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HomeMy WebLinkAboutBldg Permit 01-0675 ~~ ]lOTO "O"O"'OQ uell'" {'-213--0/ .'/f-(J/-03t7~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (, -1.-S'-0/ /f!.1S{) 25' 37/- 02/-0 12. NO. OF STORIES =,m.alld~' Oltl.c:c:. I 13. TYPE OF CONSTR~CTION ~.~ A,,! ~ 4.. ]>p.K 14. FLOOR AREA APPORTIONMENT USE ~IIL fA'()(} ~S'B<fl<llJ A.w.k ~ ~ 7. TYPE OF WOF k Fireplace 0 Septic ~ Deck 0 Rs-roofing'O porCh)( SEATS NewConstruclior 0 Alterations 0 Addition 0 Finish Attic 0 Ae-siding D Finish Basement 0 16. PROJECT COSTNALUE ChlmneyD Mise h 19GO/L'D 8. PROPERTY AI lEA OR ACRES 19. PROPERTY DIMENSIO~ 110. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. Width Depth Yes No ~ 2..00 I I hereby certify tllat 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 menti Ined 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 building offi ial c rev ke . permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. qlZ,/ License No. DIRECTIONS SPACES NUME ERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMr . IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRE~ ?,g Sl/IItOy fOul PO".sr 3. LEGAL DESC IPTION . LOT :+ 1 BLOCK ADDITION 2 t..l II A I'Wo.\-}, )U 4. OWNER (Name) {J,u,/:M ~k {l'lIS,Jt.~ 5. ARCHITECT (Name) <;;AMJ (Name) J ( PID ~ o,t.J.u WllO () (Address) III Vo V)I<-'1 (Address) ~:.... 6. BUILDER (Address) x }II1r, Signature Date 1. DATE File CilY Applicanr 11.SIZ (Height) (Depth) (Tel. No.) 'f!1-t If" n /I (Tel No.) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS FOR ADMINISTRATIVE USE OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 COPIES PERMIT VALUATION 8/~' ty"') PLOT PLAN 0 Water Tap ................................... of: Builder's Deposit ............................ cI:: Other ......................................... $ Paid T~;3..;~b.....~:I~;~0$- i;~~ Dale -0~/:ro/ By ~_______ This is to certify th~' t the uest in the above application and accompanying documents is in accordance with the City Zoning O.rdinance and. ~y proceed as requekteJ. This document when s~'" ('~la constitutes a temporary Certificate Zon' g compliance and allows construction to commence. Before occupancy, a Certificate of Occu~cy must be issued. .AA T _._ - -,- "..- I C' PI~er Date Special Conditions ~ any SETBACKS: Required tClual Front BUILDING DEPA TMENT VALUATION Back Side USE OF BUILDIN 3 ~s "f/L r TYPE OF CONS' "AUCTION: I II III IV V OccupancyGroul A B E F HIM R S U Division 1 2 3 4 ~C)' Permit Fee ......j............................ $ -77". ,- ( PlanCheckFee ............................ $ ". (, 1.4.00 City: State Surcharge ............................ $ Penalty .......... ............................ $ Plumbing Permit :ee ....................... $ ~\ 1,1 Issued Side MATERIAL FILED WITH APPLICATION SOIL TESTS Q ENERGY DATA Q Amount Brought Forward .................. $ Park Support Fee .... ...... ................. $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... ~ Meter Horn ... ............. .... ............... It Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... of: 24 hour notice for aU inspections (952) 447-9850 . Thr Crntr nf Ihr L.kr ('ountry White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NhME OF APPLICANT AF'PLlCATION RECEIVED LiE E k~ t~1c2tJ~/t:' ('(.I\,~,:Tk-. (f - 2P-,. CI The Building, Engineering, and Planning Departments have reviewed the building permit ap plication for construction activity which is proposed at: :=: 1=-4- ,___.I--f/\ u,./~~-c \, E IJ I I Ac cepted ,..,.-- Accepted With Corrections De nied Reviewed By: ~-G4_.--?.//.A'.A--z Date7/t~ I c,~~ ~ ~~~ /UJ):~M~" . "Tille 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 anI of the provisions of this code or of any other ordinance of the jurisdiction. Permits prE suming to give authority to violate or cancel the provisions of this code or other orc inances of the jurisdiction shall not be valid." , , ! I I I FROM : SABER Heating and A/C PHONE NO. : 6124738565 J~l. 262001 06:10AM P2 i i ; ~ " tB i i ~ [ r ; ~ ~ ~ ~; tt f t I H Ul~ ~ifii 'c '" I",,: : - ~ ~ r :- . I b~ I ~ Ii'~ ~ '. f-; ~ I g ~ ~ I ,C i ~ "~2F ~ .' t. JI~ DlI~ ,. e" r I. I I :"'i". p 1J. f iJ il I i fll'f' '."fl ,iJ!~~ .~~ ~ ... - If I I "I" .t - ~: t'" ~ . ~ z '; i aJ = ~~ I ,.. 'I ~S-2L~~! I !i) 0 . .g:, ~ ...J . "0. :?: ~ I ~ t;:; l~ . lo.;j 'I ., m-l. ~ J::. ~~ C> ~ ~X (~\ -. " CI , ~ ". (' 7-' .::::--. -- ~ ~I - ...., -I i . I . , I , f ; . ~, . . I.. ttr'. 6 ' ~ * d\ ~ ~ . l~ liltll ~ II,~IJ.." I ,-' .-'~:III'ft I -r ..I r I J J'.f ,; I, .. ; .... ... ~ f ;.,; I l..C) II' ~ ~ I .. : 1 I fS' , J) . Jrsh Ifilrll'" t J',". >< . I a", jlll J ,. , .. J~.. . f f · !f!1 I , n" I (=11 1- r J I,' ': -:1111 1'.1 If I ; . . . , :.brt I II" J f ! nln~ " l1.'f,1 - ! 'Ill I I : I /1 ~. ,- I: i II rf I r ;: ! ....~ ~ . : $Jfi ~ ", f 10, ". , 'J' if · 9 II. ft. . . ~ fJ I- ; I., I: 'I . - fn -- r r r ;.,' 1 , -- -~..., ..... ......." ft.~W'..'T6 YVJ ..~.~~? ..16^lnT ~ - PRIOR LAKE INSPECTION RECORD SITE ADDRESS 3/ J<{ c.~ _ ~ R NATUJRE OF WORK ~,.,..L ~ ~s.. 0 . . USE OF BUILDING PER~IT NO. 0 f - QJ.p /5" DATE ISSUED CONTRACTOR "'.oe.ru-\~~' PHONE952-~B2'7-77/( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION . DATE I ...,) /3J F) } l , I I . PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS " , FOOTING , I ~6. 0;;CTOR ~\\~ EL~CTRICAL . 8 t, ) e( I Ii I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I j FINALS 'b~~ UI LDING ELE CTRICAL ... ,o/~IQ.' 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 have been approved. On buildings and additions . where no service cabinet is available, card shalll?e placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ~ PRIOR LAKE INSPECTION RECORD SITE ADDRESS 51 3'-{ C,~ _ ~ R NATURE OF WORK 'Ja.cL d- f"',-v- t 0 USE OF BUILDING PER II1IT NO. 0 ,- QJ.P /5" DATE ISSUED CONTRACTOR 'De.ru-\~ ~ PHONE9Q-~B2?-77/( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION , . , FOOTING , I ~6. V~CTOR I I . PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE I "7.)13)~} I ~ 8!~( COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I j FINALS 'b ~~ '{)M~I BUI DING EL CTRICAL ... 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 have been approved. 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 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER L07~lo( TIME PHONE NO. CONTR. PERMIT NO. 0 { -~ 75' o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o )NSULATION 0 SEWER HOOKUP J! ~~NAL 0 PLUMBING FINAL o SITE INSPECTION<!='.... of"" ~.MECH FINAL COMMENTS: ( 1..I,d (" _ C6€- ~~e o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR,~ CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ V I'LVf4I Owner/Contr: CALL 447-9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl