The URL can be used to link to this page

Home My WebLink AboutBuilding Permit CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME 7/3/tJ7 I I ' ADDRESS I'I'-} t"J2. 'g/u-#'_ Int'rei r;- OWNER CONTR. PHONE NO. PERMIT NO. c,cr - t;gf? o FOOTING o FOUNDATION o FRAMING o ~SULA TION Ji! ~INAL o SITE INSPECTION 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 GASLlNE AIR TST o COMMENTS: , n I"., \../ Q L,..o- ,1"\ rI--<J v . - i .} \j? o WORK SATISFACTORY, PROCEED o CORRECT ~N AND PROCEED o CORRECT iNO~ALL FOR REINSPECTION BEFORE COVERING Inspector: / /I \ OWner/Contr: .CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI r l?;~ \\ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT pATE RECEIVED DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS () /.,- /l/I/?J.- /t{-ebire{ I r 3. LEGAL DESCRIPTION '2- LOT ADDITION 4. OWNER Gr-e~ 5. ARCHITECT KNCJ B ~;~1< (Name) 6. BUILDER (Name) H-e11 #~",f'fr 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. L White 2. Pink 3. Yellow File City Applicant Permit No. GJ0f ~ s 9 :5 1. DATE (2/ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES BLOCK I (-\ I L-L. PID -Z Y3/~ - 00 Z -(!:;) 13. TYPE OF CONSTRUCTION (Address) ItftJ?J. /J / I.{op), i.4 Tr (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Address) (Address) cP Wire--- &f"NL- /78r Jf;ILiff.t~ ~~L (Tel. No.) (Te.l. N.,p<) '~ ,~. - ?Y7-J..-<.lr 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basem~ . SEATS 16. PROJECT COSTNALUE 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 17. COMPLETION DATE 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 ~Uildi~~rev~r just cause. Furthermore, I hereby agree;;;-;;;)tjGcj Ji-a.;;;;:nee may enter upon the property to pe~-=:iXi~e9L . . Signature . License No. Date . SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUILDING t<5 FOR ADMINISTRATIVE USE Front Back Side J /l/~ OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~ .IV"\I""lo, fJO TYPE OF CONSTRUCTION: I II III IV (}:;?; Occupancy Group A B E F HIM (.R . Division 1 2 (j) 4 Permit Fee ................................... :1', S U Cify: ryLj.'l<' l.~ Plan Check Fee ............................. $ Mechanical Permit Fee ..................... $ \40. O~ "---- ~o 1/z G~ State Surcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 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 ................................... $ $ Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ 11l~. Z~ Paid 1/(",. z." Receipt No. 35"co 17.......- Date 1 r ~ ('4 By P-D/+ Thit' t1ertity.~the req st in the above application and accompanying documents is in accordance with the City Zoning Ordinanc; 'nd may proceed as requested. This document when sig d by hrtity nner _ nst~utes a temporary ce~l of ~~;;mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ~ .. .~ . / y' City Planner Dat~ Special Conditions n any 24 hour notice for all inspections 447.9850 Sewer & Water Permit ...................... $ White . Building Canary - Engineering Pink - Planning The- Cen1ef of Ihe take Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /; Reviewed By: / (1 {}; ~V Accepted With Corrections Accepted Denied ,:~~I\.., {~L'l Date: -;!;};:r/9 <) I' . 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." \'1 .3(1 ~ Th~ Cenler of the Like ('ounlry White - Building Canary - Engineering Pink - Planning NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST k~,~ I~ ~ \UNICl2- -') 177 jct'1 APPLICATION RECEIVED. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: l " L\ 72- bL'-'b'(L~) -'1 i2- Accepted Accepted With Corrections Denied Reviewed By:" \) .~' i Date: ., i / Comments: I i c\ H y \' .,( \ \ 'v\ ,'. \ '. \ \ ! I \, "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 AQDRESS ll.l4~? blllQ b\"['~ THAi \. NATURE OF WORK ~c.,p~ \- ~\.......,~ '""_ USE OF BUILDING S~D PERMIT NO. CJ7'?; Cf'5 DATE ISSUED '1 - :2 "3 -- <=t f CONTRACTOR K e '^ \-kJV\. ~ fJ r NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ~ J ELECTRICAL PLUMBING HEATING (if required) 1fu , , ~o ~ rn L , ')- 2--?~ I I B/2,);q~1 I '",J 'tr qu, I I f COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections aRd 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 inspeations FOR ALL INSPECTIONS (612) 447-9850