HomeMy WebLinkAboutBuilding Permit 00-0846
New Construction LJ
Chimney CJ Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I 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 mantio ~ and tha onstruction will conform to all existing state and loea. I laws and will proceed in accordance with submined plans. I am aware that the
building official n 0 this pe' U7t cause rthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ .~, ,,Q.,:I,jpr :J.O/S:7.:J.3n q- {<;5-00
Ii J, - . 19f'l8 re Ucense No. Dale-
8~'"
.DATF RI=r.FIVFI1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
9.16'00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12, SITE;~R/23,S I /1
y) -; lNrmd .f)ucKI/. t"rl'fJr
#-
1. DATE
3. LEGAL DESCRIPTION
LOT V BLOCK
ADDITION -fIV I L- /) -:; ~
14, OWNER (N.ame) 'h
~or~"" ..JO 1)$0(/
15. ARCHITECT ...... (Name)
6. BUILDEfI /' (Nam~) p ,
.John L.G'lrC/ b7'i/l1
fJ8-1r C~lJen..t:ry fJIII>
7, TYPE OF WORK
'} ~ i ~< 00
L i ;11'1 S.537.:l.
337 045:
PID 25 -J-d - M4- - 0
/lOD;J_~~
(Address) (Tel. No.)
Z31'1 wCcd IJ..d 11-
(Address)
(Tal. No.)
Fireplace CI
Alterations 0
(Address) A .,1,J.. (Tal. Ngl
1';5''75 r l>/!." f11f11l; ~S';?- S'Y'.s: "'{4;
~('/l!lr U .sS3?~ 6/J.-;}?.!I?8S
Septic CI Dec~
Addition 0 Finish Attic 0
Re-roofing CI Porch 0
Re-siding 0 Finish Basement 0
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
/265 ,q/~
PERMIT VALUATION
1."'00 .OCJ
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Permit No.
12. NO. OF STORI
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS CI
PLANS & SPECS 0
SURVEY CI
SETS
COPIES
PLOT PLAN
o
Division 1 2 3 4
Permit Fee ...................... ......... .... $
Plan Check Fee ............................. $
St.4.00
3'5 . t 0
.6"
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ",,,,,,,,.....................,,,,,,,,,, $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .......................... $
Meter Horn... .... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ".h.............,,,,,,,,,,,, $ PIf qc;
Paid ~ q q~ Receipt No, . "'$fJ~
Date .,.~.I')n
This is to certify that the request in the above awlication and accompanying documents is in accordance with the City Zoning Ordinance and may pr
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifi
City:
State Surcharge ............................. $
Penalty .......................... ..... ........ $
~o
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Issued
CityPJanner
Dale
Special Conditions W any
24 hour notice for all inspections (952) 447-9850
$
~~
ooo~1~!
Th~ C.,nt.,r or lh" L.b Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
0!1I<P6IV7Je..'/ PLUS
I
q. If);. O()
I -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33/9 WOOD DUGK DI2....
Accepted '/
Accepted With Corrections
Denied ~
Reviewed By. . ._A
/
Date:
f - I '7 - '2.t::x::l::J
Comments:
r~ ~ J~c.b ~~
"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 S~ tLJ.. \,.",.,...0 C>.,,.. Ie: I) r--
TYPE OF WORK 7J2c(c / (., /)( 1'2 I'
USE OF BUILDING S 1='1)
PERMIT NO, I)() ()fj4-(o DATE ISSUED 7-(1-"Zo.xJ
BUILDER l')KfJ lr, I ~~ cr ~2 - (1<15'- t./ t~2-
NOTE: THIS IS NOT A PERMI~OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I h:r. I 1/..?-'$/tr)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL
A
&
1/.1/s/az,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
10,5.00 z.:3-D
ADDRESS
33/9 WOOD D{)GI~
OWNER
CONTR,
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
!INSULATION 111
FINAL 06C1C-l.:t:f
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKU
o SEWER HO
o PLUMBIN
o MECH FI
I2e.,
COMMENTS:
~"..
(~~~;
DO, o84{o
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)(JWORK SATISFACTORY, PROCEED
;; CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING
Inspector: B / Owner/Contr:
;
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!