HomeMy WebLinkAboutBuilding Permit 00-0849
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~1
110 -0 (j,30
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
,2.SITEADi522.1 WI LOS PrtJeK. NA'-!
OATF RFr.FIVFI1
9.20-00
NN
3. LEGAL DESCRIPTION
LOT
7
7716
/
E;6t:fJNIJ
PID ?"> - 3"2..:<'- n07- ()
ADDAJ.
13. TYPE OF CONSTRUCTION
1)E'~
14. FLOOR AREA APPORTIONMENT USE
BLOCK
WILDE,
ADDITION
14. OWNER (Name) 11
GJte6Cj rtArno l:ST
15. ARCHITECT '//r't (Name)
6. BUILDER (Name)
(Address)
1. DATE
9. 20.00
I.
2.
3.
'caDl
Permit No,
PUD
11. SIZE OF STRUC
(Height) 'I" (Widl
12. NO. OF STORIES
(Depthl IS
(Address)
(Tel. No.)
78"3 - / zs ~
(Tel. No.)
(Address)
IJ/fr
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK Fireplace CI Septic LJ Dec~ Re~roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 1YROJECT COSTNALUE
Chimney 0 Misc. -< I /00. 0 tJ
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. 20, roo I Width I(r. Depth Ves No /0 J 30/00 ?
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. t also certify that I am the owner or authorized agent for
the above mentioned prope11:d 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 Oa;i . n revoke '15 pJ"'lit f9?usJ?1use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X C;; ~ .r 0/20 {a--o
U - Signature License No. . 'Dale
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
WaterTowerFee ........................... $
Water Tap ...................................4:
Builder's Deposit ............................ 4:
Other ......................................... ~
Paid T~;~~.8;;......~~~~i..... $~' ff ~
Date q.1'I.. 0 ()
,
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
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certific
Fronl
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ .00
USE OF BUILDING
.e.ES 1'+/ ~
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Division 1 2 3 4
PerrnitFee ................................... $
7f./.75"
l/~ _~9'
!.~
Plan Check Fee ............................. $
State Surcharge ............................. ~
Penalty ....................................... ~
~
q.lI'
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
............. $
uilding Permit 't{hen ~proved.
Date T~ 2D-~
Issued
City Planner
Date
24 hour notice tor all inspections (952) 447-9850
Special Conditions ~ any
MA TERtAL FILED WITH APPLICA TlON
Side
SOIL TESTS
t:1
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. 4:
Park Support Fee ........................... $
SAC ......................................... <I:
Collective Street Fee ....................... or
Sewer Tap ................................... It
$
Pressure Reducer .......................... ~
MeIer Horn ................ ................... It
Water Meter ................................. <:-
Sewer & WalerConnection Fee ........... <I:
~~
00-0641
Tho.> C...nlrr of lh... L.b Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
AAMODT. 6e6Ci
, j
q.20. no
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/522/ WILDS PK.wV J'/W
I
Accepted ~
Accepted With Corrections
Denied J () /f? (}
Reviewed B( 0'J;.- /-=- Date:
Comments:
~ ~ Uoc(C ~Q~
1'-)0 -7~
"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 J2:l'2 I LJ r'l~ VlrIc~
TYPE OF WORK hDCC (c::;-'x '2/ f ()
USE OF BUILDING 5F t\
PERMIT NO, ('/). ()0M DATE ISSUED 7- 29 -.?cae>e
BUILDER A ,il.u.-oJ).~ I 7~3-l ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
-
I FOOTING I A. I ItJllllfftJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
, FINAL
-
I P /7 I //.;;;2~ dV
Call between 8:00 and 9:00 A.-M. for all inspections
FOR ALL INSPECTIONS 447-9850
~ ."..
DATE TIME
CITY OF PRIOR LAKE 1/1 zAm
INSPECTION NOTICE SCHEDULED tOt(} ~
ADDRESS /Sc9.;;1! 0d/L ?~pU
0
OWNER CONTR.
PHONE NO.
PERMIT NO.
~~3cJ ~, - f!)-Ji>'{"j
J J)~
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~
JQ FINAL
o SITE" TION
COMMENTS: J)~
A
o PLUMBING RI
o MECH RI
o WATER HOOK
o SEWER HO
o PLUMBI
'--=.::.~.:.. '
~ORK SATISFACTORY, PROCEED
o CORRECT ACTIO D PROCEED
o CORRECT LL FOR REINSPECTlON BEFORE COVERING
Inspector:
. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
fNS/iOTl