HomeMy WebLinkAboutBuilding Permit 00-0590
DATE RECEIVED
r,/UJ/ro
CITY OF PRIOR LAKE
BUILDING PERMIT,
)TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNEqI,QJ)I ~ERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
a FQ II. I SUED (Please Print or Type and sign at bottom)
PI )t. &" e
P" d-,- C4" ~ SF',
All Sf)
(Address) '/17- S'f2.. 7 (Tel. No.)
f}, ,)( ~ ~'2- 'I 2 -IJGI-=
'}:tt:'c/v 1~ fJ.r? IIxo 7
Fireplace CJ
on CJ Alterations CJ
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Septic CJ
Addition CJ
Deck a--- Re-roofing CJ Porch CJ
Finish Attic CJ Re-siding CJ Finish Basement CJ
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City~
A~
11. SIZE
(Height)
(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 furnished infonnation 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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revoke this' us rth re, I.hereby agree that the city official or a designee may enter upon the property to perfo~e insp s.
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......................................... $
Total Due.............................. $
Paid' f I Receipt No.
x
License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING
~
~/IL
I
PERMIT VALUATION ~
CJ O. CO
SPACES ON PLAN
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 (!) 4
Pennit Fee................................... $
~ S U
~2.. 2.S
c..fD. L( (,
l.~o
City:
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Pennit Fee ..................... $
~~
1-1
Sewer & Water Pennlt ...................... $
Gas Areplace Pennit ....................... $
~is~m~~ing ~;r:itVZ7~1;;:'
Certificate of Occupancy
Issued
Date
24 hour notice for all inspections (952) 447-9850
./
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS LJ
SURVEY CJ
PLOT PLAN CJ
SETS
COPIES
... ....
~
..' ~
. .
P R 10 R LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITEADDRESSlJJ'tol.( f',)((E Po;,.J\E c;~ s.~.
TY'PE OF WORK ~ E;tA..:l l.c-wE'YL ):::>~
USE OF BUILDING {Z-Cs AI r<.
PERMIT NO. ()().0.590 DATEISSUED LoI"50/tHJ
BUILDER A-fPLc c..eN~I' ~t2-- 80(- lloo7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE 'PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I '
PLACE NO CONCRETE UNTILlOVE HAS BEEN SlqNED
~ FRAMING .. I _" I ?/II.//pb
'---~E IE!"-IIGI. f'~.M"
J FINAL I ~
Call between 8:00 and 9:00 A.M. for all Inspections
. FOR ALL INSPECTIONS 447-9850
00, O~D
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr of thr Lib Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
E.L-/'1r'
b/ 2-8 0 O'
TOM
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4LJh4- {/IXI6 P / (J/e(!~6SE:
X
,
Accepted
Accepted With Corrections
Denied
,.
Reviewed By: .s. II ~ ,?.L' ~ fLJ
Comments: e~ 'j;)ECfL. ~D -ob7r" ~r-Jo ~'-L.
OrJ ,t-tG" ~(2Atf6D
Date:
t /5CJ/()(J
IJj~ 1~ ~~hAAr(().J
~LJ.J~ .
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."
/.
----",.--~_._~_.~-;--'--~-,._---
'\'l;....t"':,' .,__",,';-- ,,'
. ~~: i
Th~C..ter of the .....~ eo...ty
0.0 · o~~
White. . .~...
C8nary .~EngInMrIng
Pink .. i.' Plllnnlng
. ;~~;' ~~;\;t~i~~}~!"~,~;
BUILDING. PERMIT APPLICATION DEPARTM t5 NT CHtECKUST
NAME OF. APPLICANT
APPLICATION RECEIVED
6,(,1'161<:., TOM
b!-2B/OO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4CJh4-- PI ;x: 16 PT C/~eLG 56
Accepted
Accepted With Corrections V-
Denied
Reviewed By: L. ~~
Date:
'1- lL'eo
Comments:
~'"&\J-tJ ~ ~ ~~~k: Wl~
~~~~\.40\~~9'V\5 .~ ~~te..R ~l
~ ~~~ k< cd- f-to ~~>.,
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
SCHEDULED
7fk
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
'\ ~.. "Jo
ADDRESS ,~qfe, ~ f, IX lL- Ef- C~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0.. SC}o
D FOOTING D PLUMBING RI
D FOUNDATION D MECH RI
D FRAMING fr D WATER HOOKUP
AD )NSULA TION. D SEWER HOOKUP
V' FINAL D PLUMBING FINAL
D SITE INSPECTION D MECH FINAL
COMMENTS: d er!.-
D EXIGRADIFILLING
D COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
D GASLINE AIR TST
D
,c_
or"-
V,PROCEED
PROCEED
LL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
1NSNOTl