HomeMy WebLinkAboutBuilding Permit 00-0457
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D~n: RFr.E..IYE.Q
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
~/11C50
Permit No. -.i1IJ -Otr6"L
.
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bottom)
12, SITE ADDRESS //'O.LL!L
/" ~ 6716l.-6 ~~ "qVb.
3. LEGAL DESCRIPTION
1. DATE
c./, J(fl)
,
,<,Is;o
BUILDINQIII!'DRMATION
11. SIZE OF STRtID"R:FlE
(Height) (WfdIh) (Depth)
,
52 BLOCK
LAKes/ P6
PID ..z5-(J 9(" - tJ3ef-()
12. NO. OF STORIES
LOT
5/.
ADDITION
PARt::::...
13. TYPE OF CONSTRUCTION
I',O~R
~~,
15. ARCH.ITECT
6. BUILDER
(Name)
I-l.r~r
(Name)
(Address)
\Io~\\. ~ I'<.~\). (:1''<'''-
(Address)
(Tel. No.) "l'1S--o'lJ7J< '0'(1,4, FLOOR AREA APPORTIONMENT USE
IwlS-' ((.\)\'1"'071.1
(Tel. No.)
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
':)~ o..-~
~
7, TYPE OF WORK
New Construction LJ
Fireplace 0
Alterations 0
Septic 0
Addition 0
DeclcJl!"'"
Finish Attic 0
Re-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
19 PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth _ Yes No
~7
tio . h is to the best of my knowledge true and correct. J also certify that I am the owner or authorized agent for
to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
ereby agree that the city official or a designee may enter upon the property to perform.Aeeded inspection,~?
C/Y' ,2,}. LYL
License No. Ollte
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Ba'"
Side
Side
SOIL TESTS
o ENERGY DATA
o
;i?5s AI"..e.
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION I: ~ 00. 0Cl
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... .... ............... $
SewerTap ................................... $
Plan Check Fee ............................. 4:
~5,?S
~ "/. 7'1
. 70
$
State Surcharge ............................. $
Penalty .....................................~. <l::
Plumbing Permit Fee ....................... <l::
~
Mechanical Permit Fee ..................... ~
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
~~
(JD -o~t;1
Th~ Crnln of Ihr L.kr Count!'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
<I .
NAME OF APPLICANT 'f.. ,', (\r\\'~ _ (
APPLICATION RECEIVED
"j \...;Y'\Q..
(), rk:.f
\ ':,~, d,CC'O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/?, C LJ '4 l~ C;H~J' O. ( {\ C i' k~ A "-I' f\l Ie _
i~J
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~ fA.r:~
Comments:
f\o.--e-k.. PP-VIAM \ Si.J~eL-O:C-V7? ~ ~-8e
~/A-0}~ ~~)5Icklf)~ ~lh9Vr:t'k;f~4<,.
~~/~ fi~ ~ f*. Vied
T/lYl5; ~ ~~ ~
if.ev~ ~e.. n /:l rJ..<s d
Date: jp ~ 7 ... ~
"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,"
~~
6b-O~l
Th~ (-..nt.., n' lhf' 1.8k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~r-rnri,e~ (1 cu--kA
JUY\L \~t-, ~ODO
APPLICATION RECEIVED
The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/?, 0 4 L/ F C&. ( .I\..RJ l.J AV\' f'\ Ae ~
Accepted Accepted With Corrections X
Denied
Reviewed By: ~ :f ~p Date:' ( fo / (J1)
, ,
Comments: RcAg 'De-elL H-At.1()-ou.1 At-JD ALL THE:
I A )~ f2.-M.:A.TI D,J eN TM &:< ~ P R.a II ffi ~s.
"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 /(,{) O'f4 6AGLc U!-eEI< AtlG:
TYPE OF WORK Ai E:/AJ J)C-C/<-
USE OF BUILDING ~ES Ale
PERMIT NO. fJ1J -() t./.0 DATE ISSUED (pI (p / GO
BUILDER eO"-l..J1I:E H. CN"2...TE.{2... t;.J,~"s. -0'307rlv, to'i A,~I2.) 'I'iD-,9<f8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
'FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
~
9~/af-
, FINAL
H~?
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
OWNER
DATE TIME
SCHEDULED ~~
j/-, I
/6t/~~ ~C~ Oee~ 4<-
i/
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
PHONE NO.
PERMIT NO.
~ - 9!!s-7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,I) /~
/ kClc
// . I /
~/I-cre..
---
--,---~
........... -----
......-
/
(
\. L
~
ftvORK SATISFACTORY, PROCEED
/ ~ ~ORRECT ACTION AND PROC ED
o CORRECT WORK, L EINSPECTION BEFORE COVERING
/\/'
/ /1- ~ '"
(U~C
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/~/ / /') /
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~
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSIiOn
DATE
#fl
l~o44' t71tqL-E (!.;e66~ PlJ'6-
,eo,0 ~ .
tAg.!..J:?"-" CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~v
U~~l
TIME
4-; rf7)
MAiU n L:6
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~._.._-~
/ ............,
/ """
1\ n () - 0 \ xr 7 \1
o WOR~TORY. PROCEED... i
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
!lALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ