HomeMy WebLinkAboutBuilding Permit 01-0471
4. OWNER (Name) (Add res.)
-JE-J) VEL () Hu/5. } 67~~ j)~J3LJ'f1/ ,I?D
5. ARCHITECT (Name) (Address)
/)041 h' -'tn.J"E/JI b 3 00 -1.1"/J 71i'B/ L
6. BUILDER 1/ / (Neme) . L (Address) 'f, 0
/y J4 .s- /)..0/3 - f.~~ r~" e.t-
!lIJfiK )/ELl)ftq/S' /?h4-).b- ~
7. TYPE OF WORK Flreplaca)l( Septic L1 Deck')l
New Construction CI Alterations 0 AddItion 0 Finish Attic 0
Chimney CI Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DiMENSIONS l' o. CULVERT SIZE
Sq. Ft Width Depth Yes No
I hereby certify that I have furnished inlannetion 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 Jocallaws and will proceed in accordance with submitted plans. r am aware that the
build~lc)a}-r;. ~9 thl~ paUll for ~st~. ju~Ore,~rebY agree that the city official or a designee may enter upon the property 10 perform neede9-inspections.
X~.~% ,1:1' _ ~ ~-_~. ~ ~O'2.'2.'2.'bo'" ~~-Ol
__ Uoense No. Dale
~~
gAT. R."."'.n, CITY OF PRIOR LAKE
'5- 4- -01 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 bonom)
2. SITE ADDRESS
Ih7S"-C /)/j ..filII /1/ ~ D
3. LEGAL DESCRIPTION
LOT J ~
ADDITION P fi. I' () /f'
1.CATE
5-4--01
BLOCK
.J.
PID J<.J. sO /70.3 90
Sour#'
(Tel. No.)
'1'/7-~t)'"O
(Tel. No.)
~~~- t!f77.f
C6U...- (Tel. No.)
(.17-- ZIfJ.3717
7tf.!.- 'IfJ. - 9s-S''I
Re-roofing L] Porch.
Rs-siding LJ Finish Basement LJ
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
8.ck
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
~SAf~
PERMIT VALUATION
ry.I'Y'l"'I.~v
TYPE OF CONSTRUCTION: I II 1II IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
I. White
2. Pink
3. Yellow
Permit No.
BUI~RMATlON
11. SIZE OF STRUCTURE
(Hel~t) (Width) JOapth)
/V){ /
12. NO. OF STORtES
/
13. TYPE OF CONSTRUCTION
VOII>O
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
...1
SEATS
16. PROJECT COSTNALUE
~"O() - ~S~
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS L1 ENERGY DATA Cl
PILING LOGS Cl PERCOLATION TESTS L1
PLANS & SPECS LJ
SURVEY LI
SETS
COPIES
PLOT PLAN
L1
PlanChec:kFee ............................. $
l'3q.~"\
40.5"1
'Ss()
Amount Brought Forward .................. $
Park Support Fee ........................... !I:
SAC .........................................$
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
S U
City'
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 2.33. 2.h
Paid 2.33.:u.. Rece;p'/i,$'" O'J
Date i; -tl-O! By /jJ!
t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceeciCs requested. This document when
narccn_.tampcrary~!it5~,~lian~;:ows~-c:~~~~~~~
Planner Date Special Conditions If any
Sewer & Water Permit ...................... $
B
ing ~:t':tt ~f2'2l:b1
Issued
24 hour notice for all inspections (952) 447-9850
<"'",
~
6 l.-d 4-11
ThOi' ('.,nlu of lh.. L.b Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~/If\ V s
C)-4--
1r11-\f21r::- VELI--"I1U::J
, /
01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I G -/ ~ S I .\l, 1.:/.1 tJ Ie: Cf\C)
Accepted
~
Accepted With Corrections
Denied ~
Reviewed By: ~ . _____~
Date:
r/lt::>/o (
Comments:
kMPnJgJ ~ .f.:\-,.k: /tw) ~~ ~~
~.~r&~ ~~_
~~~ 5~~ ,4re.l'"^ 27D3 %
"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."
~~
DJ - 04-1
Thf ernl.. of Ih. L.k. Counll'}'
White . Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPIJ.C)\TION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MA V 5 IMAt2~ V5WHvIS)
~ ./
_C::; - 4-- 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1&;/55 TJuR/J tJ 12-0AD
::::ed nO /~::d WOh Correctlo",
Reviewed B~!I~
Comments:
~
~
Date:
~ -7'-200{
-S'lM.ot<::.cL tlilir~,....\-s.. -1-0 cur~
~
"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
SITE ADDRESS II,!'7.C:;,C) /)JW i '^ Rot
NATURE OF WORK .Ii...'" ~ ~1c-
USE OF BUILDING ~
PERMIT NO. tJhM'1J DATE ISSUED ---,L:;-9-'2001
CONTRACTOR .Mtl.~.-,,,~ (P/2 -S/O - 57/?
NOTE.: THIS IS NeT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.
INjPECTOR
DATE
, FOOTING ~ I '=;;:;1'111 I
, .
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.
FRAMING
INSULATION
ELECTRICAL
t::?
~
-~ "'() ':1':>
9/~~/
~11Ift1 ~
FIREPLACE
GAS LINE AIR TEST
\-. f,
--
~
hr
'1/~77t1/
/~1I7Ia I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
"
BUILDING
ELECTRICAL
.=-
DO NOT
~
.
'5/ ;)-~/d 7/
~/ 5bq!/j1/
I .
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 have been approved. On buildings and l!ddltions
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 (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 11-;:).. j- / Q),' otJ
iJdlJp' 12L
ADDRESS
/~ ?5S-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
_~)NSULA~ _ L
\N FINAL 0 rc.r\
o SITE IN PECTION
COMMENTSm
~ l_JoeA
tSSJ ~
CONTR.
PERMIT NO.
j-L/71
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
A.tLO ~ -'k _ ,I...L- ~
h..J .
.I"...~ Jl-;L .~,
I J
4" ?i:~,,,,,.~:,;~'~~:tC11_#
o WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:'
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME ~
,"1-; 9-~ y;vu
ADDRESS
//~-7.5 ,cj"
uuhrtJ Red-
, -
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-L// I
o FOOTING r@ 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TION.,-,A"";' V 0 SEWER HOOKUP
-..-....... veu--a PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
.~ -=;- LlL
t WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ _ Owner!Cont~
CALL 447-98~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
I/'iSNOn