HomeMy WebLinkAboutBuilding Permit 00-0865
iJ;::~~x PR/OJj'~ \',) rn..~'@~'YEO ! CITY OF PRIOR LAKE
; ) BUILDING PERMIT,
~;rEMPORARY CERTIFICATE OF
. ZONING COMPLIANCE
DIRECTIONS . r UTILITY CONNE~~~~N PERMIT
I SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN {7:../_ Z "'-'0
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) I \",.J,C;...;'
[2. SITE AOO.RESS
1; 2- !( ~ ~lLA'i" ;t:" " F /2./5D
3. LEGAL DESCRIPTION
1. White File ,4::;,(;",
2. Pink City",
3. Yellow
(Depth)
12. NO. OF STORIES
LOT
I
BLOCK
PIO z5-3""-OOI-O
, ,
ADDITION ~ .-Nl". ~ 0.. -:} .("1<1. r- nr-;?
14-0WNER A..~:/~J ;;t>~
15. ARCHITECT '~e)'
6. BUILDER (Name)
13. TYPE OF CONSTRUCTION
(Address)
. r..2 f''-
-IJ"'~~-
"
(Tel. No.)
JJ/J r ~(1~";"'"
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7.'TYPEOFWORK Fireplace 0
New Construction 0 Alterations 0
ChimneyO Misc. ~ltOO1l^
18. 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 to 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 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can rev e this pe 't for' t cause. Furthermore, I hereby agree thaI the city official or a designee may enter upon the property to perform needed inspections.
...;7(1"",,,,.017 . Q-}'-26'e>O
License No. Dale
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re.roofing 0 Porch 9<
Re.siding LJ FInish Basement 0
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
x
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
R..P..<; ~//2...
OFF STREET PARKING PILING lOGS Cl PERCOLATION TESTS Cl
SPACES REO. PLANS & SPECS Cl SETS
SPACES ON PLAN I SURVEY Cl COPIES
PERMIT VALUATION ~ PLOT PLAN Cl
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .....................,...........,....... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 3 4
Permit Fee ................................... $
8'1.25
'5c.,.11
z.110
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty. ...................................... $
Plumbing Permit Fee ....................... $
~
1"~
Pressure Reducer .......................... $
Meter Horn ... .... .... ................. ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ...................... .... .... ........... $
Paid Tot:;"5}!)..r;...'..~~~~i;;~o$ltff;,iJ'
Issued _
Oal~~BY 7~;:)~-rJO
This is to certify that the request in the above application and accompanying documents is in accordance with the City zo,{ing Ordinance and may proceed as requested. This document when
~temporaryCeo/i~omPli~;~ru~o~re/'Jful("ni1'~~otOccupancymustbeiSSUed
City Planner Dale 'specJal~--"\.
uilding Permi~n.. ApIBved. _
Oate~ -/~~
24 hour notice for all inspections 447-9850
:
.~~
D6. rJ for;
The <:rnlrr of lhe L.k. COUnl1'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
NAME OF APPLICANT
("I 1/-:'/< t L.ll ..!.'
1/Lf'((
".- -."'-
j Lr\ ...
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r'7""
J L-. '//"
I-Ii ) / I //7Z' /V
-
.
\/ l/
Accepted
,/
Accepted With Corrections
Denied 1 I A _
Reviewed By: ~ L~~",-
Date:
9'/Z 2/J.4l0
Comments:
~L>luJ~ ~~ .~D
"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 ba valid,"
&~~
00 .0 ~~5'
Thf C"nlu of Iht Lakt Counll')'
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P,c}!<-R.6u-' DOtJqi.-AS
q. /J.I)()
, -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
52- 0b HAMY IUN AlE
Accepted
Accepted With Correcti~
Denied f\/~/ ~
Reviewed Bf',;;'! ury
Comments:
2a~ cJ.t. Cc:n..c- (~ ~~"
Date:9-le-~p
'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 i
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS sa A ( rJ \-i o-.,^"O~
NATURE OF WORK Th~ IZ.X\'--D
USE OF BUILDING St:'D
PERMIT NO. DATE ISSUED l-lS'"-';?/')('y"')
CONTRACTOR -..Dr..~tn.'" Fc.r. -
NOTE: THIS IS NOT JrPERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
I
INSPECTOR
I/P-~\
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I bl~' ~~E
,
IC
Uf. ~ C7 $/t1J(JI
1/.
6. < ~/ft/t:)J
FRAMING
/INSULATION
ELECTRICAL
,~ ,'j /
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I,
FINALS
/1
fb,
_. I
Y/lI/o/
I
BUILDING
~L
I
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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
ADDRESS
5~P~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION@
o FRAMING
o INSULATION .
')I:DFINAL
o SITE INSPECTION
COMMENTS: ~
(II
SCHEDULED
~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEC AL
~>
DATE TIME
~ 1/:30
00 - l?6~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
;0' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
Owner/Contr:
CAll 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl