HomeMy WebLinkAboutBuilding Permit #00-0009
DATE TIME
SCHEDULED e-7-t>d-. /,,' ~ t?)
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/t:,Cf0 (
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION fJ
o FRAMING
o INSULATION
FINAL
: SITE INSPECTlO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL "..,7,,'
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COMMENTS:
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(I{)~
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o -000 9
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~cJl
)oNORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
.. - 7 2000
o O-o{)o9
Permit No.
. 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
~ to r; tr I ~/Y" ~k,;'< (" N.I-,-
3. LEGAL DESCRIPTION
1. DATE
OI-07-tt:>a
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
fl.1
SLJ
~
PoNQS
12. NO. OF STORIES
2-
/NEST8V,eV
(Name)
{;l'.} ,I},"(
(Name)
PID 2-5-3013- 03Z-()
1ST
LOT
ADDITION
BLOCK
13. TYPE OF CONSTRUCTION
4. OWNER
(111(J\tJ~J
5. ARCHITECT
(Address)
/(,,4(,1 S"VlfJklYls
(Address) .
(Tel. No.)
(~rJ-lIl1 7- 711 ~ l/
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
~
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7.~1'wORK
New Construction a
SEATS
16. PROJECT COSTNALUE
Fireplace a
Alterations a
Septic a
Addition a
Deck a
Finish Attic a
Re-roofing a Porch a .
Re-siding a Finish Basemen~
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. 9 t$""
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
~
I hereby certify that I have fumished 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 ~,ro erty and that all construction will conform to all existing state and local laws and will proceed in accordance with sUbmitt,ed plans. I am aware that the
:Uil . icial an r thi ermit f j tT' Furthermore, I hereby agree that the city official or a designee may enter upon the property to PO;": Oed7~ons.
. Signa re License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
a ENERGY DATA
a
Front
Back
Side
Side
PILING LOGS a PERCOLATION TESTS a
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS a
SURVEY a
SETS
COPIES
L!.es ,q/~
,
USE OF BUILDING
t..{ . (")r)n . ~ '""
PLOT PLAN
a
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
ell :~"
Permit Fee ................................... $
Plan Check Fee ............................. $
oz.. 00
State Surcharge ............................. $
Penalty ....................................... $
blumbing Permit Fee o.Q::.p.Or;lJ. $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
;Jf
fV( 1 00
J vQ~
",f;
qt), 00
Sewer & Water Permit ...................... $
~)1....~.~.;~lIwh"Ar..""1.~ D
~~'~~In~ Date -1 - 7 - 0
Certificate of Occu~cy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. LJ 2.. 'f. 2S
Paid / Z. q, z 5 Receipt f\!o. .3'" 71"
Date / /2-7 ~{J
This is to certify that the request in the above application and accompanying documents is in accordance with the City zonitg Ordinlnce and may pr s requested. This document when
Si9~ the Cil":!;nner constitutes a temporary Certificate of Zoning compliance d allows construction to comm"e~ Before occup~rtifica e of Occupancy must be issued.
_"_~ ~~, I-t\-~ "~-t-""~. .
Planner Date Special Conditions ij any
Issued
24 hour notice for all inspections 447-9850
The' Ce'nte'r of 'he' Like Coun.ry
. , I" i".,
/ ' ( ( ./ /'
White - Building
Canary - Engineering
Pink - Planning
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:
/ /. i> ( ;
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Accepted
v
Accepted With Corrections
Denied ~
Reviewed By: ~~_
,/ ,; .
Date:
/-ll-eD
Comments:
,~weA ~ ~VI-t~k ~B1M~ 10 ~-
_ ~AlM~~ ! ~ I ~6eW\ I ~~R luwl
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"The issuance or granting of a permit or approval of plans, specifications and
c.omputations 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 eenler of Ihe Lake Counlry
oo-ooOCj
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
GUNOL.-ACt-0 H/~b
1/7/2000
/ ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(P9(P/ S/HPK:..IN.5
G/ e(!.,~6 sw
Accepted
Accepted With Corrections X
Denied n y? j
Reviewed B~-A::
Date: I-?-fl
Comments:
(ZeuJ ~"~~J t;'~J~ .ff~ .JL~
"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,lI
PRI,OR LAKE
INSPECTION RECORD
0-,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Itot Cnl SI+~\A3
NATURE OF WORK F;~ 1:- ~',^-\\q l...
USE OF BUILDING SF'f)
PERMIT NO. ~O - 09 -
CONTRACTOR Ct-I ~r.PL._~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
/ - 7 - JOrQ
INSPECTOR
DATE
I
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-
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FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
E
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ill? 1u71
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BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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4 ~/~~
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
J
?/7/o '&
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"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