Loading...
HomeMy WebLinkAboutBuilding Permit 00-0780 ~~D ,~ CITY OF PRIOR LAKE ~ BUILDING PERMIT, .,1 . r V1PORARY CERTIFICATE OF ZONING COMPLIANCE AI JTILlTY CONNECTION PERMIT DIRECTIONS i SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITr ~DDRESS I-fll'X'4 ClvJ...+nA 1/ La ^' 3. LEGAL DESCRIPTION LOT (:,.., BLOCK ADDITION r t:LtIi f.l.'}O . 4~~ (Name) t:.o~ C- ~Q 5. ARCHITECT (Name) 1. White 2. Pink 3. Yellow File City Applicant Permit No. 00. 07P>O . 1. DATE <i{/lIJoO BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES .;:) \-h' U \ .f11--dS,3 ~ 4 IW1cI n 13. TYPE OF CONSTRUCTION (Name) y\ddrt~Sk _.. "3"1'-1'1 t6r~ Su-N\.'^-.t ~~ -r:~ (,<.l~lA-<-""-'^-t , 7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ New Construction 0 Alterations 0 Addition a Finish Attic 0 Chimney 0 Misc. 18. PROPERTY AREA OR ACRES 19. PROPERTY 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 .R~i<=lol.rc. r~~iS Pl!nnit lor just ~e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pert07 needf inspection~. X AL/ ~ 'll' \\ j '2-ClOc:J Sic V E 1:;ignature - license No. \.. Date (Tel. No.) ~ '" 0-\ <i>lS.<:l~ G,I<- '" I (~\z.. Cl, t '1.SS'O Ae-roofing 0 Porch)( Re-siding 0 Finish Bas~eni: 0 (Address) ~{ (Address) 6. BUILDER r- (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANT~ SEATF 16. PROJECT COSTNALUE 17. COMPLETION DATE SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~- USE OF BUILDING ~ A\K TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Division 1 2 3 4 Permit Fee ................................... $ I 71).2<"" 8'1.2/ 4,oC> Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Pennit Fee ....................... $ rtto Mechanical Pennit Fee ..................... $ Issued Side SOIL TESTS o o ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ . Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid 236.0{-1, Oat. ~ ..3I.::J11? 230.~ 3eu, 'L- ~ th t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce s requested. This document when lanner constitutes a temporary ee;:i; of Zoping complian~nd all~ construction to commenje. Before occ~". ancy, a Certinc of Occupancy must be issued. :2.l/a') 'I-.P", ~~';.\JDv."'2~ _~ (" ~1-aA.<"_. 'City Planner Date Special on tIons if any 24 hour notice for all inspections (952) 447-9850 This is to certi s. _, "-~~:( PR/O/;>,: f::: ~'~ u .'" (JU- U7r6 White - Building Canary - Engineering Pink - Planning 'rhr {'filler of the L.kr (~ounl.,.. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT :\l j) f"\ f\ eo _ \-\-c-,n'1S>_ APPLICATION RECEIVED . ~ I \ I \ ~pmvC?_ ~n+ ~OOO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: JjlJ~ 1/ (J-v 1\+ ('lA)+ La Y\iL Accepted Accepted With Corrections ,.~ Denied Reviewed By: ~ ,fI!-~<-/.~ Date: ~/}..( /c;o Comments: .~~./~<:b ~ko ~~ (~ ~ ~4C\iO ~d~ A- :2~C;-~ MWIMLM ~~ L)~ ~." "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 00-01~ Th~ C~nln of th. L.k. <.'ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ll 'C\'(\ E"_ \i-tJme.. APPLICATION RECEIVED (\ 1 ~ I \ \ ffiDmve. rY\cuU:- I dODO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Jj.l/ ~ 1/ CJ-v.J><4.- YIA J J- J rLl\L Accepted Accepted With Corrections ---;:.< Denied Date: 9 -b-200Cl Reviewed P' Comments: ~~ <;......,6, ~\._\yt-O;;:: ~u~A.... Oc.J~ ~ houSD_ ~~A1.~d,- ~ "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 LI U f3c; no -. ~ :- - .L f: 1/'0..' NATURE OF WORK' . D~r Ir~ USE OF BUILDING ~f:"1l PERMIT NO. ()O.rF7PJO DATE ISSUED. t:! .~_?~ CONTRACTOR -5.1..JLHA .# NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING h~NSPECTOR DATE I 9/!/~ , I FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I I) 1~.\l.M 4 10,0 I ~ -Ur)A.'4 . . I SEWER I WATE~ I ~EPTIC FRAMING ~~~"G INSULATION "b.~1lA>'4 ELECTRICAL ' PLUMBING II )02.1 j~ /I '};~.l I I f!JO t1~A~"Ja {l'I. ..,.:tifed) No I-kal- FIREPLACE GAS LINE AIR TEST BUILDING ELECTRICAL ,~ HEATING DO NOT COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I WALLBOARD I I FINALS I _ I J?;r, I I _ ,I h I ) ?/?/ ;;J/ I I I . I rf/;;'lltJl BEEN SIGNED . OCCUpy UNTIL ABOVE HAS NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspectic-ns 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 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED \f'. 'V,,vl A_I ADDRESS 44-& 4- tHDTrJtff U,J OWNER CONTR. PHONE NO. PERMIT NO. no -o-;xf) o FOOTING fP) o FRAMING o INSULATION FINAL p~ ~OUNDATION o DEMOLITION o FIRE PREV. o PLUMBING RI o MECHANICAL o WATER HOOKUP o SewER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLlNG o LKSHOR~ETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: \ 'u1vORK SATISFACTORY, PROCEED ------- ---------._________... ~CORRECT ACTION AND PROCEED-------------, " o CORRECT WOR~. LL FOR RE:NSPECTION BEFOR~OVERING Inspector: -1./" T' Owner/Contr:' CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!