HomeMy WebLinkAboutBuilding Permit 01-0348
QATF RFr.F'VFn CITY OF PRIOR LAKE
4--/<1- 0 I BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE AOD~E~S i I A
/ '13 '-/- )
I.
2.
3,
14/7r;Jo'
n. E "f!-J
ILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESC~
LOT
ADDITION . _ h
fYu~j)~ Ad ~
r:J
) LJf:b
12. NO. OF STORIES
BLOCK
,&.i.1
PIC
z.5-~lt:>2- 027:0
13. TYPE OF CONSTRUCTION
7. TYPE OF WORK
New Construction 0
Chimney (J Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 1~~O~L,ET1~D;~/"J"\1
Sq. Ft. Width Depth Yes No ~ :::J/al..A..-l
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
:Ui i official can e this permit r just cau e, Further r~. I hereby agree that tn~;JJ;/0"l7e may enter upon the property to pertq Jeil1l)eclons.
License No. I Dare
4. OWNER
(Address)
(Name)
5, ARCHITECT
N~eck, Inc.
111:11:1 7""'I",nrl AVA, N.
Brookl}tl\drpg,rk, MN 55445
(~ 424-4955
.....-~~ ,
Septic a Dec~
Addition a Finish Attic a
(Name)
6. BUILDER
(Name)
Fireplace a
Alterations a
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing a Porch CJ
Re-siding 0 Finish Basement CJ
SEATS
16. PROJECT COSTNALUE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
R.6'~ AIR-
,
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO, PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION jJ~""'r'). Qr.) PLOT PLAN 0
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Dua ............................., $ '14-. ~
Paid q '-I . 'i:3 Receipt No .'"59 5' '()L/
Issued -
Date 4~.1 b-G ( By Yle--
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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
DIvision 1 2 3 4
Permit Fee ................................... ~
S U
City:
Plan Check Fee ............................. $
t; I'J f) "'"
S?o8
. ,.,0
State Surcharge ............................. $
Penalty .................. ..................... $
Plumbing Permit Fee ....................... ~
~I
~/J)
Mechanical Permit Fee ..................... $
City Planner
Dale
24 hour notice for all inspections (952) 447-9850
Special Conditions n any
Amount Brought Forward .................. $
Pari< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... ................... $
Sewer Tap ................................... $
$
~~
01-0341
Thf Cfnln of th Lakf ('ountl")'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
N()VA~- F~
4-/'1-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4345 'BLU5BlJe.D T12PdL-
Denied
v~Pted W'h Corrocl;on,
Date: ~ 2..3 ,-' 2eo /
Accepted
Reviewed By:
Comments:
~jlt k~U~ ----
"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 143L/~ '61uP Iotr4J '1;;-.i \
TYPE OF WORK ~rlC II'v 1(_
USE OF BUILDING SF [) ,
PERMIT NO. (j 1- 034-~ DATE ISSUED tt-7"<;- ~P? I
BUILDER ~ \:::t.prf-_ (.r'2--4t t/2<!-lf'iSS-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FINAL
I "E.~1l.l1 I E; l.t9\
Call between 8:00 and 9:00 A.M. fbr all Inspections
FOR ALL INSPECTIONS 447-9850
I
j
I
I FOOTING I ~. I .4/ ;J..--(..j(J I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
-,_._---,.~--_._"----~-".__._.----~-----'_.,_..__.._--._.._._-_.----_.__.__._-_..__.~._-~----_._....__._-_.---~_._._--_.._--,,----_._---....__.__._----------_..-
5-3-0/ Zm-
/ 404-5" J5L,U~/3I,eL)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
^ ~g. INSULATION
t1'~ FINAL ~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~_ O~~O
/9 . -
/
DATE TIME
o I-034-X"
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~K SATISFACTORY, PROCEED
o CORRECT ACTION NO PROCEED
o CORREC?7 LL FOR REINSPECTlON BEFORE COVERING
.,''\
Inspector: J Owner/Contr:
('
XT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/