HomeMy WebLinkAboutBuilding Permit 00-1038
QA"," ROr""VO'l CITY OF PRIOR LAKE
1'2.-&;'-00 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I );:;'100
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE ALLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
---1llq 5" l ",-lr "'.,: d p
3. LEGAL DESCRIPTION
10-11 BLOCK ELK.:3
LA~I{)b 9A-l2.DFNS
(Name) (Address)
+- /1W; Frl.AI etV S W>v-L
(Name) (Address)
A.v..o.
Pv~. ...J...l.(~ ~L~
~I\.J
1. White
2. Pink
3. Yellow
File
City
Applicant
OO~Yo
1<1'50
Permit No.
BUILDIN~MATION
11. SIZE OF STRLCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
LOT
PID zS -()()(,.,- 0"33 - D
13. TYPE OF CONSTRUCTION
tt (Tel. No.)
'1<;;).-'/ '10 -) I 'f I
Hii
ADDITION
14. OWNER
AllcLlI\..
15. ARCHITECT
6. BUILDER
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
3<(~ - ?'}-1 '"
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
7. TYPE OF WORK
Fireplac~
AlteratIons CI
Deck 0
Finish Attic 0
Ae-roofing 0 Porch CI
Re-siding 0 Finish BasementX
16. PROJECT COSTNALUE
New Construction a
Chimney a Misc.
18. 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 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 o~al cao revoke tt:'iS p,rmit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
X 7TYnA.. F ~
v S~nmure
SepticLl
Addition LI
SEATS
17. COMPLETION DATE
UcenseNo.
Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Bad<
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT V ALUA TION
USE OF BUILDING
ge:S A-/ R-
4-. 600.00
o
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Paid T;:9~ ;5...........~:i~;~~~ ZS
Issued ~
Date 17_-~-OO 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 requested. This document when
signed by the City Planner constitutes a """'1"'"'''' J Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertHicat of Occupancy must be issued.
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Pell11it Fee ................................... $ 137. Z!i
Plan Check Fee ............................. $
City:
State Surcharge ............................. $
2.00
Penalty ....................................... $
~1.DO
\'".
Plumbing Permit Fee ...............:....... $
4n 0 n
Mechanical Permit Fee ..................... $
111
By
City Planner
Date
24 hour notice for all inspections 447-9850
Special Conditions if any
Side
MATERIAL ALED WITH APPLICATION
SOIL TESTS LI ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS LJ
SURVEY 0
SETS
COPIES
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................4:
Collective Street Fee .......................!t
Sewer Tap ................................... $
.
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J.LJjS L~&o Av-e.
NATURE OF WORK ~Oc..D''''' 'J. l:- i?J.....~
USE OF BUILDING q(:' D
PERMIT NO. 00 - /o3B DATE ISSUED 1'2. -')-?cO;7 Cell
CONTRACTOR ~..fl.kl"l_ PHONE qt(fj-1Jc.f/ - 38'1-3,')(,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
J I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
4.
~.
3/3b/b I
"3/0-7 Ie; /
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ / I.
'? - - V I
HEATING (if required) r.....; /0'// I
tlREPLACE .6..... 3/ ~7 /0 I
GAS LINE AIR TEST IB-r -ij ~ 7 It, /
COVER NO WORK UNTIL ABOVE HAS BEEN SIG~ED
I I
FINALS
"
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
dr.
jO//cr/CI
,&
"""-7'
OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted neBr an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been llpproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance,
/0#7#1
BEEN SIGNED
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
OWNER
PHONE NO.
o FOOTING (j)
o FOUNDATION
o FRAMING
o INSULATION } ,_
..-e-FINAL L- ~
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ! 0 -Ier...()/ I,' / S-
Jc'." 19,,-' ~t/..u:dv ~
CONTR.
PERMIT NO.
o-/oa~
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 GAS LINE AIR TST
o
(I JIM
- ,
-~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKeLL FOR REINSPECTION BEFORE COVERING
Inspector: I27:i. Owner/Conlr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ