HomeMy WebLinkAboutBldg Permit 00-0758;FP 00-0939
I. White File
2. Pink City
3. Yellow Applicant
(Please.!VUe or Drint and sien at bottom)
ADDRESS
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LEGAL D~C5V'}l~ (t;,el'J"1; tu I~ 1 UJ~ d- <?
LOP77BLOCK ADDITION / /).fIl'"-S;' rf,. DQA,-t
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lP Date Rec' d
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PID -:; S -t)q(,. (2/!; 0
'OWNER
(Name)
A ("1(0
(Phone)
Lj4D-S739
Da u i d
(Address) ,'SA IY\ L.
BUILDER
(Name) (Phone)
(Address)
TYPE OF WORK
o New Construction
ODeck
ORe,Roofing
OPorch
OLower Level Finish
~ Fireplace
OAlteration
OAddition
o Misc,
PROJECT COST/VALUE (exc1udingland) $
ORe,Siding
OUtility Connection
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:ler:G~D ~~:dedinspectiOns tJwn -ev" 10/ ~ 3/00
Signature Contractor's License No. Date
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTAL DUE
I Paid ~...D uO
I mre# ~ ffb.:l.1
$ 3q.5"V
$
$ 5D
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
$
$
$
$
$
$
$
$
$ '-10,. 00
Building Official
Date
I R.eceiPt.I><O' to /~JW
By 1..1--/,1 J .
1/'--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance lmd allows constnlction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, ifany
24 hour notice for an inspections (952) 447,9850, fax (952) 4474245
,
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.,..
g-I'-/- ()()
1. White
2, Pmlt
3. Yellow
File
City
Applicant
e.l4- -00
Perinit No. ro-7Sf3
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
.l$SUED (Please Print or Type and sign at bottom)
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Heighl) (WKlth) (Depth)
A~.L ~S At./5' _
3, LEGAL DESCRIPTION . 1.\ I;).' db lot ~
LOT.;:)'] ~ Nf: IJA (\\ cObJUXK
~ION' ' LrUu .a\el.L t:ar~
..,. (Name) (Address)
LM-u f... J} l3 K 0 / I:J z ZoO J..AKz. S 114..
5, ARCHITECT (Name)
12, NO, OF STORIES
PID ;}5. /"\Qj" - at<;:. D
13. TYPE OF CONSTRUCTION
Avz
(Tel. No,)
'I'll) - S739
(Tel. No,)
14, FLOOR AREA APPORTIONMENT USE
(Address)
~ (Name) (Address) Il.05 '7IfTI's-r(TeI.No,)
.sPE.cNq.t- rCIVe# :E.~T.Uf'/'7AC5 t/1'"-lP~)'A- W~ Z 3PD OCCUPANT"
e..l1vt:.J{ tf./pte7ZJAJ /}i 'xPI/h !1Jl L:..'I1IlS)(/J (11)1'1,(';/;97 SEATS
~ Fireplace LI Septic LI Deck)l.. Re-roofingLl Po~
~n~~ft6~'o Alterations CJ Addition CJ Finish Attic LI Re-siding CJ Finish Basement LJ t/Y 16. PROJECT COSTNALUE
,""~ 2_.' , --
Chimney LJ Misc. _ ___ ~ ~ ::;I
8, PROPERTY AREA OR ACRES 19, PROPERTY DIMENSIONS 1'0. CULVERT SIZE 1'7' COMPLETION DATE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished In:................, 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 aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building ~can ~ke this po ~ for~use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x~A1. ~ TtZ,OOI(pIR,<: .8-/t:-t!Jl>
'" UcenseNo ~
,. FOR ADMINISTRATIVE USE
15, NUMBER OF OCCUPANTS OR SEATS
SETBACKS: Required
Actual
Fronl
B...
S~.
Side
MATERI,tIL FILED WITH APPLICATION
SOIL TESTS " ENERGY DATA "
PILING LOGS " PERCOLATION TESTS "
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ,
SPACES ON PLAN
PERMIT VALUATION 'l J~('> . r~
PLANS & SPECS "
SURVEY "
SETS
COPIES
USE OF BUILDING _R.&!;; 1/~
PLOT PLAN
"
TYPE OF CONSTRUCTlON: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC nn'n"...".........."......"....... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. If:
Penalty ....................................... f:
Plumbing Permit Fee ....................... <t
Mechanical Permit Fee ..................... $
I~L\, {~
BI.Oi-
~.SO
c~[.
~ l..\- (.b
Pressure Reducer .......................... $
MeterHom................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ......,............,.......,.. $ fL.O'f, "S.J-
Paid 'l.4.., 3Jf- Fleoeipl No, ~8i.-15
Dale'" " r{)O By f2.t1 ~
This Is to certify that the request in the above application and accompanying documents is in accordance wtth the City Zoning brdinance and may proceed as requested. This document when
~ constllutesa temporaryCe~1 ~~ianc:e and aNows construction to _..................... Before occupancy, a Certillcate of Occupancy must be Issued.
- . .,,~-- .......-
City Planner Dale Special Conditions" any
Issued
24 hour notice for aU inspections (952) 447-9850
\i
.~.o-?~
oJ.'"
Wt ite . Building
Ca 1ary - Engineering
PI, k - Planning
TIw CflI'H of 1M LaIIe CO..lry
"~;/,,;i,': .<;" ~+i'':'':,,~;;,( 'f:;:;'~'
BUILDING PERMIT APPLICATION nEPARTMENT CHECKLIST
APPLICATION RECEIVED
NAME OF APPLICANT ~l:'( \1\1. \'(_~)'T~O 1('\\2\
f1
I.t ~':::~ \t..l, ~(\no
(~~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ (;: .J.:du \ (\ \. 0 ~dt 0, A\rf f\A Je.
I...~
r
I
I
Accepted
Denied
v
Accepted With Corrections
Reviewed By:
Date:
1;/'].3/60'
......
Comments:
~~ ~ (J~/0o ~ ~ ~1Jl.~
"The issuance or granting of a permit or approval of plans, spe~ifications and
computations shall not be construed tOlle a permit for, or an approval of, ~ny 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 i code or other
ordinances of the jurisdiction shall not be valid,"
~~
Wllite - Building
Canary - Engineering
Pillk - Planning
Tht' Crnll'r or tht' Lib Country
BUILDING PERMIT APPLICATION DEPARTMENT CHecKLlSI
NAME OF APPLICANT ~? l=' (' ,\ ~ _ T m lC' ,\.4 f~\~Q \ tLY2.\ (~~)
APPLICATION RECEIVED ~ ~ \ ~ \ cl mJO .
The Building, Engineering, and Planning Departments have reviewed theibuilding permit
application for construction activity which is proposed at:
\ G:- QaO
La. 1fO kI rt o. f::s:ye 1\V.e
X
Accepted
Denied
Date:
t:J - -Z1-200
Comments:
7.Uf~ S~ ~ ~1J.. ~~~
(. Ul Qo.of #A-i ~ f[) Dt> ~ ~.,.2 CTL -e -
"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 . DEPARTMENT OF
., BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~n AUD,
NATUREOFWORK ~t:n-.>>.
USE OF BUILDING $~\\
PERMIT NO. Oo~1sg - DATE ISSUED 8 ,'2.1-00
CONTRACTOR Q kuc!.:.... No,-\............. qc..{ 3 - ~:?oo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I If ~'1 /IJ"D
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
J;:ECTOR
D/lTE
I FOOTING
.
FRAMING
INSULATION
ELECTRICAL
v.i't..
r
16/JJ 1m;
'/ I
Jo ~"'.I dI>
. ,
FF zf 8(. /0-;)1'1-06
rf' ff-T. h (6-;;N-or)
COVER NO WORK UNTIL ABbvE HAS BEEN Sip NED
I I
FINALS
BUILDING
ELECTRICAL
, fl/J
7.. 'b -all}
/
..
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 I)eQn. approved. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A,M, for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS p20
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
,~ ~~SULATION
NAL
o SITE INSPECTION
COMMENTS:
I .
6~
SCHEDULED
DATI!
7-&"a{
TIME
Lr...Pu- ?.J..- dk...
Owner/Contr.
U<SNOT'
~6 - 07~
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-J} /y
A
~
CONTR.
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-b
\~,(~
-.
i WORK SATISFACTORY, PROCEED
o COR T CTION AND PROCEED
o CO RECT RK, CALL FOR REINSPECTION BEFORE COVERING
Ins
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI