HomeMy WebLinkAboutBuilding Permit 00-0810
~~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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1, White
2. Pink
3. Yellow
File
City
Applicant
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Permit No. jJ). 0 f3 ~
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
.<;S'(c.,a \(f"~h-eJ ~t-NJ
1. DATE
<:t/8.'1/00
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
&W
PID ~S"-~qS -()?J-I-O
3. LEGAL DESCRIPTION
12. NO. OF STORIES
S
~L"
, BLOCK
l jJ ~ .J-... ~ .lIl,I\
(Name~ -- (Address)
I< p I \\./1 }-y (\ 1, 'll- ~ )(/" ')4'1-f' \
(Name) (Address)
LOT
ADDITION
4. OWNER
13. TYPE OF CONSTRUCTION
(Tel. No.)
L(Lfl-h/{,\
14. FLOOR AREA APPORTIONMENT USE
<:T~
(Tel. No.)
UOl ?. '1r(.... Ilr50
(Tel. No.)
5. ARCHITECT
(Address)
6. BUILDER
(Name)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(' Q\<;;1n IC.-\1>'Y""'\
Septic 0 Deck a
Additi~ Finish Anic LI
nr0f '"
Fireplace 0
Alterations 0
Sf/If-
7. TYPE OF WORK
New Construction 0
SEATS
16. PROJECT COSTNALUE
Re-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revo~e thi~rmil for just cause. Furthermore, I hereby agree that Ihe city official or a designee may enter upon the property to perform ne~ed inspections.
X U JO/V",- '-DLY\ )?--::J..7' en
0- Signature License No. 0118
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION ~ O~...,..,,., ,0/12">
wlr<.
USE OF BUILDING 'I
\(~ h
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Amount Brought Forward .................. CI::
Park Support Fee .... .... ................... CI::
SAC ......................................... CI::
Collective Street Fee .... ................... $
SewerTap ................................... $
City:
S U
'?'tt.{.7~
"')~~
~-I.5'. 00
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
$
Pressure Reducer .......................... CI::
Meter Horn ................ .... .... .... ....... CI::
Water Meter ................................. CI::
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... 'l:
Water Tap ................................... 'l:
Builder's Deposit ............................ CI::
~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
l.I0.eUJ
r Building perm~hen Approved.
Date . (.-1.""'''
Other ......................................... $
Paid T;~u~...::?Cl.....~~~i~~;;/ ;g::;~~
Date t:(. /I. 0 0 By AlL--
T,hiS is to certify .that the request !n the above applicatio~ and accoml?8nying d?Cuments is in accordance. with the City Zoni~g Ordinance and may pr~eec1A"s requested. This document when
s~n by C P ner constitutes a temporary certifi4.i;:i~compllance a allows constru on to commence: Before occupancy. a Certificatllof Occupancy must be issued.
Planner' Date "\; Special Condrtions if any
Certificate of Occupancy
Issued
24 hour notice for all inspections (952) 447-9850
~~
OQ.og/o
Th.('t'nl..roflh..l,abCounlry
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT k._ ~ .\ \_1 ~ Urr-r("\
APPLICATION RECEIVED (\.~ IK\- '8.C\ I d.Ji)() ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(")<2)G:,8 \<~~~k.\ ~~ ~I.d
Accepted
Accepted With Corrections ;;>L
Denied
/
Date:
C;-7-?~
Reviewed By:
Comments:
f),,,,J) r.- J2fl 11-fk ~J fb- OQ c:... Jl
"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."
6~"
oo.Og(O
ThO' <-"..nl... of lh.. L.klO Counlty
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT kf') \ \~ Ucr-rc;
APPLICATION RECEIVED l ~:_,r8 l:-J- ~'-\ d nn ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
o '6 ~ a k C". ,,\r-e \ ~ \Y'LLt- :-, \. ^-J
1/
Accepted
Accepted With Corrections
Denied
~~
/' . 'I
Date: q - (,- &0
Reviewed By:
Comments:
~ h9.-- \/h.--~ ~O ;' lL ffl ;'~
"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 b . ()~ I ()
Th~ CfIIlrr of Ihr L.ru COQnlry
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT kE".\ \\~ Urrrf'\
APPLICATION RECEIVED (\'-'0 I?--..t- ~C\ ~ d-.()() ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
()<6~a \<e-_~~.\ ~~ ~\^J
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
(;('/1(\+ Car/salt Date:
Sp-e -the. reVl'.f"'<e _ side..f2or
1/' /tll
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. /' /.
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Comments:
See. al/tuj,pJl'Ah: I.
.3' h<>Oh {1..h /
P;/t,s/ arLh :MY:1ti!ch;'" .z;p:......,I/__ 4'. &.r>f~ r::>~
_#t'19.>/frt5 1. EI#'5",:n, !z'w I%A-
"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."
\~/
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-~-.:_~~--,._--~-_.._-------_...__.__...,.,-------_.. -....----
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ..3.8Cni1 ~..I ~h..~\-
NATURE OF WORK .1kJ.d,'I-.'rn'I
USE OF BUILDING ~FD
PERMIT NO. 00 . () '810 DATE ISSUED q -7 -u",n
CONTRACTOR 1ie.1hJ ~
NOTE: THIS IS NOT J{ PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I} (
, FOOTING ..~ / ~/ !),! ~ . : I / I
'FOUNDATION (Pf,orto Bac'kfill) I I IZ/I I ~/)9,h
PLACE Nd CONCRETE UNTIL ABOVE HAS BEEN'SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
/!b-.
I
r:N.
.
IO/pf!/b"O
';/I1/tb
v I ~ I I
FIREPLACE t H I,f,hl,.
GAS L1ti1E AIR TEST ~~ jI1i(41
I '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I j
FINALS
BUILDING
ELECTRICAL
.f5..1k
I
//~tJl
HEATING
DO NOT
Lff9. Ij ~ (1/
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTION8.(612) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED'
t. '2:7_-0 I
3'.0 ()
ADDRESS
;:SPlo L 1~.ESTR.5 L '5T.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o - 2;"1 0
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION '^-
)( FINAL r'
/0' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
-
~'~""'llll
Y (II/ L-U
~~
"J ~"'"'_""'~_
-
~
-~/1~~)
~;;/
..-.....-~
t'
't;i::J.yORK SATISFACTORY. PROCEED
(0 CORRECT ACTION AND PROCEED
o CORRECT W~LL FOR REINSPECTION BEFORE COVERING
Inspector: co ~. Owner/Contr:
f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~-z-c::n...
K es+Y"~ ( fJ.{.. t;vv.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS _ 3 f? ~ z
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
c:e::.ElNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
G/,,~ -IIi'
DATE TIME
eo-810
~L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ ~
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!