HomeMy WebLinkAboutBuilding Permit 00-0498
DATE RECEIVED CITY OF PRIOR LAKE
/ 0 BUILDING PERMIT,
b J 3 (J{) TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00 ~0410
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
5:3'" Ft"e.~ck... -\- C.
3. LEGAL DESCRIPTION
( 0 BLOCK ~ PID
, cS Uuvi v1.tNJ ~'t'h M/JN
1. DATE
Is, I 3 CO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
4~~ - 0?4Q - ()~
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
(Name)
(Address)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
1S \'"" \ 0.. ""
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Ce ""'"'"o~-\
Deck 0
Finish Attic 0
NtJ
SEATS
16. PROJECT COSTNALUE
Re-roofing 0 Porch 0
Re-sieling 0 Finish Basemen!)('
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
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 ntioned property and that all cons ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buil . cia I can revoke t' ermit for j t ca e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ,- " IJ~Joo
License No. I o.<<e
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~ H-rc.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
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................................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . .. . . . .. . .. . . . . .. . . .. . . .. . . .. . .. . . . .. .. .. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
2.ob
~
b\'d-~OO
Pressure Reducer .......................... $
Meter Horn ... .... ......... .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
err. ~S"
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $ -----z.t 0 . 00
\,
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $~O · 'fJ6
;~iS A~es~~~'~:t:"it2J;J7b~
Certificate of Occupancy
Issued
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdinance and may proceed 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.
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
OD- o~qi
Thr Crntrr of thr takr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATIIDN DEPARTMENT CHECKLIST
NAME OF APPLICANT 1)r\()...(\ l~~o ~
APPLICATION RECEIVED :)Vr)e.. _ ::\t\ \ Oel 0
The Building, Engi~ and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,-~3 , I Fee. mnrv\- C,i r( 10 N LV
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
Date:
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.1I
o~-ottq~
Tht' ("t'nlt'r of Iht' Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~'l (\.f) U. ~:~
APPLICATION RECEIVED :J\. ) 'f)~. \ \11 o-aO
The Building, CIIQill.'" i, ~, and Planning DE~partments have reviewed the building permit
application for construction activity which is IProposed at:
33 b I Fr-~AY\m}L (~\^(.tD... (\JLV
X
Accepted
Accepted With Corrections
Denied
Reviewed By: 13~ ~ Date: ~/13Iaa
Comments: r<c:;~O B~5E ^",El'Ji hN\SH f\~o-ou.T
AN b A.LL Tttc= I NfZ,12-~~nt>,.j ~N THE""
MfJ ~ v&iJ ~ L~1J$,
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 D,~PARTMENTOF
. . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~3" , FrzEMONT Crz.. tJ. W ·
NATURE OF WORK ~a.:rI~L ~~ScVv'.e:Nl HN IS M
USE OF BUILDING ~# Ayl (L
PERMIT NO. ()O.. ~ [)ATE ISSUED ~ f 13 (0 <'
CONTRACTOR 'Ba.'I'\N t)~\ Pf'\ONEtk ~5z."'l(L{o"'7~4(,:,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
..
INSPECTOR
DATE
I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- [ I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
1- 4--,-() Z-
~
'I,. /--., 0"-
OCCUpy UNTIL A~BOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections ha-.:e. 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 INSPECTIC)NS (612) 447-9850
Cl:,L/- O~ 3 3 ()
3 3 b I FvtJl!)1{J It[T- me cr
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CONTR. w ,/
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CITY OF PRIOR tAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIC}N I
)a"'FINAL t..- '--
o SITE INSPECT:ION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
, t'
.(.' ; .
DATE
TIME
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~RK SATISFJtTORY, PROCEED
o CORRE' I N AND PROCEED
o COR R~ O~. K, CALL FOR REINSPECTION BEFORE COVERING
rc~ I ,,---
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Inspe r: Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/I'iSIVOTl
CODE REQU1REMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI