HomeMy WebLinkAboutBuilding Permit #00-0197
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) ,I r dATE ,~_EC~IVED
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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. sn AOI')AESS
3 -~q- 00
~(\}()Le R. olPtlr< I N. e, ;e/50
BLOCK 7- PID Z5-'ZEKo-028-0
~e,e//lf.3& IIlu.S 2ND
(Name)
~RAD DRQfJFrJ
(Name)
\ 4 s'el1
3. LEGAL DESCRIPTION
5
LOT
ADDITION
4. OWNER
5. ARCHITECT
6. BUIlDER
(Name)
~A()\€ F\ ~ A ~c) v(
7. TYPE OF WORK
New Construction LJ
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace 0
Alterations 0
1. DATE
(Address)
~Af"I\l ""~ p,[!.O\lfL.
(Address)
(Tel. No.)
"'/~ ']01 -'} I~S
(Tel. No.)
I. White
2. Pink
3. Yellow
File
City
Applicant
(Address)
(Tel. No.)
Permit No.
()O -0/11
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding LJ Finish Basement)(
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 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 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
build~ official Wn rev9~ this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x-DAAAI- ~ 03-.:)."- QtJ
Signature License No. Date
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
K!Es /-J/ R-
,
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee...................... ..... .... .... $
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ...................... ..... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ JOOO. t:!Jr,
City:
81'} .'- ~
"Z..C> 0
40 -00
~~
l.(o ..fX)
e Permit ......... i . .. .. .. .... $
mes Y9i. BuildinctEermit W.hen ~r~v:?_
^... DatI!. t;--~
Total Due.............................. $
Paid /(,t'f. z ~ Receipt
Issued ~-
Date 4 /1J7) By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni g Ordi'nce and may proce s requested. This document when
sig ~v the Cit,:. anner constitutes a temporary Certific,ate)2t ZO..':!in.9 comPlian~ws ;::;;;.. ~o Cmmenc:j;fore occupan~, a Certifica e of Occupancy must be issued.
L1'~"6-D .... _..o.v~ . I' ~~~
City Planner .. Date Special Conditions' any
Thi
By
Certificate of Occupancy
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS LJ
SETS
SURVEY 0
COPIES
PLOT PLAN
o
(jU · 0111
Thr Crntrr of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D/CON6N, BenD
3/30/00
/ I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4569 t5R/Ot,t5 RIDcqB 'I/C N6
r - ,
Accepted
Accepted With Corrections ~
Denied ///J{
Reviewed By: ~ ~
Comments:
Date: 'Is: ~
,. ~ ~ bo-~ r;\A..~-!.~ \-J~oJc-
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."
. ~
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The Cenler or Ihe take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J~/)~:' (/ Ii,./' 61'v// !;/',f::/'I U
// C/ II(~. C'
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The Building, Engineering, and Planning Departments have reviewed the building permit
application tor construction activity which is proposed at:
//4/ :::;,- [:/0) Ic/ /I.:./{ c: ^- /t.> {;:; (~::. / I't/E-
I
Accepted
Accepted With Corrections
v-
Denied
Reviewed By: ~~
Date: L/ -- !)... C90
CoAments:
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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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~9 1Stid\e. e,~' ,~.
NATURE OF WORK ~~ ~\A'''~~
USE OF BUILDING ~FD
PERMIT NO. IJ7) --0 /Cf7 DATE ISSUED 4 -2.:2000
CONTRACTOR ~~ D'tov\~(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ t- t=7~ h. J/JI/()/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I - iI
A w""
'fl)1'1 W..Y / ...
I~.y
tY1~
1
FINALS
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
A:r
~
~
UNTIL ABOVE HAS
NOTICE
, q;UJ01
~./)/, /;'1
UI j/0jV/
BEEN SIGNED
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, carcJ.shaJl ~e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3. lee- D I
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ADDRESS
14-58q g~(DL6 IGAO~h-'~
OWNER
CONTR.
PHONE NO.
l..-L,.. oC-ICf7
PERMIT NO. :::>, "" R..$ o/') - q ?,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION tr\
FINAL t,..... L.,. ~
~ 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
~ 0 GA. SLlNE AIR TST
lJ:S/ ~ $~ ( r2- ~
COMMENTS: "I;'""iii"\i.-~-'.!!'"...!-'-' -"'-.~
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""""-~Aa~~~~~:
"-
_._~
il WORK SATISFACTORY, PROCEED
(~ CORRECT ACTION AND PROCEED
o CORRECT W~ALL 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 & SAFETYl
INSNOTl