HomeMy WebLinkAboutBuilding Permit 00-0801
~~
QATI= RI=r.I=IVl=n
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
9-ft; '00
Permit No.
oo.oeol
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
144~~
3. LEGAL DESCRIPTION
tfl
r.=
1. DATE
'6/~~Joo
NE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
NIc,UTIf\..\r...,AI
CIQc j r=
12. NO. OF STORIES
LOT
BLOCK
~N()6
?S
HI 1'-
Ll.t-t\
PID ~ - .:-;c".Q- ()~-{,
A. () III T\ ()1\1
~33~;\\S
13. TYPE OF CONSTRUCTION
ADDITION
(Name)
(Address)
\L-l4S:,'i< N\~\tT\lli~A1E
(Address)
14. FlOOR AREA APPORTIONMENT USE
4. OWNER (Name)
.-or, I'A H- (') \ J."- c::
5. ARCHITECT
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
\in
House.
14458 Nl:\~+~~ na.1e. c233-o1115
Fireplace 0 Septic LI Dec'5)(
Alterations 0 Addition 0 Finish Atti( 0 \
Rs-roofing 0 Porch 0
Re-siding 0 Finish Basement LJ
SEATS
7. TYPE OF WORK
New Construction 0
Chimney CJ Misc.
B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yas 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 can revoke this permit for just cause. Furthermore, I hereby agree thaI the city official or a designee may enter upon the property to perform needed inspections.
16. PROJECT COSTNALUE
17. COMPLETION DATE
x
Signature
UcenseNo.
Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
USE OF BUILDING r"""
KE,
A/k:.
. I
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION <:"N'Y'). rrY') PLOT PLAN 0
-.
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .......................... ......... .... $
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ..................... $
V
R S U
7Y./1.)
48.s""1
I. ...,-cJ
City:
Amount Brought Forward .................. $
Par1< Support Fee ..................... ...... !to
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... ~
.
.......... $
Pressure Reducer .......................... $
Meter Horn ................ .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
WalerTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due uu...uuuuuuu...uuu $--/2.-,'1- ~
Paid /2'1 tJ4- ReceiP1je'-vt1
Da1. '1'7. O() By A
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 ~ requested. 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 Occupancy must be issued.
.......... $
.. ...:...'.~ingperrnit~n""~r&l)6d~
Date 7-ln t":~
Issued
City Planner
Date
Spec~IConditionsifany
24 hour notice for all inspections (952) 447.9850
"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS F-/(jt:;'f?, tN/~~ .
TYPE OF WORK Z)Qd:::_ /(" X '2.2-
USE OF BUILDING SF(")
PERMIT NO. ()() -0 PJo I
BUILDER --ri',,-^ Hr?, >"--P
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
DATE ISSUED 9 - l.. -2000
INSPECTOR OATE
I FOOTING I tJ;,., I 9//1/ tJ-o
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S(IGNED
, FRAMING I tIP: I IP/q/~
~/;? I,
, FINAL I Iffn I JP-?$>
>,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
\,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
SCHEDULED (0- .~1)-O it T
/4L/s1?- /tItGJre..Jt)c,o Je-OA' r-
u U
CONTR.
() -!?() /
PERMIT NO.
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~'~ _ V
)!;(FINAL ~
o SITE IN PECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-t1~
-
J
~ORK SATISFACTORY. PROCEED
o CORfi)R AND PROCEED
o COR CT W CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
~."'/ ..........
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ