HomeMy WebLinkAboutBuilding Permit 00-0662
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
'7/131 , oD TEM:g~~~YC~'i.~~~~~i OF
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Appli~
.\f
,<Y
- 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
1'1147"\ ~\l{'"\rl~
1. DATE
'1 / ~ ,ICJO
I Rj/s{)
11. SIZE
(Height)
~e
4 PID 6>S- m- ()~
) 1i II \ McLi tl't_ h\
(Depth)
12. NO. OF STORIES
3. LEGAL DESCRIPTION
~ BLOCK
"',~
LOT
13. TYPE OF CONSTRUCTION
ADDITION
(Tel. No.)
'I~ 7 - '1111 cJ.,
(Tel. No.)
(Address)
/il '10 4fi()N/l,(r~ ~t:
(Address)
14. FLOOR AREA APPORTIONMENT USE
(Name)
It J L i>l:81J..,Iu.t J)T
(Name)
4. OWNER
'3fAIJ Nt,..
5. ARCHITECT
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address) _
It?.( hi lNJcC ,-CIR-eL~
$- H A fC,. r:> .., f, I!.. If? JJ
PI'S' 1-I&,JH&,S' W () A t' (Ul>"~ of
7. TYPE OF WORK Fireplace LJ Septic LJ Dec
New Construction LJ Alterations LJ Addition LJ Finish Atti
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
(Name)
6. BUILDER
If'f(,- ~ 3~:J
Re-rooflng LJ Porch LJ
Re-siding LJ Finish Basement LJ
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
1 O. CULVERT SIZE
9. PROPERTY DIMENSIONS
Width Depth
No
Yes
I hereby certify that I have furnished 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
bUild25 ~icIal ca.n Jevoke this permit for just cause. Furthermore, I hereby agree that the city official or a desi~ee may enter upon the property to perform needed inspections.
X .~.~ 4:f T~?Y '7/3'11(>,;)
Signature License No. f Dete
FOR ADMINISlRA liVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ PERCOLATION TESTS LJ
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS LJ
SURVEY LJ
PLOT PLAN LJ
SETS
COPIES
~ A/K.
USE OF BUILDING
5tx:) .('jn
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................................... $
Amount Brought Forward .. .. ... .. ... .. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. .. . .. .. .. .. .. .... $
Sewer Tap ................................... $
$
Pressure Reducer ................ .... ...... $
Meter Horn. .. . .. .. .. . .. .. .. .. .. . .. .. .. .. .. ... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
City:
" l. 00
~
.~
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ..... ~ ... .. .. .. .... .... $
Mechanical Permit Fee ..................... $
f!.~
Sewer & Water Permit ...................... $
GaS~ir; ceP. ...~. ......... .... $
This ti . it When Approved.
By . Date
Certificate of Occupa:; '/
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due.............................. $
Paid gs-.,<
,Date ~ · 7..:..dt>
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certif'
~S-i~
Issued
Special Conditions if any
Date
City Planner
24 hour notice for all inspections (952) 447-9850
DO · 0(0(01,/
The Cenler of Ihe L.ke Coanlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPl,.lCATION DI;fARTMENTCHI;CKLISI
NAMEOFAPPLICANT )icK~_ef'n~ v.JoodWJ:),~~
APPLICATION RECEIVED d\\\y :;\'~\ Q.OM
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
m-4tJ SUJ)r'i~e- AvenUJ!...
Accepted;><\
Accepted With Corrections
Denied ,0/JO J
Reviewed BY:~~~
Date: ~ ,. 520el:"'
Comments:
iDr.~ f{P , )a.:,
~cJ
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
SITE ADDRESS -1\41? ~H~Av-P
J _ .. ""'-
TYPE OF WORK _ <:..r: i)
USE OF BUILDING ~\c....
PERMIT NO. (1{) ~ Qfg(P7 DATE ISSUED --.3 - ~ .. ~
BUILDER D,'~l+~lAJA~ ~~~ '1e;C-J~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE' PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING /;ECTOR 11/ 7;;;
. f .
. PLACE NO CONCRETE UNTIL A~OVE HAS BEEN SIGNED
~
FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
\
't _ -.
.
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL iiJ...
COMMENTS: l~eN-tA O'~ ~VW
I
; A, ( ~,
~ ~/~ ~
n~ ~ ;:::;J ~ iJ€A~
~ ' V
(/'/ X ~~~ Va ~ LA---
~-''- ~~ ~
~-AJt?+-/ ~ V
~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK,? FOR REINSPECTION BEFORE COVERING
Inspector: fiJ'7-1 Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~'5!9d' 1\".30
ADDRESS \ 1140
s~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O-l-"Z
o FOOTING
o FOUNDATION
o FRAMING
o ...!rJSULATI~O
~INAL
o SITE INSP TION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMME~ ~
(~~~
~ ?--- ~
-/ ,,:"-, '\
( ~~;..~. (7, J
\ - /
"'~ ~
.~
PROCEED
FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CAL L 447-9850 =OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~ REQUI~ENTS ARE FOR YOUR PERSONAL HlL4LTH & SAFETY/
V ~