HomeMy WebLinkAboutBuilding Permit 01-0186
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~'-61
1(./
~~
nATE RECI='IVED
.;3-2..0-0/
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Pleese Pnnl or Type and sign at bottom)
2. SITE ADDRESS
/#2.+
771'166ZGrlA06
ell/!..
Nt5
3. LEGAL DESCRIPllON
LOT 5 BLOCK
ADDmON MSP8&e12.'1
4. OWNER (Name)
HI'I1JII /../ G .s 7E/II G
5. ARCHITECT (Neme)
2-
I21D66
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. Of-a /8({'
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID :z.s-2S~-OOa.:o.
J:;;r
13. TYPE OF CONSTRUCTION
(Address)
~sf~~'1~S"
14. FLOOR AREA APPORllONMENT USE
7. TYPE OF WORK
New Construction LJ
Chimney CJ Misc.
18. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished infonnatlon 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 all construction will conform to all existing state and local laws and will proceed In accordance with submitted plans. I am aware that !he
bulldlnq. off~r can reJOke 9I1s permit t cause. Furthenmore. I hereby eg.ee Ihal the city oBidal or e designee may enler upon the property to pe~..',
X ~ - ()
'. ~ ':.i License No.' \ -:
(Address)
'~"C'"
.' ..: .
.. .
.. ..,.'
(Name)
(Address)
Fireplace a
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Rs-sidlng 0 Finish Basement)(
16. PROJECT COSTNALUE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT"
SEATS
17. COMPLEllON DATE
FOR ADMINISTRATIVE USE
Pressure Reducer .......................... $
Me1erHom................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builders Deposit ............................ $
Other ......~~(Jf;{.?!&'-... $ /. () 0
Totel Due .............................. $ /1J4-. zs-
Pakl /(')4-. z.-S- Reoei(J'f.!'tl..?f ()? ?
Date.3 - 26 -0 I By (fJtK ~
This Is to certify lhat lhe request in the above .......::......~..., and accompanying documents is in accordance with lhe City Zoning Ordinance and may ~ requested. This document when
signed by the City PlannEll'" constitutes a temporary certIflcate of Zoning compliance and allows construction to commence. Before occupancy, a Certtficate of Occupancy must be issued.
SETBACKS: Required
Actual
Fron'
..ck
Sklo
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION :2 .....0. <9 al
.
USE OF BUILDING
_.€66 Aile.
,
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Penmrt Fee ..........~~:~~...'...~...~..~... $_ "Z. Z ~
Plan Check Fee ............................. $
City:
State Surcharge ............................. $
/.00
Penalty ....................................... $
Plumbing Permit Fee ....................... $_~().
o~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
r
.
ulldlng Permit WhellApproved.
Date.:t. ~-e>O
Issued
City Planner
Delo
24 hour notice for all inspections (952) 447.9850
Special Conditions ff any
Side
MATERIAL FILED WITH APPUCATlON
SOil TESTS 0 ENERGY DATA 0
PILING LOGS LJ
PLANS & SPECS LJ
SURVEY LJ
PERCOLATION TESTS LJ
SETS
COPIES
PLOT PLAN
LJ
AmountBroughtForward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:~'
Date: 3- za-O {
Building Permit #V PID: 2-5. Zf.i8 - 008-0 Zoning: F?-I
Site Address 1.-f92+ T/H6?;.e.t$LAD6 C-/R- N6
Legal: L 5
B
"Z--
Existing Structure: @r NO
CONFORMS TO ZONING
ORDINANCE
,
Is this an expansion of the existing fuu;I'.:"t or
building height?
I Is the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances other than patio doors?
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Subdivision: ICASPt?6,e.,ey ,.e(D66 liT
~
NO
YES NO
Refer to Planning
v"
Refer to Planning V
Refer to Planning V
Refer to Planning
/
Refer to Planning
V
THIS CHECKLIST MUST BE COMPLETED Ai'ID INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIAL TCHCK.DOC
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS (t.{q ~ 'f' 11':~\aA r", r-
NATURE OF WORK J.m.>-ou- l.L~ C___~
USE OF BUILDING S F= t'\
PERMIT NO. 0/. 1J/176 DATE ISSUED '9-2-9 ~ z"", (
CONTRACTOR Sl--<i!IA.~ PHONE qt.{'l-Tl"lec;-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECllDR
DATE
,~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSOLATION
ELECTRICAL
PLUMBING
HEATING (If required)
Ifn-
~
cg//S/O!
f/5"11'JI
Jdl/J /tJl ~. loft '-'flJl
~I /$/;; I
I'"
1t1fh,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
"
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
vb
I
I
I
\l
HAS BEEN
1o-3D
OCCUpy UNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough-In Inspections
and maintained until all inspections have &e'en approved. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance.
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
j<(9z{
OWNER
PHONE NO.
o FOOTING
o FOUNDA liON
o FRAMING
1;1 Ul...\TION
INAL6,.: L.
o SITE INSPECTION
COMMENTS:
DATE nME
SCHEDULED
T:'~.\.....r-~
,
CONTR.
PERMIT NO.
J - 0 l Be,
o PLUMBING AI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o IolECH FINAL
o EX/GRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
/'
~RKSATISFACTORY. PROCEED
o CORRECT AND PROCEED
o CORR WO CA L FOR REINSPECTION BEFORE COVERING
Inspecto
Owner/Contr.
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1REMENTS ARE FOR YOUR PERSONAl. HEALTH .& SAFETY/
lNSNOTl