HomeMy WebLinkAboutBuilding Permit 00-0873
~~
DATE RFCFIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
9. z7- 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
IY~-'.5 l/\
1. DATE
~- -00
I!!!/SO
3. LEGAL DESCRIPTION
LOT
/2-
..s;
PID 2S -0 f6 - 0/3 -0
BLOCK
ADDITION
z
(Tel. No.)
Tr-/ '1'1~- 7</
(Tel. No.)
(Name)
~\k.
(Name)
(Address)
6. BUILDER (Name)
C. .....~A""""...,"'- c...l\,so.....
(Address)
i.\d"\ t' G /'o..,v. v'(j(!,q C.'r
(Tel. No.)
'-f"O-S-'Ii1~
91(0..1/0"3
7. TYPE OF WORK
New Construction LI
Fireplace Septic 0
Alterations~~ Addition 0
Rs-roofing [j Porch 0
Re-siding 0 Finish Basement LJ
Deck 0
Finish Attic 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
1. White
2. Pink
3, Yellow
File
City
Applicant
Permit No.
00 -0 1(;7...~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
. P'IC;a:;r~
17. COMPLETION DATE
x
I hereby certify that I have furnished intonnation 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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi offi' I can r e this nnit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perlorm needed inspections.
I...je,') I Cf-'J..,-CDD
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PiliNG LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 2"S?J"V . (/U PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ... ........ ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid II &. ()j) Receip
License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
LeS"/Ae-
,
TYPE OF CON$TRUCTtDN: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
City:
Pennit Fee ................................... $
7<1. ,<;;""
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee .GA.~...F..e.... $
Sewer & Water Pennit ...................... $
I. ZS-
C{O.c!lO
This
By
Ilding ~:r:it wr 1rv;~
Issued
Date
MATERIAL FILED WITH APPLICATION
lIb 00
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 0 ance and may proceed
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificat
CrtyPlanner
Date
Special Conditions ~ any
24 hour notice for all inspections (952) 447-9850
~
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4337 SH;90y' 8e?1er1 ~I C--
TYPE OF WORK V2urP~ A. l.t) l'v../J _ "- d F: P
-
USE OF BUILDING SF D
PERMIT NO. OO-o?J13 DATE ISSUED q- 27-00
BUILDER Cosc:.~..... ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ N.... lo.c... e.! -I ,,-,
PLACE NO CONCRETE UNTIL A~VE HA5 BEE 51 NED
I FRAMING 1..)I..~ H~ I I /1 /.;z./.nl
r r
I SPECTOR
I FINAL
&r. I ~~o;
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
'\
'. .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/L.j33 ?
S'fb.d1<t
../
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
F FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: 0MJDoI<.IS i
DATE TIME
d/~~!o(
, ,
6et~1i
//.'00
(;e,
LkJ - 773
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
)3l WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~I
Inspector:
OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!