HomeMy WebLinkAboutBuilding Permit 95-0470
rm
C~ PR/",
... <t'
... ,.
- ~
V I'l
""NNES01.'t-
I .' . CITY OF PRIOR LAKE
, / .
'1 i \, i. SEP 2 1 B95 . !~!)ILDING PERMIT,
I i\ \ ITEMPORARY CERtilFICATE OF ZONING COMPLIANCE
U U .~" rv CONNECTION PERMIT </'7
Permit No. '15- n
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
.BJ?ORE PERMIT IS ISSUED (Please Pont or Type and sign at bottom)
~IT~ Co.mb1d;Je- (j r-
, YEGAL DESCRIPTION
LOT . '- J BLOCK 2-
ADDITION ~. ~ "-c..r-:<., ;;:J '^~-
,~WNER ,(Na'!',!!..) f),~_IA_~,~Ad1r"~!~/_ rrel.No.)"",40~
'11h1 ,nUrt 'Yt.l:l!ll....rvfXLY~c:.t:i1Ylt'-tld~ !lV", P.l-,;-. ,
5. ARCHITECT (Nome) (Address) (Tor. No.) ~-~3'7/
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
WEST~~ED VALUE "",,,
~~~-
~OMPLETioN DATE
.3~ J.~.:s;.\."
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 aUthorizeb'\gent for
the above mentioned prope 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
n ofIIcial can e it for just e. Furthermore, t hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
,. .LI-<.-
'!Ju'LDE~. (Name)
~
I !jvPE OF WORK Fireplace 0, Septic CJ Heating 0
NewConstrUCllono/, AI. .... ,.r- A. .,,0..;1.. I}I;ShAltlc
ChimneyCJ MiSC.S~ lV~
8. PROPERTY AREA OR ACRES 9. PR PERTY DIMENSIONS
Sq, Ft. Width Depth
(Address)
81........
FOR ADMINISTRATIVE USE
-
SETBACKS: Required
Actual
~rom
..."
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET {l.~_, Al \-
USE OF BUILDING
Q..U.'~...w\A
TYPE OF CONSTRUCTION: I " III IV a>
Occupancy Group A BEl td!1 M
OMolon 1 OJ.
Permit Fee ................................... $
d. 9ry ~ "Je;-
I RI,-,'rL
ID .00
Plan Checking Fee ......................... $
Stale Surcharge ............................. $
Penally ....................................... $
Septic System ............................... $
0lheI ......................................... $
S_I............................... $ 1.\ A ?, .1'7
. ThISrttr: Your ijolldlng PermkWhen Approved,
By ,~ Date It)-IP.-~
, ,
CeItIftcate of Occupancy
..-----
<1i~'7 /It]
Sf~ ~cnnr ltltx
I
PIO 2:::::-D~C7-^~~~
1. White
2 Pink
3. Yellow
File
City
Applicant
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H"gh1) (1M""') (Ooplh)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
V0ecd.
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
o
Reroofing CI Porch (j
Finish Basement CI
~
10, CULVERT SIZE
Yes No
:Sloe
City.
Check n
Deferred
lic>>nuNo.
0&10
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION ~"',..,'"
AmountBroughtForward .................. $_'IP,~.'~
Par1cSupportFee ,...,...................... $
SAC ......................................... $
CollectiveStree1Fee ....................... $
SewarTap ................................... $
UcenseCheckFee ......................... $
Pressure Reducer .......................... $
MeterHom................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
CI WaterTowerFee ........................... S
W_Tep ................................... $
Builder's Deposit ............................ $
0lheI......................................... $
Total Due .............................. $
Paid I/l?.. '11 ROCeIDt?ifo.-..l /Y
I.oued Date 161u/1f Bu,
'his Is to certlly~hal uest In the eIlove appIleetkln and eccompanying documenl8l. "ecoordance with the City 2cn1ng Ordinance and may proceed as r Sled, Tlis document whan
ILnod By the constilul.. e ~ Certificate of Zcnlng., . . .. and allows construclion to __........._.. Before cccupancy. a CertitIca1e of OCcupancy must be osuod
DO, .""-IR.-~
anner om. Special Concltions if any
24 Hour notice for aM inspec1lons 447-4230 9:00 a.m. -10:00 a.m.
"..
MATERIAL FILED WITH APPUCATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS d SETS
SURVEY
PLOT PLAN
2r COPIES
o
gS-l/76
;J'
TIte Cnlft' 01 lhe l.ake CO."I')'
White . Building
Canary - Engl,..lng
Pink - Pinning
,;:/ ~" ,,',
BUILDING PERMIT APPLICATION DEP4~TMEt{T CHECKLIST
r( , j}
NAME OF APPLICANT.... Y Lv..../ J.)ZIrr JIM I ^ I :./
APPLICATION RECEIVED q J;. 711S" ~
~.
I'
The Building, Engineering, and Planning Departnfnts have reviewed the building pennit
application for construction activity which is propoSjd at:
/!.~t? t4~r:h~)d if
Accepted t/ Accepted With Corrections
Denied
,
Reviewed By: V"e4M1. Date: qt;;Sj95
~~;!rJ~~1:::/.~~:J:;;;7::
A:U:-& ~;h>t'~iAU~ .Ha dMjr ~,~ .
(A7I~~~ nA _..fA",";' dA ~
,
_._.'l, '.,1;
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be .construed to be a pennit for, or an approval of, any violation of
any of the provisions ofthis code or Of any other ordinance of the jurisdiction, Pennits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Tile C~.ler of I"~ Lake Co..lry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
r( .~
NAME OF APPLlCANT~/ It7 J ''''' I ~, ./
APPLICATION RECEIVED q /Z 7/ IS""
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/tH9 t~0,jr.Jr:!I~jJ
Accepted
Denied
Accepted With Corrections ::;<
Reviewed By:
Comments:
I. t?-o....,.\::- \iV\~ M"'\- h.R \.-,~~ k,~ o..\"'~~ o~ L\':~ i,^"'p'''~
Z.I-I.....\. L"...", Qc..\<~. +-- Ir.... ~....:t\:LOI J. P.........~ """ruh'cM
aft.
,
.~
/.
Date: It) ~ tS~
"The 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."
A-
(/
)-
.'~fi#.""'~
~~,~:~,,"~t~2>J!;
~,,".,>.." ~ '''''~' .
r( '1>-
NAME OF APPI,.ICANT '- J L,,~ . IN hl.".., .1 ./
APPUCATION RECEIVED q Jt 71fs-
i
I.
~...... .fb~
. .....-.!,..
. .P' . .....,,~
l
The Building, Engineering, and Planning Departments have reviewed th, building permit
application for construction activity which is proposed at: !
..)..1,../11,,9 tn-Ju1r (/,,~Ju L~,./-f'IZA1I!./'rI\/11oJ1'1 tOl7".I- )
Accepted / vkQ5 Accepted With Corrections '
'_.'.~. ';,',1
Denied
Reviewed By: ~. M~piil'''T ,.".. iL
-bate:
.A./J/~
9/7A/,99S-
Comments: /.h?...;uA-;f' ?4~ ~ A.;~.
~A'uv.-//Ll/A.. ~~~./L._' ./?1./H.J~ .4/.h~~ '
..,,~~ C~, 9/;?A/9S
"The 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
DEPARTMENT OF
BUILDING AND INSPECTION
.
SITE ADDRESS l(oo(~O) r'oAMkJ..s.! Cht..u _
NATUREOFWORK ~'AJ. /JJV>'YlrrYl ~J.n . ~f r!~
USE OF BUILDING / D /
PERMIT NO. ?'5- 470 DATE ISSUED ~(,' 1.5
CONTRACTOR Nt. f{'''' 1T~ ~/?J7~'}-(-OW/llAJ'
NOTE: THIS IS T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I.... 110'3" 11)!,
r:
I FOUNDATION (Prior to Backfill) f ~ Ill'Io'''IS
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
I GAS LINE AIR TEST
It'
~
10
I
I
I
I
"..0,-,
10''"'"
(0-1;1 ''f I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD 1 I
FINALS
GRADING (Prior to Sodding) .,
BUILDING rtfRrr1'''''f "~{1.6"\:.A, .,,,,"11
ELECTRICAl: (r
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
.
p
.
6/}eY/~/
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230
DATE TIME
CITY OF PRIOR LAKE CAlLED-lN.,-
INSPECTION NOTICE SCHEDULED ~~
PERMIT NO. ?\=- ~O COMPlETED
A.., .~,.,. /ba9 e.,L.<c:L" (;~
</
OWNER
t: TELEPHONE NO.
IU 0 FOOTING
u: 0 FIlAMING
~ 0 INSULATION
Q 0 ~ BO.
:l!:..l<l1'INAL
"l: 0 FOUNDATION
~ 0 DEMO!..
.... 0 FIRE PREV.
~ COMMENTS:
I
~
~
~
Ii!
"l:
m
~
g;
;:)
2
~ ~ SATISFACTORY'~nu"",,,," 0 PHOTO TAKEN
CI 0 CORRECT WORK AND PROCEED
o 0 ~~n..."CT WORK. CALL FOR REINSPECTION BEFORE COVERING
(,) 0 CORRECT UNSAFE CONDITION WITHIN HOURS. INS,,,~.,,... WILL RETURN.
o STOP ORDER 'u......... CALL INSPECTOR.
o INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
CONTR
DPLUMIllNG RI DSITE INSPECTION
o MECHANICAL-RI 0 EXCAV./GRADlNGlFILUNG
o WATER HOOKUP 0 LAKESHORElWETLANOS
o METER SETfTURN ON 0 COMPLAINT
o SEWER HOOKUP 0 GAS UNE AIR TEST
o SEPTIC INSTALL. 0 SEPTIC FINAL
o .:.cl"" I."'" MAlNT. 0 FIREPLACE
o PLUMIlING FINAL 0 MECHANICAL FINAL//.
9~... -.../ -/~....~/y ~-. ~~
V , or
I
.~Ar"",
-.
/ / /
-J,... he-...fo..- s
,.
/~
76 A'
.c
..... . I
(' O;?p/~~
,
- /'
[:::'" /(!!!}.Je
rJJ
.:j-;I-
call for the next inspection 24 hours in advance.
Owner/Contr. on slt~' 7
Inspector ~L~
,.
447-4230
---
"""'...",,,,..,.~