HomeMy WebLinkAboutBuilding Permit 01-0141
~ Fireplace 0 Septic 0 Deck 0 Ae-roofing 0 Porch 0
Alterations 0 Addition 0 Finish Attic 0 As-siding 0 FinfiSh B:eom:ntX"
Chimney 0 Misc. -- -.-. - ~ uM
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 besl of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioneid property an that aU 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 rev this p il for 'usl ca . F!Jrth ~rebY agree that the city official or a designee may enter upon the property to perlonn neede nspectio .
Amount Brought Forward .................. ~
Pari< Support Fee ........................... ~
SAC ......................................... $
Collective Street Fee .... ............. ...... $
SewerTap ................................... $
~
Pressure Reducer .......................... $'
Meter Horn ................................... ~
Water Mete( ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ .:35.25
Paid -.:3:'!S. ZS- Receipt ~o_.
~.Ol ByA~
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 s requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certific of Occupancy must be issued.
~~
DATE RFCEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~l
(;tit'( .56 PrJO
3-Z-01
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
j -..a;;;;~rinto;;;~;;;
3. LEGAL DESCRIPTION
o
"2 PID ZS,3 0 2. - 0/7-0
ADDITION _ ~ / AI 8L eH:J'it::, 7.NJ .
III!PJvevJ(N"Jk,IJ rr~e)
15. ARCHITECT (Name) ();tldress)
'-
5Ct~
BLOCK
LOT
(Tel. No.)
'10- ;;l,;.l.~ - ;):;-i.{'-/
(Tel. No.)
(Name)
(Address)
(Tel. No.)
LicanseNo.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Side
B''''
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
,
USE OF BUILDING
Jt!:t::Z kI /L
f'
I.D<')("")
"
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A. B E F HIM R
Division 1 2 3 4
S U
City:
PennitFee ................................... $
Plan Check Fee ..................... ........ $
StateSur'Charge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee ..................... $
34-. '10
.50
-
Sewer & Water Pennit ...................... $
Thi
By
e m Your Building Pennlt When Approved.
Date ?,~-~
Issued
Date
City Planner
Date
SpeciOlI Condrtions if any
24 hour notice for all inspections (952) 447.9850
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 1"1 - /"). cJ I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
;:2..
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
4
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN
o
PRIOR LAKE
.INSPECTION RECORD
l69k~tt/~
I
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. tYl- I +( DATE ISSUED
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
r J _'TIIlIEr
+_'a......I,...........J (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.<Si\1.....,Tj-..H't--.:v'. J::OC" IIC
FRAMING
IflG' 'l . ',"yw.r
ELECTRICAL
lit. ... __n .8
HEATING (if required)
fIAEPLA8!
.
I-/J.
J ,
5!1Jhl
, I j
tZli sill/I)!
~""' ..In'- 11,.11 i TIST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
am(DING (Prlotte Sossing)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
p;.
ff9~
-
0.
I~
, .
677/~
ff~v
BEEN SIGNED
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 (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED ~<;i,?~
/(,oL(S ~
TIME
.-=?: .sO
ADDRESS
~
U'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01-(<"//
o FOOTING
o FOUNDATION
o FRAMING {!J
o INSULATION
~INAL
o SITE INSPEC ION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: L, L.,
(I f/~
-
~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
fALL 447-985~~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &0 SAFETY!
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