HomeMy WebLinkAboutBuilding Permit 00-0916
~~
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION ~ERMIT
1. White
2. Pink
3. Yellow
File
/0 -//.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
In., 1
3. LEGAL DESCRIPTION
/"
ADDITION :J5;; I..... r~ 0~ J_ ,
(Name)
CAS":;ct'A../
(Name) - -}
;.,;l)I\1'E :r
lo-/o-ov
~/SD
::JI</~ u/V-v hi
<- PID _ 7L:; - ~,~7.. - ()()'&:Q
C#> li-rAplAv-... .
(Depth)
12. NO. OF STORIES
LOT
BLOCK
13. TYPE OF CONSTRUCTION
4.0WNEb 4Iv
5. ARCHITECT
(Address)
Irn~ ':j's/~ u'VAJ kl
(Tel. No.)
Wo -1./&60
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
.AI ""'. OCCUPANTS
-f hCfh,1/) i/~"", ~f "5 7'i'J c.lt./l1l^J1'1'1O!jf(~ 8'7-"3 i ~7 SEATS
7. TYPE OF WORK FirepTace (j Septic LI DeclS::Q-- Re-roofing LI Porch 0
New Construction LI Alterations CI Addition LI Finish Attic 0 Re-siding CJ Finish Baseme~I-.16. PROJECT COSTNALUE
ChimneyCJ Misc. _~~JA-k- ~ ~\U 6~YkT
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No / - /- 7_Ot"t I
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 ~e thi~ pej!1i1for ju~rmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X .-? ~ 7~ ?1">C>.....:t-lJc:>q /0-/0-00
~ignalure license No. L Dale
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
F"""
Sa'"
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY CJ
SETS
COPIES
USE OF BUILDING _Jt.8.5 f1jJ2
'2..."""." C-
.
PLOT PLAN
o
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ..."".."""""..."""",,,.,,,,... $
Collective Street Fee ....................... $
Sewer Tap ................................... <t
City:
Division 1 2 :3 4
Permit Fee ................................... $
(,L.2..~
40.-(1.
(.60
~()
\ ",J)
,0 ,VI
Plan Check Fee ......................... .... $
State Surcharge ............................. $
Penalty .............. ......................... $'
Plumbing Permit Fee ....................... $
$
Pressure Reducer .......................... $
Meier Horn ................ .... .... .... ....... <t
Water Meter ................................. $
Sewer & WalerConnection Fee ........... <!:
WaterTowerFee ........................... $
Mechanical Permit Fee ..................... $~__
Sewer & Water Permit ...................... $_
, AnL" R1ueD
~O.,-t:;l8'ft(~
u Iding PelTTlit When ~roved.
Date 16 - - '?0CI1'
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due "."""."."""""",.... $ 10.3. 7/
Paid /03,7/ o. ~h/3
oate/l1. /.J1..rR/
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning On:lfnance and may pr
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifi
Issued
as requested. This document when
of Occupancy must be issued.
City Planner
Dale
Special Conditions ff any
24 hour notice for all inspections (952) 447-9850
~1
00, 01t(P
The Ct'nlt'r of Ihl L.kt Counu")
White - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
701111<./ /H()MP50,J
,
In.ll.nO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/57 '=3;3 /.5L./1/V'O VIE-W RD
Accepted ><..
Accepted With Corrections
Denied r
Reviewed By\ di rL ~
/
Date: f(J -{ '2......~
Comments:
~eo.eQ. ~ ~~ ~u~c:;l ~
~ D2ck-: ~
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~S73'1 J:s.\.....J.. V,'eo..l I(?"i
NATURE OF WORK .J:&r. (t.'X'i'3i) ~,.I.;-l ~"'. ..\- ~~,~
USE OF BUILDING S!='f)
PERMIT NO. fJO. ()9/0 DATE ISSUED /11 -(2 -a:.o 0
CONTRACTOR T""",,^~~ I''7tJJ.J ec.."7- 3rr17
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING (Peck) ~
_ ,.. INSPECTOR.
~ ((/ J I ftT.r, /2./7/ ()o
, ,
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-
FRAMING
INSULATION
ELECTRICAL
DATE
I
J
1.
/I/; In
,
HEATING (if required)cii. K ~ {in II /? /OD
FIREPLACE 'v 'W/~ ~ I,i-/Y'/rro
GAS LINE AIR TEST r P, I ~ /~ ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING (teck~)
HEATING '
DO NOT OCCUPY
('d~i
'CJ.I~) eo
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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED /4#~Ao LJ :50
/SLAtJIJ (I'/EW Ref),
ADDRESS /573,~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J- 9ft,
o FOOTING
o FOUNDATION
o FRAMING
o INSU~N
.s'"FINA
o SITE IN PECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: :DeCIL.
I
'(
(
L. L.
nORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ;ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ Owner/Contr:
CALL 447-9850 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IlVSNOTJ