HomeMy WebLinkAboutBuilding Permit #00-0145
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
_'13X11
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
1~5t
3. LEGAL DESCRIPTION
10
/51 A.DON~ 7V
.o~
LOT
BLOCK
ADDITION
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
O(J-D/4-5
1. DATE
3/14f/ CO
1<./5D
BUILDING INFORMA liON
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildin . i can pe fo' st cause. F he ore, I hereby agree that the city official or a designee may enter upon the property to perform feed inspections.
X :(/7,-3 3 I "0
license No.' Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
,ees /I/~
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
--....
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
TYPE OF CONSTRUCTION: I " III IV V
PERMIT VALUATION 2, ~ .0 e:>
o
Amount Brought Forward .................. $
Park Support Fee . ...':':':-.................... $
SAC . .. .. .. .. .. .. . . .. . .. .. .. .. .. .. .. .. .. .. ... $
Collective Street Fee .. .. . .. .. .. .. .. .. . ..... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other .................................. ....... $
Total Due .............................. $
Paid . DO
Date z-.
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdina and may proceed as equested. This 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 must be issued.
City:
Occupancy Group A B E F H IRS U
Division 1 2 3 4
Permit Fee................................... $
7"'. 7 S-
Plan Checking Fee .. .. .. ... .. .. .. .. ... .. ... $
State Surcharge ............................. $
I , ZS-
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Building Permit When Approved.
Date ~ - :lL-~O
Issued
City Planner
Date
24 hour notice for all inspections 447-4230
Special Conditions if any
PLOT PLAN
00 .- 0 /4'S--
The Cenler of Ihe take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
M"~a~, t2uSC.O ~~
APPLICATION RECEIVED
3- L7-<~OO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~9~f:J \?vc"-€ Q,~~ 2,4
Accepted .x.
Accepted With Corrections
Denied ~ J ___
ReViewed-;~~ -
Comments:
Date: :r-22-~
L-llpcOnL S~D~ d.de~ :I:\.I-our- 00+ ~ hous.~
2. Qli..U t;r t:'ra.........O a:- ~..........t :I.......~t2"t+l~
liThe 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."
60 ~o /~s--
The ('enter of the L.ke Country
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t\,.\.,c"\
,"j
f/ ,.'...-
,. ! ,;)
.-1 " C
~. - i
'~f' ('-G
The Building, Engineering, and Planning Departments have reviewed the building permit
application ~or construction activity which is proposed at:
I I ,- " " ""'j n
I' t.. C I Y ,\ r' \..j. {f" (jr- . ,(,
Accepted x
Accepted With Corrections
Denied'''' .---.\
J
.., i
Reviewed By: \/'". I
Comments:
'7)
/>
.
I
1. '_"
) -r-~. "
. . '"
Date:
.2 ' ,,':)rY:J()
j u J. J.! ,;) t,\ ,Ii,,)
L
I (
r. .
9
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... ... "
liThe 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
\b\~ ~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 14' 58 9:xt~
TYPE OF WORK C ~ (1)
USE OF BUILDING ~~5;)
PERMIT NO. 00 c_ O/4S- DATE ISSUED s-'2.2.-~coa
BUILDER n"",,^~~o~ lZvc;;c.o ..T~ Co.. '
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
I ~ 9Mok ~~c.~ I L
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I
INSPECTOR
DATE
I FI NAL
~, Ul.{ 2.."t(fn)
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
.t .'
ADDRESS
/ ~ 95 R
DATE TIME
SCHEDULED Iz/e..e:r / f)() I (!),' 00
?IX/& &Ci/2~L6
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()-ILfS
o FOOTING
o FOUNDATION
o FRAMING
!INSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: CA,)tJ 0 $
t
~
,J(lWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl