HomeMy WebLinkAboutBuilding Permit 01-0262
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DATJaFCEIV~D
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All . 2 2001
CITY OF PRIOR LAKE
BUILDING PERMIT,
ITEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink Cily
3. Yellow Applicanl
\Jcu..J \-to 115' ~~ oo-o<ral
Permit No. ~/-OlJpz..
I '471-/0 I
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
2. SITE ADDRESS
\I..(~qq ~o.v~0 C-T
(Address)
'B-E>'2-S "'2-'?") -S~ €.
LAlu...v; \1..... fV\",
7. TYPE OF WORK Fireplace (1 Septic 0 Deck 0 Re-roofing 0 Porch 0
NewConslructlon C1 Alterations 0 Addition CJ cli Finish Attic n Ae.slding 1"1 Finish BasementJ( 16. PROJECT COSTNALUE
ChlmnoyO Misc. ?~( ~""Ol\~ L.a."....\ 3000""
8. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS \'0. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. 1 "2...21C!b 'Widl",=\~ Deplh ILtC'\ Yes ~ ffip..\, ..\~, 0 \
I hereby certify that I have fumished Information on this application which is to the best of my knowledge ttUe and correc!. I also certify -Ihatl am th~ owner or authorized agent for
~e mentioned property end thai aU construction will conform to all existing state and local laws and will proceed tn accordance with submitted plans. I am aware thatlhe
i1di omclal can revo~e this permit for Just cause. Furthermore, I hereby agree lhalthe city offfcial or a designee may enler upon the property 10 perform needed Inspections.
X . __ \. ,,>,. _ 7 (')"....,<!l \ <.(-'Z.-o\
r ,- Signature-', UcenseNo, Otale
3. LEGAL DESCRIPTION
LOT -L -, BLOCK
ADDITION \?, _" p.. ~ ; \ ,
4. OWNER (Name)
_ I L' VUO\ ~o(...r---Co-
5. ARCHITECT (Name)
6. BUILDER (Name)
..J L~<..~... ~OI'v\L.)
'--/
SETBACKS: Required
Actual
Front
BUilDING DEPARTMENT VALUATION
USE OF BUILDING
TYPE OF CONSTRUCTION: I /I III IV V
OCcupancy Group A B. E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
Stale Surcharge ............................. $
Penalty....................................... $
. Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
PID
5 -+h Add
(Address)
\-\rl wu> ..
(Address)
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Height) (Width) (Ottplh)
(To" No.)
12. NO\ }~T,ORIES
13. TYPE OF CONSTRUCTION
..3 w....~\
14. FLOOR AREA APPORTIONMENT USE
(TeL No.)
(Tel. No.)
"In.. '-\(.1 ~')...'n..
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
Back
Side
Pressure Reducer .......................... $
Meier Horn ....... ......... ....,.............. $
Water Meier ................................. $
Sewer & WaterConneclion Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Tolal Due .............................. $-fp 3. 7J:?
Paid "3.2..>"' Recoipt 0'/34-2-
Date 4--6, /) J By.....-J
This Is 10 certify that the request in the above application and accompanylng documents is in accordance with Ihe City ZOlllng Ordinance and may proc as requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constructlon 10 commenc:e. Before occupancy. a Certificate of OccupallCy must be Issued.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION '2. ~ . ~t>
S U
City:
(.,Z. 'Lc;
I.~o
rt:
\ Building Permit W)1en Approved.
\ Dalo II-l/ -?-V
Issued
City Planner
Dale
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA Cl
PILING LOGS 0 PERCOLATION TESTS CJ
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
Amount8rought Forward .................. $
Park Support Fee ........................... $
SAC ....,..................................., $
Colleclive Street Fee ....................... $
Sewer Tap ................................... $
$
24 hOur nolice for an inspections 447.9850
Special Condilions if any
White . Building
Canary - Engineering
Pink - Planning
Tilt Cfnlfr or lilt ukf COllnlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LJc rr:J" '...0 - ~,
p
q- z- ~ (
~
1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whiC? is proposed at:
/u'Sc;r (2... c+ '
,
Accepted
'X
Accepted With Corrections
Denied QJ/'}!l J
Reviewed '.. _-.J(()~A
Date:
l.f - t/ - &:>/
co?Z:i ~ ~~ t;~",~l k-~9~.J.
"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 (4'3."11 ~CJv""""'" ci-,
NATURE OF WORK L.l. ':;...,.~k ~) fL..-,
USE OF BUILDING Sf:/"""
PERMIT NO, nl- 07/&2- _ DATE ISSUED t(~q-Z-(
CONTRACTOR J L kXo.. ...- ~ PHONE q,,'2 - qt." 32S':2.
NOTE: THIS IS NOT A P~RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
/h,
'#r.n
/II/} 1,,/
II / I (.,I (
k}:;..
J.flr; IN
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING'
ELECTRICAL
1l,\\,.~
6)14)Ol
HEATING
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 havlr been 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 (952) 447-9850
~ TIME
CITY OF PRIOR LAKE 1()1'5Q
INSPECTION NOTICE SCHEDULED
ADDRESS /43, q q 'Kl1.1letA 6_
OWNER CONTR,
PHONE NO, PERMIT NO, I'Jl -JIb;)
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
nNSULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
(I 1/f)~(J_
,
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR (, CALL FOR REINSPECTION BEFORE COVERING
Inspector: -go -\ ~ Owner/Contc
CALL ~7-98S0 FOR\rHE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN$NO"