HomeMy WebLinkAboutBuilding Permit 00-0553
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
tp/30/00
- 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" ~ '"5L.f
3. LEGAL DESCRIPTION
'2 ~. ~
LOT ..)
ADDITION tl\/l.Jt'~
_., (Name) I I
.~."'~"." 1< ~ 'Vl roe- or \ } a.J4..fA-~c.. -c ""
5. ARCHITECT (Name)
n~h f>o,n~ ~
BLOCK ,
Q1'A- At1)N
~E
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
DO ~0553
1. DATE
~ / , /00
R/50
BUILDING INFqRIIA TION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID a~,.. (j 4 'if -00 4 ...()
(Address)
(Address)
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
c:..c ( <.
(Tel. No.)
':sri5 -- S1:4 ~
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~"
f/lDHS
~i:t~OFWORK ."
1Wlteonstructlon []
(Name)
(Address)
6FL-4Y7-LfO')
dv; \ol~
Septic a
Addition 0
Dec~
Finish Attic 0
Re-roofing a Porch a
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNAlUE
Fireplace a
Alterations 0
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
. 1 O. CULVERT SIZE
9. PROPERTY DIMENSIONS
Width Depth
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 mentioned pro~ 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 official can revoke e', for just ceus Furthermore, I hereby agree lhet the cily offIdal or a designee may enter upon the property to POrto? nei. I..ns....... p.~ .~ s.
xl <..,JI'. ZeJO(PQ-5Q7 -,;;:-C(U
V License No. ". . '.. /
FOR ADMINISTRATIVE USE
Pressure Reducer .......................... $
Meter Horn... .. .. .. .. . .. .. .. .. .. .. .. .. .. .. ... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Pa~ ~e ...................~~~o:~ ~
Date '-S" ...~OO By ~
This is to certify that the request In the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
si!JIed by the City Planner constitutes e temporaJy Cel1ifice1e of Zoning ~Iance and e110ws ~ _to """"D""~~~~ 01 ~ IOOSI be issued.
City Planner Date ~ Special Conditions if any ~L
24 hour notice for all inspections (952) 447-9850 \J
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING ~
A1
:r,~
-"\
'-
PERMIT VALUATION
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:
Plan Check Fee ........ ............. ........ $
State Surcharge ............................. $
"'7c.t. -Z S-
~~
I.S:O
Penalty..... .................................. $
Plumbing Permit Fee ....................... $
~~
~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
m - ~."~"."':i:.~':_WC:~~ ...-.
~ Date - 5l/-rOO~
Certificate of OccuZcy
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS a
SURVEY a
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .. .. .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC .................................. ....... $
Collective Street Fee .. .. . .. .. .. .. .. .. ... ... $
Sewer Tap ................................... $
$
- ....
...,
.. :
P RIO R LA K E ~~rtD~~:~r::D~:SPECTION
INSPECTION
RECORD
SITE ADDRESS JSS5'1 ~ fll- R.{J,
TYPE OF WORK i:kc~ ~ t:t "xs ~ ,.
USE OF BUILDING S~ D
PERMIT NO. 0.0 -()55~ DATE ISSUED (.- 30-~
BUILDER -11.a k,\ t$v"((r~ ~
NOTE: THIS '15 NOT A PERMIT FOR A~Y OF THE INSPEC"fIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1~.s3'-1
,.',--.;.' ,~"
SCHEDULED ~o,
~ P~f @~
A~ /',
OWNER
CONTR.
PHONE NO,
PERMIT NO.
{)o - 553
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
JJm FINAL {Y
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FI"-'
COMMENTS:~ It
.. '11/'>'
~,,:_~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'.'
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~L FOR REINSPECTION BEFORE COVERING
Inspector: ~ . Owner/Contr:
"J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl