HomeMy WebLinkAboutBulding Permit 00-0646
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. srre~
/fp5S'-I ~I.INb ~
3. LEGAL DEil~ION
LOT \ ... BLOCK
ADDITION r- \ 0 r- ~ ou+h
&~o(lH (~~
5. ARCHITECT (Name)
.a.... -f~7-' Deck.
New Construction 0 Alterations 0 Addition 0 Finish Attic 0
Chimney 0 Misc.
8. PROPERlY AREA OR ACRES
Sq. Ft.
~
6. BUILDER
,
SETBACKS: Required
Actual
DATE RECEIVED CITY OF PRIOR LAKE
1. z,tf .00 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
1. White
2. Pink
3. Yellow
File
City
Appm.t
1/5'1r/JO
I fJ.A.II- SE.
~}-f '
00 ;f$4b
li!'l(4:
"1':':;","
,. ,Jl,
BUILDING~. 'i4~'-' AnON
11. SIZE OF STRUC" ',,', "
(Height) (W' ",,,." (Depth)
f\':~~ ~~
12. NO. OF STORlet
Permit No.
PID GO - 0\'1- 0.1..\\..... 0
13. lYPE OF CONSTRUCTION
(Address)
~
(Tel. No.)
t/fs;l- L/'-li ..SI"'7
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERlY DIMENSIONS
1 O. CULVERT SIZE
17. COMPLETION DATE
Width
Depth
Yes
No
//
tie 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
property and th nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
revoke this pe t cause. Furtherm reby agree that the city official or a designee may enter upon the property to perto"!! ~~ ~pectlons.
~ ?PW~
{/ if..... License No. ' DIIIt
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLlCAnON
Front
Back
Side
Side
SOIL TESTS
o
o ENERGY DATA
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~. 0 cJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
If/I-
TYPE OF CONSTRUCTION:' I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
USE OF BUIL~
SURVEY
PLOT PLAN
o
o
COPIES
S U
City:
Amount Brought Forward .. ...... ... .. ..... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. . ... . .. .. . .. .. .. ... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
~L.2!5r"
~.~
l,tJO
~~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tower Fee .. . .. .. . .. .. . .. .. .. .. .. .... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Pakl IM...'f..........~~~o$ I Db41'
Issued l
Date t"J 1~ K Jrm By l
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ~ ~y proceed as ed. 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 pancy must be issued.
City Planner
Date
Special Conditions N any
24 hour notice for all inspections (952) 447-9850
Jl) .o~.f(,
Thr Crntrr or thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r """I NU1~ ~
APPLICATION RECEIVED ')1 IP~ ~ .1-1\ I emo
The Building, Engineering, an Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I bss4 3, ir<!. lab, 1 rzD \ ~
Accepted
Accepted With Correctio~s ~
Denied..--...
Reviewed BY:~ ~
Comments: I'
Date: 7 -27-2o:::CJ
~
~~ \~k
~ 12-
- -~
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."
Th~ C~nl~r of lh~ Lab Counlry
,)) 'D~#
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C~ Nl,ClCJY10 \}\~. r . .
APPLICATION RECEIVED. ~ llJ6 Q~ \-1\ I eCVv
The Building, Engineering, a~lanning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ bSSLj 'S'l rd lr.tlu., 1 y (Cd ~F
Accepted
Denied
Accepted With Corrections
Reviewed By:
Date:
Comments:
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. II
y--.
t .
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /&,554- Bl-/NO L-AK.6 II'<. 5.1;;.
TYPE OF WORK DeCK-
USE OF BUILDING 1<65 A/~
PERMIT NO. 00 . 6 fo4-& ' DATE ISSUED
BUILDER e~eGO~V /'1F;,VE:J!?.
, I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
7.27.00
I~. INSP~.( ECTOR DATE
FOOTING p~ - 1/ $/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
III
- .-.
-- - -
FINAL
~
l-z"I-os.
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
..
SCHEDULED ~-'~ L
(JI'-1 d ~ r;, I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I c ~)f.,(
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TI 0 Nt') 0 SEWER HOOKUP
, FINAL //{.(,I( . 0 PLUMBING FINAL
o SITE INSPECTION~ MECH FINAL
COMMENTS: ( l' J
~/
/ ! "r-
I / l UJL
L/'
OA TE TIME
W-Cf/C
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.,--, '1
t./I U
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING
(lr/ / 1\-0)
Inspector: _ ( - Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI