HomeMy WebLinkAboutBuilding Permit 00-1033
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
't. '1(...... l
';;~~
51 N 6 ~/g;)
s~~
DATE RECEIVED
//.9.00
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 /4-/04-
3. LEGAL DESCRIPTION
LOT ~~r':T.30
I<UT~a<s
TlVP //5""
PID 2.. "'i -'1-'0/). ()t,,2-()
13. TYPE OF CONSTRUCTION
\ ~<<~ ~ .(~~~ ~ ~ \c>;'ddreS~\~~Telht.o 53'tJo'5~~~~:::~:CCUPANTSORSEATS
,L)~e.lr:::..c. "'pf-TC.""~U C:;Eu-~I- 't~C\",- ., SEATS
J,tliiJ....~ 'il.4_~!,.I'},:~_':..:~::J Fireplace 0 Septic 0 Deck Otp\"Z,.; Rs-roofing 0 Porch 0
~Ifb\"'" Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement (j 16. PROJECT CQSTNALUE
ChimneyO Misc.. r=.brL-~
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 mentio operty an 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 c revok . for Just cause Furthermore, I hereby agree that the city offiCial or a de~n~e may enter upon the property to perto ne ed Inspections
X "."0.'~'-'''~ ~b~~tl'L 1-\~ \\ .
!-'f~) License No
BLOCK
ADDITION
~.~~II'/
(Name)
(Address)
5. ARCHITECT
(Address)
(Name)
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. OD - f 0 3~
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Meter Horn ........... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid .~. 34-- Receipt
Dale l2-d 1.00 By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a
~constitutesatemporaryCerti~ca,.ofZ~m~~mPlian~a~~ows stru .onto ommence. BefD. reoccu nc ,aCertif. te
. '-' ~--- 1~5;iB.J --
-- C~y Planner Date SpeCial Conditions if any
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
USEOFBUILDING ~5 ~/-e.
SPACES QN PLAN
PERMIT VALUATION
I S..(!lCC) . $C:>>
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Pennit Fee ................................... $
City:
'Z2'1.7S-
/C{(,. O"t
7IJZ;
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
~
\ 'V.
Mechanical Pennit Fee ..................... $
Sewer & Water Pennit ...................... $
.
Thi
By
r Building Permit "f"flen Aj>E.WVed~ -._
Date~" a;1C;10
Issued
Side
MATERIAL FILED WITH APPLICATION
SQIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
CQPIES
SURVEY 0
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... <t.
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... 4"
.37~.3~
24 hour notice for all inspections (952) 447-9850
--.----
o 0- ( 6 3J
Th~ C~lIler or ,"" La"~ CoulIlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1-1/f1 c. K UAJs-l r
APPLICATION RECEIVED J I- C; --0 ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'-1/04 ()u+fJf'XS ,c;+ ruE
Accepted
/
Accepted With Corrections
Denied
Reviewed By: LLL
Date: ~/- 2J-fY)
Comments: .5~ RtJ/~<"E 5n=- Fer? APo/TOtIA'- eQ,I11/TJRttT5.
"
?a: ~:: () E~) G.7TPfL./J1#l5id!B 2) E:eoSlOA) Co/J/i7?rv P~N
"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."
~~
00 ~163)
ThrCrnlrr of thl! Lib Country
White - Building
Canary - Engineering
Pink - Planning
mm..D1NG PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
AMeK ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted /
Accepted With Corrections
Denied -,.,,-/) 17
Reviewed By: ( ~...t1A y
" r
Date:
/1- /<J,&tx:>
Comments:
"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."
.
~D'~D? >
Th~ Centr.. of (hI' L.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 17/11 C /( (~')1
APPLICATION RECEIVED 1/- C; --0 ()
r....l J_
) I r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction a9tivity which is proposed at:
j 'I / () L/ I Ide:; t' r S ,-.f- (\../ f..
. u
Accepted
,/
Accepted With Corrections
Denied I II .
Reviewed By: ~.~~
Date: / 2-/.1) / t!?f)
~ . .
Comments:
M(~ tM.MM r'3v~ 1~--IAe-&-:/s r2t IC ~'ll
----1V'w~(ye<~ f.r~ C~0-Pk j) ~1fPJ ~ l1f .
~ f:J~~ f1~ <he !JLL~ ~"N
&T\ fA- P ~~ e--k 1 f'Y- lAo-ItA {i~ ~.
txV./r~ V\l\ArwJ< ~<~U t
I ).h ~ W __ ~"\e/ttrv 8-C 1\0 {J,hLvv.)~f)ttP_~J~\9,re...
"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
NATURE OF WORK
USE OF BUILDING
PERMIT NO. n() - 1033 DATE ISSUED 11- q~ <7";--
CONTRACTOR A loA..,.r ~ ~;;lI-i{S75
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
J Y I nt./ RufCft?r-~
~..l. \J
v
St.
INSPECTOR
DATE
-
I FOOTING I ~. II/~/DI
)1=OwJD. ~. I I /.:J-Cj/~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEE'N SIGNED
ROUGH - INS
FRAMING
Y1Af"
~-(O.<0
ELECTRICAL
l.-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
"
-
;H/
10- J-y r.f)
BUILDING
ELECTRICAL
II:f!I
DO NOT OCCUpy 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 bear; lipproved. 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I f..{f04,
fJ,j4-...
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JljSULATION /
Iil"FINAL (.T-~<'
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~.
{/ /
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"-----
.
/
{ /l <.-f?
I L/V-
DATE TIME
lo,l?-P)
D")- /tn-r
o EXJGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINEAIR TST
o
~
~
.-
I )
t/(l")
,
/
./'
---------
/"
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~L FOR REINSPECTION BEFORE COVERING
Inspector: IIn OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS1fOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CllY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.$.-( 01
ADDRESS 11//IJlI Rvkt/s 5/.-
-...
OWNER CONTR. ---L1.r~ f( 6>15 l
PHONE NO. PERMIT NO. ("C>-/(),p.,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1it~ILLING
.....0 -Co'lIJlrAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
{,r~L - () /(
o .J
jr
~~~
,1l( WORK SATISFACTORY. PROCEED
'0 'cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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