HomeMy WebLinkAboutBuilding Permit 00-0747
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D rn~ g ," CITY OF PRIOR LAKE
I 't' I BUILDING PERMIT,
. ". it:' PORARY CERTIFICATE OF
ZONING COMPLIANCE
,.:t TILlTY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
OD-"\.\1
00-1~1
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
\G-,\c::"
3. LEGAL DESCRIPTION
LOT 3 BLOCK.""
'?"'>, UIJ"lrAN Llu l~ 1 \ ~
1. DATE
<i$/CfJuD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (W~) -4~' (DB~) 4 /
12. NO. OF STORIES
\ 4-A~('(l
A"" X\l )~.
'.OWNER n~Nam)
y tlt^0\<< g
5. ARCHITECT (Name) 1 ~ .
(Address)
!~~2.) I n5(i
0~ ~'7- ~~-b
(Tel. No.)
lfllf} - 757J,.
M
13. TYPE OF CONSTRUCTION
~ r..,p..f .~. W)I\)ClCll..!..:
14. FLOOR AREA APPORTIONMENT USE
ADDITION
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
'5el t
7. TYPE OF WORK Fireplace LI Septic 0 Deck LI
New Construction 0 Alterations 0 Addition LJ ~~nish Attic D.....
ChimneyLJ Misc./\/ ~ ll\. r~
8. PROPERlY AREA OR ACRM 19. PROPERlY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished 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 ca~voke this pe~it .for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perlorm ne~ inspac~s.
X j~in{^l~t~:t~)... License No. <t.:t171)
Re-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
SEATS
16. PROJECTCOSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~ A>\ (,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~C> _CJ C>
PLANS & SPECS 0
SUAVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: 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 ......................................... $
Collective Street Fee ....................... <j;
Sewer Tap ................................... <t
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
2/. C!) Q...
I?_c....;-
.~o
v~~\~~
Pressure Reducer .......................... $
Meter Horn ... .... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... 4:
WaterTowerFee ........................... '*'
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ......... ............ $
Water Tap ................................... $
Builder's Deposit ............................ '*'
Other ......................................... $ 3'2.. ~ ')
Paid TL~...jS...........~~:~i~;~O$~
Issued
Date ke:J TO By r
This 's to certify that the request In the above application and accompanying documents is in accordance with the City Zoning(>rdlna and may proceed r uested. This document when
s' ad lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate f ccupancy must be issued.
E./l-I /19(")_
ity Planner . Dale Special Conditions if any
. gPermitW~Ap""'JIGd.
Date Y45~~r-~
24 hour notice for all inspections (952) 447.9850
Th~ C~nt~r of lh~ L.b Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT R~p r nNi "'U:A. ^ (' I 1 RI)~ e..
APPLICATION RECEIVED ~,( ) ~J:>.t- U I ~ '&){ )
<J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ ( fl I (".'1 \ + {J..J\(n (~!se f'\\ )~
Accepted /- Accepted With Corrections
Denied In p
Reviewed By: C Jd1~~ Date: ~- 2(-~
Comments:
t. ~",i1 "t'~ w.'~_
2. S""""'<!lk D~\...e,.h.~<::t
~ 0 c... ~ 'S",&.. "L{ (
t-r--R___ ~
\Pw::.. v .' ~ llA.. ,^..Q '...1
l..-J ~
g'e4:lf'..........~ I-O""'~9
s:('U\~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
&~1
Th., C.,nl.,. of lht L.kt Counlry
,r""'"
While - Building
Canary - Engineering
Pink' - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT R('~~t. r (l1"'(1. 1'-1 r}.. ^ (' (j "Rl l..s.s,. e..
APPLICATION RECEIVED {\}, 1 JJ~ 1 p.,-t \ \) A'tx")l)
The Building, Engineering, and Planning Departments have reviewed the building permit
applic;ation for construction activity which is proposed at:
I + fA."CO &utef\\ )~
!(..,I(n'l
Accepted
~
Accepted With Corrections
Denied ~
Reviewed By: ~ ~~
Date:
~h I t90
Comments:
~~ h':lY ~ ('W"~ ~~~ ~)tv1.-~~)
I ^,e..-u ..
"
"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 provisioHS of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPEC liON
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS II D I {" { ~sr"'-- ~
TYPE OF WORK ("'A~ W "....0-4-.-.
USE OF BUILDING I Sr=-.D
PERMIT NO. OD-~1A-1 DATE ISSUED ~-7{ -~..-l
BUILDER 'ISusS-P c(C/e). 75" 7(,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I-FOOTINu I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. .
I FRAMING I ~. I ?/o-~~
,
I FINAL
I ~, I 1/5/th
, . . .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
'\
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
I&, 1(,,7
r-fo....,Q..A
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING (i)
o INSULATION
iu"FINAL
/0. SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
r~ ~.~
'"-
CA TE TIME
~ I; IS'
AVE.
b-7<-f?
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
............
)
JfJwORK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECT ~LL FOR REINSPECTION BEFORE COVERING
Inspector: f!4-1 Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/