HomeMy WebLinkAboutBuilding Permit 01-0430
DATF RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
....
5- 9-0/
Q'1-185
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
E QRE P~RMIT I~ ISSUED (Please Print or Type and sign at bottom)
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/4/679
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3. LEGAL DESCRIPnON
LOT /1 BLOCK Z-
I'?FlP~ 1I1{.,{...
ADDITION
..~tJ (Nama)
i. Iif,._"''', --n.A";:'O ~~, L A.UAN'
5. ARCHITECT (Nama)
PID 25-.343 - 02tr 0
2NO /JLJLJAI.
/. ) (Tal. No.)
N: IQ5Z 94(p 2(,53
\
(Addrass)
(Address)
(Tal. No.)
Bf41IJII\
(Name)
(Address)
(Tel. No.)
~.
~~o
Deck OC
Finish Attic D
SepticD
Addition D
Rreplace D
AlterationsD
Re-roofing D Porch D
Rs-slding D FinIsh Basement D
1. White
2. Pink
Yellow
File
City
Applicant
p
l-043fJ
(Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORnONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Chimney a Misc.
8. PROPERlY AREA OR ACRES 19. PROPERlY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished inlonnelion on this application which is to the best 01 my knowledge true and correct. I also cenify 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
:lldlng ~n ~rmit for just cause. Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed I ~ _ ~M M ...
- =- .::(""f,r.- "",",eNo ~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
"mo'
B.d<
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ ''''!:''
USE OF BUILDING
~ lite..
lYPE OF CONSTRUcnoN: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
17. COMPLETION DATE
MATERIAL FILED WITH APPLlCAnON
SOIL TESTS Cl ENERGY DATA Cl
PILING LOl>S Cl PERCOLATION TESTS Cl
PlANS & SPECS D
SURVEY Cl
PLOT PLAN Cl
SETS
COPIES
~~~
Sq. 1\
I. c:;r ..)
Amount Brought Forward .................. t.
ParkSupportFee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $-
.
Pressure Reducer .......................... $:
~IIO'O I ;=r~:;~:~;:~~~~=~:~~:::::::::::::
:;/ Water Tower Fee ........................... $
Gas replacePe l~ Water Tap ................................... $
~ii '7/' ur ding permlt~ ~~/ Builder's Deposit ............................ $
""-C. ~+-=-I: /-~ Other ......................................... $
~ Total Du. .............................. $ -rr~. ~fd
pan
PaId /.3e,. etD R.ceIP~e.9S7e.
Issued
Date 5*-10-6/ By /I~
This Is to certify that the request In the above application and accompanying documents IS In accordance with the City Zonmg Ordinance and may proceed F. requested. ThIS document when
signed by the City Plann8l' constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertificatEi of Occupancy must be issued.
S U
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
City Planner
Date
Special Conditions if any
24 hour notice for aU .........",,,,,.....5 447-9850
~
PRIOR LAKE
INSPECTION
RECORD
c.{....
DEPARTMENT OF
BUILDING AND INSPECTION
'>
.
SITE ADDRESS 'JLlI (,,'1 l-J1)l.4..<.'.....1I_~"...,t
TYPE OF WORK .-WL 1<./' x 20 (
USE OF BUILDING 8t="D
PERMIT NO. () I.,-() 4-30 . DATE ISSUED ~- /0 - G.=>c:> I
BUILDER ~ Lv.. . _". f,J. "tS'2 - lfc.{f- - 2"S-5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~SPECTOR DATE
I FOOTING I /?F.r I G/.;z$l'OJ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I I
I FINAL &. 1,J/n/.:'Z-- I
Call between 8:00 and 9:00 A.M. for all Inspections
"
FOR ALL INSPECTIONS 447-9850
"\.
'--...,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
"Z-I'f.o t- 4-;(f7)
ADDRESS
/4/&1 HUMMING 8/.eD
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I - 4--3:tJ
o FOOTING ~ PLUMBING RI
o FOUNDATION MECH RI
o FRAMING WATER HOOKUP
-e,INSULATION 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.PF;(1r
..
(~
~
.
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..
/
}t1WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL "7.9860 F~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INBNOTl