HomeMy WebLinkAboutBuilding Permit #00-0263
.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
Permit No. Do. Zb.3
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please!rint or Type and sign at bottom)
2. SiTE AtlDf;teSS _ ~ \0
A~"'. !r~ <ST S.E,
3. LEGAL DESCRIPTION
1. DATE
UN\T415~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
ADDITION
4. OWNER
BLOCK
~tz\ t'T1cr-J
PIO -25"~OZ .'~S-O
13. TYPE OF CONSTRUCTION
.
(Name)
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER (Name) (Ad.d ress) I:.~ ~~ ,(Te~ .M
~W~ ~~~~ Fl<(~1~~b7~
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction 0 FA, ~€ns 0 d-~itsionTo o...lin~~c\oO ... ~e-siding 0 Finish Basement 0
Chimney 0 Misc. . ~ p.,.......... I N
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
1 O. CULVERT SIZE
Yes No
16. PROJEZ.~O~~
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
building o~~' lITlit for ~ust cause. Furthermore. I hereby agree that the city official ~ss~enteupon the property to perfo~ ~ede~nspections.
X ~. -' ~ 'J... .-" 7 _ / --r 2.,.0:)
r.. _'\)Hd'r~r~ ~ c,R.I!:t. PDVJ~S License No. . Dete
\ \ FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
USE OF BUILDING
R.E-S
A(a.
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN COOop-- SURVEY 0 COPIES
~ ,VC->. ... PLOT PLAN
PERMIT VALUATION 0
Front
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. . .. .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Permit Fee ................................... $
Plan Check Fee ~Ir.. ~.............. $
State Surcharge ............................. $
t2f:7S"
~'so
Penalty ....................................... $
Mechanical Permit Fee ..................... $
"
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Plumbing Permit Fee ....................... $
Certificate of Occupancy
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $ _
Total Due.............................. $ IU ~ 2..t:;
Paid t~. t..C Receipt No. ~L.
Issued - J . .J OJ'JA-
Date 1" 'L4f'-llJD By '~vtf]-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning )rdinanc and may proceed as requested. 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.
. . ':'~~:fi:: Ap~ro~ -z+/o D
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
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t5~ 5'ftl-kCf / ~'tntyl(}1'1U-1 f'/H~ PA26~
V-e"X..- e(~ I J{)~ -1 '/ 111111 Ei ec-77l.A C:-A<-. Fi X T{/~
e A:t<.P~"lt ~ / t()/N:Doz"J,
No Sf"pJ)6-1lJ~11L )ltMfr~ Ft:>uNb.
CITY OF PRIOR LAKE
~~:7~~-3
t"S MIuwir,J:II#.... CClUllmoNl AS NOli:';
D NOr ~1~IU1ICf a RESUBMIT
...... Illa.fIr,.,WIf..J1f.rLM...lhllllledone
In'" I ..... 11 ta ... II ~1fnJ1 fa ....... . __ code ...
.. -. . . ...... _ .. ..~~ .....In this review.
KEEP THIS PLAN SET ON SITE AT ALL nMES.
PRIOR LAKE
INSPECTION
RECORD
4;1 \ 1- l~ <;'-.. S.c. OfaJ\T" -+15(..
TYPE OF WORK ~ A:-/(L.
USE OF BUILDING t\ ~ f? ~fZ..A1\....J
PERMIT NO. . DO ~ 2-<P"3- DATE ISSUED 4( 'ZAr r c:c.
BUILDER p~~ k S~ll..A't(',.J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
DATE
~ I
PLACE] NO CONCRETE UNTIL ABOV.....,E HAS BEEN SIGNED
FRAMING (ftv5 ~~ &t. $11 /00 ~ ff;--j--. ::;/9/~
-, . I . I
FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE
TIME
CITY OF PRIOR LAKE -.../
INSPECTION NOTICE SCHEDULED ~ ~ l' 00
I
ADDRESS L{ 13 6 T 0\A.)e x- ~
~: cro
OWNER
CONTR.
PHONE NO.
PERMIT NO.
ao - 6 ~~ ~
o FOOTING
o FOUNDATION
o FRAMING
i:NSULA TION
FINAL
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:
1\ ^ (J~P (II~ '-- .
~ / . cJ \ ~\\ 1\-l<-S
o WORK SATISFACTORY, PROCEED
~CORREC~ TI AND PROCEED
o CORRI7CT W '. ' CALL FOR REINSPECTION BEFORE COVERING
Inspect{/ i) Owner/Contr:
C~447~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 473(, IOW<A.. Sr
OWNER
PHONE NO'JMAI-~ L{73b
CONTR.
PERMIT NO.
~
TIME
Il ~3V
6 - U,3
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ 0 MECH RI
A:RAMING 0 WATER HOOKUP
INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ fOOd/l~ fu:l)ye;:h7m
4~~~~~.~
.AR~ ~~.~/~.0f
~ f~.L- ~ ~ err---
~ f}~, ~' /
../ .
~~ oL-
~~J &1-
tr-L ~ ~
,-. ;-.--k-
g~ ~(l
~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
o WORK SATISFACTORY, PROCEED
X]CORRECT ACTION AND PROCEED
I 0 CORRECT WO~L FOR REINSPECTION BEFORE COVERING
Inspector: V' + ( Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS Lf7f b- '()lAJU/' S t- I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATIO~
~ FRAMING
~NSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE, TIME
5/07/[/0 AT
7 I
Sf' t ) (\;t. LI'7&
07) -(lQ ~~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:tO I//~ ~ Pn ~~
~ ~g2T '~i
~ J?()~//~ ~O ~J/7A.JJ~._ ~
- . " 0 4.X (j-OV;-~-
~ )J~ .~~ /-.~
75).~ ~y)
/1Nl ~~~.~~~~
.Jd.tJ J ,tv
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
TCORRECT WOmzfALL FOR REINSPECTION BEFORE COVERING
Inspector: TO f I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl