HomeMy WebLinkAboutBuilding Permit 00-0734
(Tel. No.)
LI'-I 7- 33 b I OCCUPANT~
""36,\\IJ \N\r\.\\l1W\Of\ 1'1 d16 IIY\,<<, h\ /~~-~rO~.~( SEAT~
7. TYPE OF WORK . 'Fi:p~e~' ~ePtic 0 Deck 0 J:rooflg 0 Porch 0 f?L.
Newconstruction';t Alterations 0 Additipn R Finish Attic 0 \\ As-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimn.y 0 Misc. c...,O......... ~G., ( 1<k.:\ No ~ ~~ ,-,l ,
8. PROPERTY AREA OR ACRES ~. PROPERTY DIMENSIONS - 110. CULVERT SIZE
Sq. Ft. I Width Depth Yes No
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
building o~~ cay revoke ~ per@or j~e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed insp~o,s.
X. --:~(<.~ >-'7_?~l/ ~ -?!- 'ZtTH.
! / Signature Y , license No. Date
.') m ~ ~' CITY OF PRIOR LAKE
~ LS U W lS '\ BUILDING PERMIT,
. ... _ "EMPORARY CERTIFICATE OF
"UIW ZONING COMPLIANCE
_ ~ ~ D UTILITY CONNECTION PERMIT
DIRECTIONS i I
SPACES NUMBERED 1 THRU 17 MUST D~ ;;..__ fit-!
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
C-,C\~ ~
1. DATE
\ SD.-H\
9!, /0"6 Jr.so
.
Q.J.... '" ()
2S -lI7-o(J7-o
~~
3. LEGAL DESCRIPTION
LOT~ g t~ BLOCK
U~OC~
PID
ADDITION
4. OWNER (Name)
~i\l L j ('J)JL
5. ARCHITECT (Name)
(Address)
C:,ORa.
(Addr.ss)
(Tel. No.)
\~....n btK.D t-
(T.l. No.)
6. BUILDER
(Name)
(Address)
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ..-\ 1.0. 000.00
USE OF BUILDING
0-0 2-..
MK.
TYPE OF CONSTRUCTION: I II III IV W
Occupancy Group A B E F HIM R
Division (!) 2 3 4
Permit Fee ................................... It.
1. White
2. Pink
3. Yellow
File
City
Applioant
Permit No.
00-0734-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
17. COMPLEtION DATE
MATERIAL FILED WITH APPLICATION
SOIl. TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Plan Check Fee ............................. It.
S@)
2$7.2S
I <;4. 1-1
~.Oo
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ............. .......... $
Sewer Tap ................................... $
$
City:
State Surcharge ............................. $
Penalty ...................... ................. $
Plumbing Permit Fee ....................... $
~
t.1
Pressure Reducer .......................... $
Meter Horn ................ ................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
:: ::acee~.~~...J:?~;~i~~.;.~it Wh.~P~V d..
By ~,J%-v ~B~ ",,-Oat. g, /13 CD
-----, ,1;/?-J
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Tot.1 Du. .............................. $. ~9q. 'fb
Paid }; Cf Cf L/ 6 R.c.ipt No. d f( ;;>, ? ('J
Issued "
Oat. ;i::/ aa/ 07;' By (~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdinanc/and may proceed air ested. This document when
s~ c~n.rconstitutes a t.mporary Certificat. of Zoning complian~nd allowsr::;?n to c~"t:. oo;upancy, a C.rtilicat. t; upancy must b. issued.
~_ JlLJK..-a:> h.,'U _~ C \ ~ ("' OVJ~b
Ry"Planner Date Special Condilion'fit a-n; ~
24 hour notice for all inspections (952) 447-9850
;.
00 -0734--
Th. ('.nl.,. of lh., I..k., Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT n~l ~.. / ( ,
APPLICATION RECEIV~ LL.... ~l h.l- ~ I ao-c-b': ..~
-/
'~ !
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
<OORe;)
'sn ~ &"+""_ L~
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~. _~P-".IA
Comments:
41, \. wLv-e.u~ *
, ~A~~
Date: ~ ~ / t{. a:tJ
" A~ ~lL{~_
d ,lu vttl vtMy r...tJi/'C.V$jp t~ :J..
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~\71..9.c~ ~ .
~:-~ A~-",-^~ ~d~. ~~.W'4I'<L,
~~~,.u-;;;<::i""n t lo2..., g6b ~S:-t&v\..
"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."
()O . 0734-
Thr C~nler of the L.h Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT n~) -rn nJv-rvv ~
APPLICATION RECEIV~ O"U,~~~/ J. ~ \ ( 6Jrrr"ff)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Coo~ d
\~ -+-h ~~ D *-
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
"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."
.~.,..,""
. '. ,"':>.,
'"<"'~..;.,.'--._-_....._._--- "
-----,............--"''-"
~i'-'!'_......,..
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~1
oo~ 0I3tr
Thl' Cl'nltt of lilt lJ,b COlJnCI'l
While - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT n ~"\) ~rr1 (1 Jv",,^, '.1 1
. < ',j I \.. ~
APPLICATION RECEIVEa---'. (lu..)O,~ ll:o.J. S<. ( ;..;)(frY()
~ -.-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r ('"';0 -=:i ::::-r---. . \'\ C'
"-C ~ {\ '-, \ ::--,,, ;.,. , ..... t-r--q 0 *-
-....~.
~._~
/
Accepted With Corrections
Accepted
Denied
Reviewed By: r:r~ {},.rl.;_
Comments: See. -+hI" revt.r5e sie
Date: ~/~/ ~
+Or a.ddi+i "'......1 i..~r,...,a...-ti.....-t.
~~ ()(1f~J./I1,.~Jr.- I. Ii:.J c-'"".,4.
<? Eroc.;,....,. (U b.I.+-ftl/ MeQ,~Il,~5
7"""",r-&-h'--, ~L:~--.
~ ErositnA ('t,,-trol PIa..-
-
"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 It,{)eIL I Sn .j....L <:::;-1.
NATURE OF WORK l'M.........A- Jl
USE OF BUILDING S t fJ r - .
PERMIT NO. ()(). 0734- DATE ISSUED 8.. f?-2=o .
CONTRACTOR M~ ~ , rttoN~ '1l/? - ? sfd.)
NOTE: THIS IS NOT A PERMIT)mR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
A INSPECTOR
DATE
, FOOTING I ~. I U;}-d n; I
I) I I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INS U LA TIO N ,.J1ff';'-"""""
ELECTRICAL
-
tt:%t,
IO/;J/~
I '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
t
~
A--..
.
///~/~
BUILDING
I ELECTRICAL
~
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an &ie'ctri"al 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
SCHEDULED l1/~k /OI5'Q
'i l
) ~():6- J-f-.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
(oO?~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION @J
PiI FINAL
o SITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Si.e. \ ')
/
.~.....---'
)'1 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
DATE TIME
I'J - 73'-/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~(
Inspector:
Owner/Contr:
. I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
(;o8J..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;::B::fINAL
o SITE INSPECTION
COMMENTS:
{..,/~-
DATE TIME
SCHEDULED
10 --9-19.2
I~()A S-I-rce. 1-
CONTR.
PERMIT NO.
~j<)-7:l1l
- ,
;a:::E~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
e/(
'\
~ORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl