HomeMy WebLinkAboutBuildinjg Permit 00-0907
~iV
'.:':::-'1iAr.EJ:~r=0~f,',r=Q,
.... ,.~.; ,-
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
-AND UTILITY CONNECTION PERMIT
~OO
telSO
ocr-6.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
/~73s tlINOSOe. L.N
3. LEGAL DESCRIPTION
9
.3
ADDITION /'V/C..ObeNC3SS poll/OS 2ND
____ (Name) (Address)
:::Ji"l\ IJZ/lid I ~ 1~s/.Ji ),/f}-sdL LtJ
5. ARCHITECT (Name) ~
1. White
2. Pink
3. Yellow
11. SIZE OF STR
(Height) (
(Depth)
12. NO. OF STORIES
PID
25-336-02.~-O
13. TYPE OF CONSTRUCTION
LOT
BLOCK
(Address)
--
(Tel. No.)
:;.~-
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Name)
-:r~ QR(;;bkJ
f!1!!!!!l5 RUl~I\'
Fireplace 0 - Septic 0 Oeck
ew Construction LI Alterations 0 Addition 0 Finish Attic ~
(Address) (Tel. NO.)ll~':>
i5JJ}fef~ltIuqJlA"'- J.l1I o\-.s;;l1f'
&irNS'~i\lc. ~ ",y tt-
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. .PROPERTY DIMENSIONS 110. CULVERT S~ZE
Sq. Ft. Width Depth Yes No"
I hereby certify that 1 have fumished ",;v." ,....'-'., 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 prope and th construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding official can r k IS pe . st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfO~
LlCsnseNo. .---=-.
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Other ......................................... $
TolalDue .............................. $ /88. 2/
! 8'R', if J Receipt No. ~ gL.lQti?
Date )t)-/;J.-Oo Bya((j;/I~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce~ requested. This document when
signed by the City Planner constnutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
I
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
(1I~~.d>t"")
.
USE OF BUILDING
jg.e~ n//Z-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
City:
Permit Fee ................................... $
IIZ. zs-
1)1 .'H~
~./l)O
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
~
,6 .\
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer&WaterPermit...................... $
Thi
By
our Building Permit When Approved.
Date 10 - {() - '2rx>O
Issued
City Planner
Dale
24 hour notice for all inspections (952) 447-9850
Special Conditions if any
Side
MATERIAL FILED WITH APPliCATION
SOIL TESTS 0 ENERGY DATA CJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... CI:
SAC ......................................... CI:
Collective Street Fee ....................... of::
Sewer Tap ................................... of::
$
Pressure Reducer .......................... <I:.
Meter Horn ................ .... ............... <l'
Water Meter ................................. $
Sewer & Water Connection Fee ........... go,
WaterTowerFee ........................... $
Water Tap ................................... of::
Builder's Deposit ............................ of::
Paid
00 'OQo1
Thf Crntrr of thr Lakr Count!'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ToPs REf7()OeL.INq
/0. ft; , 00
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ftJ73 b W/{l/050f!.. L17N6
Accepted
Accepted With Corrections ^--
Denied ~~f
Reviewed By: Date: /~ -/6 -ZOO&)
--,
p;j;s:~ ~cl- ~~_
"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 1(,7~t) w.'V\bsr'\r-
TYPE OF WORK Z::Qrt~
USE OF BUILDING SFD
PERMIT NO. {)O. OQa7 DATE ISSUED Ie - (O-ZClOQ
BUILDER \O~ ~MO\c.h~ ~l~ 201 - 52.78
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING I &:~PECTOR I /~/J,;7~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL
~
I (0/;:;'5/0)
t
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
SCHEDULED ~~~~OJ
It. 73 S-- // ) 1!41 dxn-J
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~~~VeLr
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
t&~-
~
~.~"---_.
~:;>.---
/(- (l t.t"U
........ -~-~._--
-/--
DATE
~E_
/L (.
() ...q t?/
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.....~
'"
./
blWORK SATISFACTORY, PROCEED
f CORRECT ACTION AND PROCEED
o CORRECT WORKffLL FOR REINSPECTION BEFORE COVERING
Inspector: [~ Owner/Contr:
f
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!