HomeMy WebLinkAboutBuilding Permit #00-0002
DATE TIME
CITY OF PRIOR LAKE 1../2..101
INSPECTION NOTICE SCHEpULED '1.' ~()
ADDRESS 58 LJ3 CArUJ I N A L-- ~. TIl,
OWNER CONTR.
1-"..~ r . - -'
PHONE NO. PERMIT NO. ()O - 02- LI'-.
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION @) o SEWER HOOKUP o FIREPLACE FINAL
,tC FINAL o PLUMBING FINAL o GASLINE AIR TST
SITE INSPECTION o MECH FINAL 0
COMMENTS: L()weYL L87/1!::l-
jl1WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.,
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
;7~~;E6
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
5g1i3 &rd~'^<.1 R~~t2. <\-(- SE'
3. LEGAL DESCRIPTION
LOT 6" BLOCK 2-
C!1I9;ej;) / A//9C..r
~\;- ~
1. DATE
1- 0:$-00
Pu.D
ADDITION
PID ZS--Z.Q9- L12S-0
~/Oa.E /..s..-/
4. OWNER
\ (Name)
'-'~
5. ARCHITECT (Name)
(~dress)
( ^ bcV~
(Address)
(Tel. No.)
~tf7 - Zz.-e4-
(Tel. No.)
6. BUILDER
(Name)
(Address)
7. TYPE OF WORK
New Construction 0
[ '^- \alV~
Fireplace 0 Septic 0 'beck 0
Alterations 0 Addition 0 Finish Attic 0
_Qfef!T.eA~
9. PROPERTY DIMENSIONS
Width Depth
Re.roofing 0 Porch 0
/ Re-si~O ~ Basem~
10. CULVERT SIZE
Yes No
Dw~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
(Tel. No.)
1. White
2. Pink
3. Yellow
File
City
Applicanl
Permit No.
DO - 2-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
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 propeRY and that ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~. 'ng 0 .. can revoke j lis 'ust cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
X S(> 1- 03-00
- ignatur \ License No. Date
"--....J ~ FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
L&s #//C-
/
PERMIT VALUATION
/,00") .00
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
?c!. 75"""
Plan Check Fee ............................. $
State Surcharge ............................. ~ ____
.s-v
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~
,
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
24 hour notice for all inspections 447-9850
Pressure Reducer .......................... $
Meter Horn ........... ........................ $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ ~
Other ......................................... $
Total Due .............................. $~.s 25"
DO --{JOQ 7
Tho Conlor or Iho L.ko Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~(!,/-Ic-/ Ti!.. ~ vUIIN
. f
1/3/00
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5~ LJ3 MIGD I/I/,q L- //2/ D 66 --r7:2.-.
;(
Accepted
Accepted With Corrections
Denied.--.Jy;J /_
Reviewed BY:( ~~r
- /
Date: .1- (j' ~ tJ-c9a.
Comments:
,. f2eacQ. ~ ~~ h""l~
~J-
"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."
(...( '. ()2
White - Building
Canary - Engineering
Pink - Planning
Thr Ceonlrr of thr Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.. . I --,,0" -~
.,,' / '-, I.. I /?""
",~._~.__, "_ r' L---- / i ~_ .t'
/ . l
I ,.. ...." / --- /,'.
,i" /,l/
l ,.I ...,-~-~ / \,...... " ~
,7/)1-//' /\ I
'\......1 -_""II J Y
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, t;> c (.:>, . i/'. .. i/.' j /1' ;'1' L / i J (~ r..~
___' I l,--,,- \.., . 1/..... ./ / / y .-' . 1...../ .....1 c."
,.....
f../
f "-___ .
Accepted
v
Accepted With Corrections
Denied
/'~ .
Reviewed By: /~
v
I)~
Date:
).-' /- DO
Comments:
~~~ ~ ~vV s-~ ~"~e,J~ 0eJ.v68~.
liThe issuance or granting of a permit or approval of plans, specificatiQns 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,lI
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS -tlfJ'/3 Curd,.v-J !ll~ 1;
NATURE OF WORK - ~j t';"L--\.' q(
USE OF BUILDING 'rSFD -
PERMIT NO. Jj)J) ~ L- DATE ISSUED
CONTRACTOR .sz (' .Q,..I', t"L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I -cj- 2-0-6 a
INSPECTOR
DATE
I
) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/l
FRAMING ~ :;./ '{ ( bO
INSULATION z,/1/a;
ELECTRICAL
@ ,
HEATING (if required) r.!1!tJO
l/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
BUILDING
ELECTRICAL
-
(;h,
d/~~/
, I
HEATING fh, ~/c:J./O ( .
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 m<i!intained 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