HomeMy WebLinkAboutBuilding Permit 00-0824
~~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
9./3.00
Permit No.l:b - CJR ~ ""
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2 SI2f~flltS rRrk..WotJ,( D,..
1. DATE
~I
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
5'"
12. NO. OF STORIES
~J
5
uJ._
PID
2S-:Wl-Olc{ -0
LOT
ADDITION IJc:oa.i. ..,~
4. OWNER (Name)
BLOCK
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER
(Name)
(Address)
282-~7
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
R.:.:.k <hee.l; ~c;.
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
DacMlL
Finish Attic 0
Re-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
x
\
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
is application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
on will conform to all existing state and local laws and will proceed in accordance with submitted la I am aware that the
Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe eOOed inspections.
-/
17. COMPLETION DATE
license No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
LI
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION ~~ & """"
PILING LOGS LI PERCOLATION TESTS LI
PLANS & SPECS 0 SETS
USE OF B~ILDING I
tl.2s.. Jl /11
I
SURVEY
PLOT PLAN
o COPIES
LI
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .... .... ...... $
Sewer Tap ................................... $
.
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~ <{. 7.,.-
48.57
I.c:::n
~3.0D
q.\
Pressure Reducer .......................... $
Meter Horn ................ .... ........ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Mechanical Permit Fee ..................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ J 2.Q.8j
Paid /Z..,.PJ4 Rac~3S'I/C:;-
Date q./3.Cfl- By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~s requested. This document when
signed by the City Planner constnutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
uilding Permit When ~proved.
. ~Data ~f?-?t:l!}-
Issued
City Planner
Date
SpecialConditions~any
24 hour notice for all inspections (952) 447-9850
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 457i' R.rk~J Or-
TYPE OF WORK ~ lc-
USE OF BUILDING ~.&; h
PERMIT NCA (}() {)82Zf- DATE ISSUED C( -( 3-2o~
BUILDER ~I::.. C~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING I t:;:PECTOR I 9// f i~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l~ I I
I FINAL
A
/b? . I ') I d-K'I ()'t)
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J/~99
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULATION
/fIl FINAL
o SITE INSPECTIO
COMMENTS: ;Dal<'
DATE TIME
. SCHEDULED -r~/&o .,q,j;
I~~~
CONTR.
PERMIT NO.
6 - X'd.- '-f
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFIL1.ING
o COMPLAIMT
o FIREPLACE RI
o FIREPtJICE FINAL
o GAlIUNE AIR TST
o
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PORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ (
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl