HomeMy WebLinkAboutBuilding Permit 00-0864
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,/./5'00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
IS-S-t" ~ <.kv/;/!'L /?ve /lJ. w.
1. DATE
9-//-06
RISD
3. LEGAL DESCRIPTION
LOT
ADDITION
4. OWNER
Cll"'--o,
5. ARCHIT~CT
/ q BLOCK
.$j...~ Vi-v.JJ
;z.
I Sf
PID -Z.,c;-I46- 037- 0
I'\-.:tch+-,'o-v\ .
(Name)
j(A..S c.. h.
(Name)
(Address)
1~8 'Sky;'".. /l,/e Mil.!.
(Address)
(Tel. No.)
'1'17- 8fr:2J
(Tel. No.)
6. BUILDER I n (!'!I'me)
/LrofS~ <..:o.t~.P1c..
(Address) f1,..
~/"'7 L..c<<Je,- /3'1 'ST.
SIW"'Iite. ~7f#
(Tel. No.) eet.J,..;-
3(,'1 ~ "93'1
7. TYPE OF WORK
New Construction LI
Chimney 0 Misc.
Dec~
Finish Attic 0
Rs-roofing 0 Po~
Re-siding LI Finish Basement 0
Fireplace LI
Alterations LJ
Septic 0
Addition LI
1. White
2. Pink
3. Yellow
File ...
City._.~";~
:~~I\
Permit No.
11. SIZE OF $TRU
(Height) (Width)
/2..!O N!o
12. NO. OF STORIES
/
(Depth)
i:2.~O
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16. PROJECT COSTNALUE
f/S)fJt>i:> . ~
17. COMPLETION DATE
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished infonnation 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 m tioned property and tit a! constructi n wi nfonn to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
building off can revoke this pennit Just caus ore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed ~..pections.
X ~~ :1",; - =/7/,p~ 3 q-/C=-Ol/
Silfnalure J/ Ucense No. Date
FOR ADMINISTRATIVE USE
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 .............................. $ f3. .3~
Paid 5713 .34- Receipt}1jj3t "1G7
Date Q.2.2..00 By IJP...-r
This is to certify th t the request in the above application and accompanying documents is in accordance with the City zoni~g Ordinance and may proceed!s requested. This document when
sig y the C~ nner const'utes a temporary CerJ!fi9le o~ Zonjng comPlianZd allows con~t~mmence. Before occupancy, a Certificati of Occupancy must be issued.
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C Planner Dale Spec~~dlllons ~ any oJ'
SETBACKS: Required
Actual
Fronl
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMITVALUATlON~.(V) D'
,
USE OF BUILDING
L..eS ;, / f2-
/
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Permit Fee ..........~i~~~~~...l...~...~..~... ~ z;<t.(. n
fc-I (, . Cf(
Plan Check Fee ............................. $
7.50
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ..................... <t
Sewer & Water Permit ...................... <t
Gas F,' eplac P
it.......................'"
mes YOUAUilding Permit When Approved.
A: Dafe 't-/IJ''?~
Thi A
By
Certificate of Occupancy
Issued
24 hour notice for all inspections (952) 447.9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
$
~~
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Th.,C..ntuofth..l.ak..Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=:T
NAME OF APPLICANT
APPLICATION RECEIVED
KeOqs/r1D
q. /5, on
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/55(Pfl)
Si::..LjL../ N6 II V'e; .
Accepted
Accepted With Corrections
-x..
Denied
~
Date:
~ 2 2 ~2.C1-6>---
Reviewed By
Comments:
(jlJ ~IA.""-~k
i-Q- h<lUS 0 .
\~.ec.fc~ ;-l'd"oe ~
,
"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."
~~
OO.c51CoV
Thf (:.nlu of Ih. L.x. Country
White . Building
Canary . Engineering
Pink . Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,K k C (7 :~~Tl--i D
7. i.:'::' ((l
J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5Src S 5f::.tjL//VE fiVE
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~ A4r~..A.-+--\
Comments:
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~~~~
v -
Date:
QC2-f /60
r
"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 15S""t..B - g-k'II,~A~
\,
NATURE OF WORK -=?o~ ~ t:~ec\<::
USE OF BUILDING S'F'D
PERMIT NO. (}f)- 06~~_gtTE ISSUED 1-lerZooCl
CONTRACTOR Kl'Oc'"<f-a..,;.(
NOTE: THIS IS NOT1A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTOR _ / DATI
;z;!. I ?/2J1/Q>
ill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECT L
tfn
/0/1'8/1)3
I
I
I
I
I
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
g)
BUILDING <3.......\~ OrL\eeJ..",,,'<>..
ELECTRICAL
1S,v,
11/17/00
I
~
DO NOT OCCUpy UNTIL ABOVE HAS
NO TI CE
I
I
BEEN
SIGNED
\
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~)55tP~ Sh~..
CONTR.
OWNER
PERMIT NO.
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
.D}NSULATI~_ 0 SEWER HOOKUP
(!ll FINAL n- 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: _<'j)t)~
I
-
(%..
-
-
=,,,...#..~."'F'#""""'"
-
-
DATE TIME
IH7~~
-
00-Rc',;,4
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o .c...AAnV,p~
-
-,,,."
-
....f._" "
-
-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~' ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~,~ Owner/contr:
CALL 447-9850 FOR TH~x,T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl