HomeMy WebLinkAboutBldg Permit 01-0571
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
$~~
DATE RFCEIVED
~.70/
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bOttom)
2. SITE ADDRESS .~
'I t/.-I " /'7)/lc/ V/r' t.J
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No._OI-O..57 /
1. DATE
C:,-<(-O/
BUILDING INFORMAnON
11. SIZE OF STRUCTURE
(H.~, (WIdth)!.;>' (De",h)!</.
12. NO. OF STORIES
/
,J" E.
;Lo.r c.,L
/<./
7:- ,;./
3. LEGAL DESCRIPTION
-.,;s-'
/
PID 2S-.3::!i,- 003- 0
LOT
BLOCK
lJ;tl(/_~/c.. r
ADDITION
4. OWNER
-:feff
(Address)
/bn, Iv,nJ
(Address)
13. TYPE OF CONSTRUCTION
/h' t../ ~a /(
14. FLOOR AREA APPORTIONMENT USE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLlCAnON
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ..............__.....__._..... $ aq - BS'
Paid R9. SS- Re"1/lC;. ?~ 94-
Dale (,. 8.01 Bv
This is to certify that the requ9St in the above aJ:l)lication and accompanying documents is in accordance with the City Zoning Ordinance and may pr~s requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a eertiticil9 of Occupancy must be issued.
SETBACKS: Required
Actual
F""'t
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I. S- cx, . ex')
USE OF BUILDING
PE<:; AjL
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F H IRS U
Division 1 2 3 4
City:
Pennn Fee ................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Sct.oo
3S-.1 ()
. ir:;--
~~~:~I~~::.~"z:g~~!
Certificate of Occupa'
tIf!
tJ. 11.0\
VU
Issued
CilyPlanner
Dat.
24 hour notice for all inspections 447.4230
Special Conditions W any
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ........._"..."..............."""... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... 4'
Pressure Reducer .......................... $
MeIer Horn ....... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
~~
White - Building
Canary - Engineering
Pink - Planning
Tht'('t'nl..ror,ht'I.lbCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fjOL-TE;,e., JEPF
r; - 7- 0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-42(0 fJOrJOVI6W ---ne- 56
Accepted
Accepted With Corrections ~
Denied
Date: Co - e, - ~{
P'-
IZ&J1O 7JI& OEZ/;::::.... f.#t-N() (Ju Y
Reviewed By:
Comments:
"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."
i
-4
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS LJ 4 2Co -rr;Vl~ \I ,'e.l<J 1;0-, l
.
TYPE OF WORK h>...~ 1'2.' x: \41
USE OF BUILDING SF'D
PERMIT NO. ()/ 057/ DATE ISSUED
BUILDER {..{,., \4~ c.~1I - C.1"a. - l/O -7.;sa?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~PECTOR DATE
I FOOTING I w:r 1011?/tJ/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
, FINAL
/J
0. I fr.,/ /gj 011'
~. ~ -, I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
ADDRESS
'fLjrJ-t,
DATE TIME
SCHEDULED I..~ A. 1"
F~J~{R.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
8/-57/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'iQ FINAL
10' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~=,-,,:;,.
( rJ;lht
. )
COMMENTS~
--
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
Owner/Contr:
Inspector:
./
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTI