HomeMy WebLinkAboutBuilding Permit 00-0782
7. TYPE OF WORK Fireplace LJ Septic LJ D9 Re-roofing 0 Porch LJ
New Construction 0 Alterations 0 Addition ~ Fi:iSh Attic p Re-siding 0 Finish Basement 0
Ch;mneyLl M;sc. (c....." AIIJIJJ ~Gk U)f"1)le.fu1 ,)-.. .'\'Lli:h c
la. 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 10 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 aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:Uilding OffiCi~j~se. Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
--- Signature license No. Dete
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.l:!4Tl'= ~l=r.l=IYEQ.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ /3qoo
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
:.:I~tQS~"
3. LEGAL DESCRIPTION
L/
~ra
14. OW~ I c..K
15. ARCHITECT
6. BUILDER
1. DATE
"is / Q, LJ 100
\-.ll (-:"4LA~ (' t\)i<.T Ne Q1~\)
BLOCK "3 PID Q<S - 34d. -OoU-f)
Ati'N I'll ~PKH2..R\} RIDGE I
(Address) (Tel. No.)
((,/Z) gyd.. S:-s ~"; (f'A y )
~ It " (Tel. No.) /1
....t;SZ/ '1'17 062 ( (!lo,re,)
LOT
ADDITION
(Name)
AUEN
Si::~
(Name)
(Address)
(Name)
(Address)
(Tel. No.)
OW/lf!/(
I. White
2. Piok
3. Yellow
File
City
Applicant
Permit No. 00, O:}P/2-
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
OCCUPANTS
SEAT~
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~t:JrCJ.""1:,A
USE OF BUILDING ;)
1<.1=':-"'-
I
A/12
TYPE OF CONSTRUCTION: 1 II III IV V
Occupancy Group A B E F HIM R S U
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS LI PERCOLATION TESTS LI
PLANS & SPECS 0
SURVEY LI
PLOT PLAN 0
SETS
COPIES
Division 1 2 3 4
Pennit Fee .............. ..................... $
~'2.2L
'10. f{~
1.00
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... <l:
$
City:
Plan Check Fee ............................. $
Slate Surcharge ............................. $
Penalty .......................... ......... .... $
Pressure Reducer .......................... $
Meter Horn ................................... <l:
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... <l:
Pa,d T~~D~ '~.;......,....~~~~,~;~p$ ~~~U-
Issued ~
Date CJ j, (}f) 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.
Plumbing Penni! Fee ....................... <l:
rI1-~
'b'~
Mechanical Pennit Fee ..................... $
mes our BUilding penn~hen APL~
Date - fl'-
City Planner
Date
Special Conditions d any
24 hour notice for all inspections (952) 447-9850
~~
DO.01gv
The Crntn of 'he L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT R '\ c..k. A \ \ ~ .J(\
APPLICATION RECEIVED tJ T~ ~()) A...JJ) ( ) 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ILI~0Co H\~Y\\(). (\a (.QJU1\- tJE
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."
.,
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS jLlq ((" /-f,'tpu.JJ9.. c--f-,
TYPE OF WORK ~t- _ &
USE OF BUILDING ~J:T\
PERMIT NO. (J(J - 07PJ2- DATE ISSUED B - ~ 0 -2000
BUILDER ,4 I Le.v-.. -
NOTE: :THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/J j/
I FOOTING /V ~/?/~ I
PLACEIf,K> CO}tCR'ETE UNTIL ABOVE HAS BEEN SIGNED
~- I I
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
j
J
I FINAL
\\b'~~ I I lP!~\()(
Call between ~oo and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
CITY OF PRIOR LAKE 'A
INSPECTION NOTICE SCHEDULED b-,,;2~-cl Id ;.3u
,
ADDRESS /cN8b Mu~d({-j-
OWNER
/
CONTR.
PHONE NO.
PERMIT NO.
r1 - /7 d----.-.
o FOOTING
o FOUNDATION
o FRAMING
^_ 0 INSULATI,QN_ _ 1/
r-r::a-F1lllAL 1) OJ'-
o SITE INSPECTION
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 GASLlNE AIR TST
o
COMMENTS:
,',,0""~
~. f
J'
I
~J~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING
(L<' I
Inspector: Jr) . \ ) Ii WI Owner/Contr:
CALL ~7-9850 FOR T:i NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNQTI