
~ (5 . 5Ci) z en
z 2: m
z
!=>
f ; ~
~ i
it - ::!.
o 0
~ 0
,. ~
COD
n 00000
~
~~88~
;1l~II::O;ll:
~~~~~~
50-4-4-4-4
~~~~~!
o ?,;ll:~
i~ ~~~
m of'V:'!=
. oz.,,~'V
>r- O~~
r-r-_ ~
r-zo- mm
-4enZ!!!Cm
O'V~z C
>m_!(f
::OO-4m
~a~o
Z::OZ::!
Ci)' 0
m Z
> CD
g q:
m 5~
(I) em
. ::00 0
enO 'V
. < %
z~ O~
!(fz
~Ci) ~
a ~
::0 Z
~
F
r-
::0
~
C
::0
~
I
I
..'
i
t
~
I\)
Cot)
o
00000000
'V en (I) (I) ~ ~ i: ;!! (')
Emm~~>mc Q
~~~mm~~~ 0
~oo::o::o::o>~ W
!~zO(l)5~!
:!!~~2~i~:!!
~. FC$c:b
r- . 'Vz'V-
i
00000000
i:!!JRCi)O~~~
m::O'V>O;ll:om
Om-4en~m
~'Vo!i~(I)~~
~~:!!m-oa'V
om~>~::O~~
~ ~ii ~25
." -4 ~zz
~ m r-~
_ -4:._
. zr-
oC
(l)Z
Ci)
8
z
~
;II
C)
rot
..0
" i n
!D . ~
· m 0
=t ~ ~
o,z (5 ."
Z :II
Z ;
..i) ~ ~
..c:. n ~
\ "' m
~
f
-;
o
If'
~
~
,
,,~
~_,....-:l~
l. White - Cirv
2. Pink - Applicant
3. Yellow - Assessor
PeRRlt No,
C1.~-L8
DIRECTI
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom
2. SITE ADDRESS
\~2 ql LA.~;de ^~IJ,(; S.t.
3. LEGAL DESCRIPTION
LOT~~LOC)(
ADDmON .tLa..~;c;!.t p~~ II
1. DATE
S-a..j-CfL/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth) (Depth)
12. NO. OF STORIES
PID ;l S"' -0 q~ - OO'1-J
(Tel. No.) ,')
~.E. Lt47-~.:::u
(Tel. NOr)
. S6S - ;t'1"l
(Tel. No.)
~ . SJ? L/l- 053
13. TYPE OF CONSTRUCTION
W()~ d. -R--o...'t'nt:.
14. FLOOR AREA APPORTIONMENT
USE
Yes
No
15. NUMBER OF OCCUPANTS OR
SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
000 ' CO
17. COM LETION DATE
\V~.J"C-~ IqqS-
New ConstructlonD
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
. Ft.
ResldlngD Finish Basementt)l.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
I ~ certlly Ihall have lurnlllled Inlormatlon on thll appllcallon which II 10 thl bell 01 my knowleclgllr"'lnd corrlct. I 1110 certify Ihlll 1m the owner or lulhorlzlld Igent
lor lhe 1_ mentioned p operty Ind Ihll III conllructlon will conform 10 IlIe.lllIng IlIle Ind 10ullewI and will proc_ In accordence with submllllld plens. I em eware thll
lhe building ollie lei cen, okefhls permllfor JUII cauII. Furthermore. I hereby egreelhallhe clly olllclal or a designee mey enler upon ,he property to perform n_lId Inlpee.
tX' . ~ /tJaM (;)7 /191../
-r:;r Oil.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Fronl
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
Side
PILING LOGS 0 PERCOLATION
~ TEST 0
PLANS & SPECS SETS
SURVEY 0 COPIES "L
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING ~~""~
p;-;... : ~h
TYPE OF CONSTRUCTION; I II III 1\<Sb
Occupancy Group A BEl HcB>M
Division 1 :ld)c
Date~-/4-44
(...., :r~ 0 ~ PLOT PLAN
Amount Brought Forward. . . . . . . . . . . .. s I'::;: { - ~
Park Ded . . . . . . . . . . . . . . . .. . . . . . . . . . . .. S
Sac. . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . .. S
Plumbing ........ . . . . . . . . . . . . . . . . . . .. S
Sewer Tap. . . . . . . . . . . . . . . . . . . . . . . . . .. S
Sewer Hook-up. . . . . . . . . . . . . . . . . . . . . .. S
Water Hook-up. . . . . . . . . . . . . . . . . . . . . .. S
Meter Horn . . . . . . . . . . . . . . . . . . . . . . . . . .. S
Water Meter. . . . . . . . . . . . . . . . . . . . . . . . .. S
Check if DSewer & Water Connection Fee... .... S
Deferred DWater Tower Fee..................... S
Water Tap. . . . . . . . . . . . . . . . . . . . . . . . . . .. S
City Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S
Total Due. . . . . . . . . . . . . . . . . . . . .. sl C ,. ~
Paid It:; I. 50 Receipt no. 2..3't ~i"
Date ~ht..ftfjt} By TO
above lIPPllcallon end accompanying documoonll II In accordance with lhe City Zoning Ordinance and may proc_ es requelled. Thll docu.
111t.- ~ li;;:;~lcate 01 Zoning complllnce and ellows conllrucllon 10 commence. Before occupancy. I Cerltlllcale of Occupancy
Date Special Conditions it any
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
City:
Permit Fee . . . . . . . . . . . . . . . . . . . . . . . . . .. S
Plan Checking Fee. .. . .. .. .. . .. .. . . ... S
State Surcharge. .. .. .. .. . .. . .. .. . .. .. S
Penalty.............................. S
Septic System.. . . .. .. . .. .. . . .. .. .. . .. S
Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S
Subtotal. . .. .. .. . .. .. . . .. . . .. . . S
C1 O. 0"
~~. s:b
..3:., ~ ~
I s:- L .$b
ecomes Your Building Permit When
Certificate of Occupancy
Issued
City Planner
24 Hour nollce lor all inspections 447-4230 9:00 I.m. . 10:00 a.m.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT !J-J:J..7/?t/ Jl-it1fU ~kLa..J
APPLICATION RECEIVED ~
The City of Prior Lake BUILDING Department has reviewed the
building permit application for construction activity located at
/~.lf L ;;fAh41/iJ..J ()AH/ J G.
Accepted . ~nied
Reviewed by: ~
Comments: .1-. E:.~
Accepted with Corrections ~
Date&/4-~4
~.b..~ \"'- ~-. ~-
a .:.., - ~~ ~~s..
N.-*-.a ... "
"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 1t,J-L~'};j;V.
NATURE OF WORK. /
USE OF BUILDING
PERMIT NO. 1tf.j'<'! .;),. DATE ISSUED tldlfY.
CONTRACTOR Klt'---' /V"ll.La,/
NOTE: THIS IS NOT 'A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING / *. k. ill"-
A
INSULATION V _I. J._
'^ "YJ..., ., ')
ELECTRICAL L
PLUMBING /1 .L/__
Ut..v
HEATING (if required) j - 1 ,
FIREPLACE I
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
GRADING (Prior to Sodding) I
BUILDING ~. '1/Y3 I~ i
ELECTRICAL U
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 447-4230