HomeMy WebLinkAboutBuilding Permit 00-0622
CITY OF PRIOR LAKE
I~ BUILDING PERMIT,
7 of) TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.l..~ ......-. -.'. ........,..'. '\J",
~~\~~f,'~'
7/Z0jOO
DATE RECEIVED
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
....I~!SSUED (Pi.... Print or Type and sign at bottom) ,
:..if:> 73 P~..I(""'ooJ Dr. Sf:' Pi'lOr'"
3. LEGAL DESCRIPTION
L ~ke. .
MN
I \ BLOCK 2> PID
l A)UorL.v--\ ri- ~ '- ? s.+c,. ~
I_~~otr ~~=ns ~'7:3 p::t.e:ooJ 0".
5. ARCHITECT (Name) (Address)
f;S - 317~ O~O -0
~ (cl ~
(Tel. No.)
'15'Z - '-1'(7 - Z 768'
(Tel. No.)
LOT
ADDITION
(Name)
(Address)
(Tel. No,)
Sat""\e
~"'_"4'
." ". -" .... ,'...., . ..... '..
. ,....',. ~ .~,. ~, .
New Construction LJ
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace 0
Alterations LJ
Septic 0
Addition LJ
Deck.1(
Finish Attic LJ
Re-roofing 0 Porch 0
Re-siding LJ Finish Basement LJ
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
~: r::/fncam
,I~~
if
t.~1;
Permit No. ~!b1,:a
,;i"
BUILDING I_MATlON
11. SIZE OF STRUC.
(Height) (Width) (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 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
bUildi~n revoke ' permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X;. Uoen..No. ~7
Amount Brought Forward .. .. .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. .. .. . .. .. .. .. .... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ............................ $
..
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ . '" t-\
USE OF BUILDI~~.
l~_
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 ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
5'1 _ 06
1S. (0
,~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA LJ
PILING LOGS 0 PERCOLATION TESTS LJ
PLANS & SPECS LJ
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Gas Rr ..... ~~... $ WatarTap uu...uuuuuuu...uu....u. $
Th' s Your ui i Permit When APproved. Builder's Deposit ............................ $
By _ Date J "'? 0 -~ Other ......................................... $
~ - -~ 9
Ce Ificate of Occupancy Paid TO~qUe ....9S'...uu~:i~~oLlio J JS
Issued - -
Th" certify th ~. h bov I" d . docu ,. rd 'th th c~atze ,'r)o ~ d-()j (}b By ~j\J
IS IS to at In tea e app ICation an accompanYing rnents IS In acco ance WI e ity onlng ~inance and may proceed a ested. This document when
signed by the City PI n . as a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate 0 pancy must be issued.
C~r Date Special Conditions if any
24 hour notice for all inspections (952) 447-9850
"
- ...
'4t
~. :
PRIOR LAKE ~~~t~~~~NJD~:SPECTION
INSPECTION
RECORD
SITE ADDRESS rJ.i:13 CP r:u:k wDcd ~t--.
TYPE OF WORK ~ IZX I ~
USE OF BUILDING ~Fb
PERMIT NO. 00 c o~ 2,,2--- DATE ISSUED '1-20'-2000
BUILDER ~,,~
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
tHE'PERMITIS BY SEPARATE DOCUMENT ·
INSPECTOR rJATE
FOOTING ~ itJ t.\ ~ I '(A... . )lJ'! i~
PLACE NO CONCRe'TE UNTIL A'BOVE HAS BEEN SIGNED
......
FINAL r!q ~/"fJ I 0 I
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
. .... "
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
tf~73
SCHEDULED ~Ol
~~~wi2.
A& ,-,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ-"z.z..
o FOOTING
o FOUNDATION
o FRAMING rEJ
o INSULATION
FINAL
~ SITE INSPEC
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
COMMENTS: ~
fl"~
/'
/'
11 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
I
o CORRECT WOaLL FOR REINSI'ECTION BEFORE COVERING
Inspector: - ~ I OWner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI