HomeMy WebLinkAboutBuilding Permit 00-0899
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2.
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QATF RF"F'''Fll CITY OF PRIOR LAKE
10. .,... (}V BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
L/ T() 77
1. DATE
3. LEGAL DESCRIP~
LOT
PtU' l< u 'bod Or -S [
.3
~
(Depth)
12. NO. OF STO
BLOCK
PID
?t:::;" -3/1- Olft;.()
NOOO teADtih
4.0WNERO (Nam.), If) . (Ad'l'.SS) fi
Of\ t ~ t t'lt1D-- KIn ctert04.
5. ARCHITECT (Name) V(AddreSS)
13. TYPE OF CONSTRUCTION
ADDITION
6. BUILOER
(Name)
(Address)
(J~o)~ l<tlf
(\II) -,{!q.'O".JZ<j3CJ
_..1 () (T.IND.)
'""'" IN '185-23/,/
14. FLOOR AREA APPORTIONMENT USE
JT~,,'-.,eI\ hr'lfl ~ n.3.t.
7. TYPE OF WORK
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
New Construction CJ
Chimney LI Misc.
Fireplace 0
Alterations 0
Septic 0
Addition 0
D.c~
Finish Attic CJ
Re-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
1 hereby certify that I have fumished 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 m~ntioned roperty 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 offici ca oke thi e it f . t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X / r '0 License No. Dale
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: ReqUired
Actual
Front
Back
Side
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
USE OF BUIL~G
4'!\. AIR
. I
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION --.2,oon .f!:',.,1
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H , M R S U
City:
Amount Brought FOlW8rd .................. $
Park Support Fee ........................... $
SAC ..........................................t.
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 3 4
Permit Fee .................. ................. $
t...z.ZS-
1../.(,. en,
I . r<\ t')
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ..... .................................. $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ....... .... ...... .... .............. $
Water MeIer ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~~i~~.;.~itWh.n Approv.d
. - Oat. If} . q - C IJC>d
Total Du. .............................. $ /0.3.7/
Paid /037/ R.c.iptjoJo. 3~f!I
Issued 'Af'/
Oat. /0, 9. c/ZJ By "/n4.. -
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceeQ,(; requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
SpecialConditions~any
24 hour notice for all inspections (952) 447.9850
~1
While - Building
Canary - Engineering
Pink - Planning
Thr (-rn!p. or lhr Lillo. ('ountl'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~ r......J.
APPLICATION RECEIVED
~~~c:.tJ
V -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
q(~ ;),7 ~~\.4JJ [).,
Accepted )('
- '--
Accepted With Corrections
Denied (J-:J
Reviewed BV~ ~
Comments:
Date: Jo --9-7ClQO
-
0-J +h.. DlLr k--_ ~~ ~ /I
"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 .,fiP Z 7 ,P/1eKNOo 0
TYPE OF WORK D EZK:-
USE OF BUILDING er;s- RI.€-
PERMIT NO. 00 - De:qCJ DATE ISSUED 10 - 1. 0 0
BUILDER R/NQ...5:77IZJ PHONE # 440. 293-0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
, FOOTING I 6--,INSPECTOR I J 0 //94 a
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
A
(~
7/1/t/1
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
, /.
\
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
+b:2r
OWNER
DATE TIME
SCHEDULED- 1-4-oL ,A,-,\-r
TCU'luJ ood
PHONE NO.q & 5" - ;;2.'3 I q PERMIT NO. 00 - 'S9 9
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)ltlFINAL
/0 SITE INSPECTION
COMMENTS:
rnll
.+0
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
sP.t- 1A..1<l
,
le90 k. ~+- b-ck
t' /ii:.itL
ll'\ll&;,""T2l
..,.-,-0",,,,,,,,,.+,.
..-."' ..' ~
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( [IAiR.< ;:;, ,N ....
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.'=""--.ll11t,"L_-.-~"~- --
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl