HomeMy WebLinkAboutBuilding Permit 00-0666
DIRECTIONS
SPACES NUMBER
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADD. ~S~"1'\4
(a0(~ l' ~ rk:.... vi ~
3. LEGAL DESCRIPTION
lOT , ~ - BLOCK :3 A. PIO
ADDITIO; Contt n.o..L ~ ~ 3 j2 () /1C1t..c:J..:ff-J'rn--
.~-rOth(Na~ sd,",- (~~ <1t/~O~/Y?P
5. ARCHITECT (Name)
--;"-:"})1' CITY OF PRIOR LAKE
S \' BUILDING PERMIT,
t 'MPORARY CERTIFICATE OF
ZONING COMPLIANCE
~,UTILITY CONNECTION PERMIT
1. DATE
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.(7rJ-066 6
~ loajon
BUILDING INFORMA liON
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
~ rl V-e..-
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
~
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
s~
7. TYPE OF WORK
New Construction LJ
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace LJ
Alterations LJ
Septic LJ Dec~
Addition LJ Finish Attic LJ
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 ve mentioned property and th construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
bu off . I ca revoke:~' cause. FU;r;; :;ret>y agree thaI the city offlciaI or a desl9=~oonter upon "'0 properly to P8'9 ~~F'
"""---'" FOR ADMINISTRATIVE USE
SETBACKS: Required _
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ PERCOLATION TESTS LJ
BUILDING DEPARTMENT VALUATION
USE OF BUILDING fu
-t;
_7.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
'2 . ~lfl . ",....
.
PLANS & SPECS LJ
SURVEY LJ
PLOT PLAN LJ
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 ............................. $
State Surcharge ............................. $
(,:J .2S-
'I1J.'/,lD
/. ()C)
Penalty....................................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter .................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
To~1 Due .............................. $ '03.1 J
Paid /()3.. 71 Receipt No. .3 ~6.1
Issued - I
Date 8' /ft:J tn1 By LIJII./
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning o;d~y proceed ~uested. 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.
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
- ...
PR 10 RLA K E . - ~~rtD~~~~NJD ~:SPECTION
INSPECTION
RECORD
SITE AD,DRESS CoQ!l!J PAe:I(V/6~ o..e.iv~
TYPE OF WORK -D EG~' _
USE OF BUILDING e..~~ &.$
PERMIT NO. no - n ~ bb" . DATE ISSUED (11 0 ::( / ()l)
BUILDER ~ O\~ TOM G ~ ~~~-'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
INSPECTOR DATE
FOOllNG . ~t 1'/2-I/D7J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING ~ W3//~
FINAL
, ,
~k'
" y/ / 9 " ~ 7. t:rU
Call be~een 8:00 and 9:01A.M. for all Inspections
FOR 'ALL INSPECTIONS 447-9850
DATE
TIME
tf.:(J~
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 9-') ')
ADDRESS / ~ 21(j f2I tJ /.e...J (I)-..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~- CJ ~u~
o FOOTING
o FOUNDATION
o FRAMING
o INSULA ~~ _J _
~ FINAL ~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR ~LL FOR REINSPECTION BEFORE COVERING
Inspectdl;:" -:1/ { Owner/Contr.
CA~~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl