HomeMy WebLinkAboutBuilding Permit #00-0146
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DATE RECEIVI;Q
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
.15.
Permit No. 00 ~OI4&
2. SITE ADDRESS 1'70 (p V
~IS/OO
Pfft:;rc~/\/T n~rn::;;()lA/ ~N~
BUILDING~RMATION
11. SIZE OF STR~RE
(Height) (Width) (Depth)
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
ADDITION
/0
2- PIO 26--328- 02..1- 0
7#f3J7S/HV./ ne::rJO(J vv
. (Aj9fi}6' fllii:16A/lr /lJJ.~e.b NJd .
kA- DR L /1< ..?A ,If A.. t.A- ,r'r .1"11 '*" ~ J..j11....J..~ ,
(Address) f i (Tel. No.)
~V()~ ff10- /0/0
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
BLOCK
13. TYPE OF CONSTRUCTION
4. OWNER . (Nam;l,
f!.HA~L~ .1;5.
5. ARCHITECT (Name)
6. BUILDER
(Name)
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
5/})?1~
Fireplace Y Septic 0
Alterations 0 Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement V
SEATS
16. PROJECT COSTNALUE
Width
Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
9. PROPERTY DIMENSIONS
I hereby certify that I hav~ 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
building ~ci~1 can revoke this pe"!)j for J.iu~use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo.rm needed inspections.
X f..!-/I ~ ..0_ "l'~ . \5'-.~r.P/J
Signature License No. Date
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUilDING
of
L/5< A/L
. I
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~.OO
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee.................. ................. $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . . .. .. . . . . . . . . .. . . .. . . . .. . .. . . . .. . . .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
?l.f. 7')
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee .OQ.-:../cf!e.. $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $LS.Y... ~
Paid /5~ 7~ Receipt !p. 3~??'
Date .3/zZItJ 0 By
, ,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed s requested. This document when
Sign~~e Q-y lanner constitutes a temporary Ce~te of Zoning compliance and allows construction to commence. Before occ ancy, a Certificate of Occupancy must be issued.
~e ~ S"'2~.c90 ~~~. C~~~~ A~4~
ity Planner Dale Special Con ilions if any
q C> .~
t~D
~.V
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
40..C!>O
Mechanical Permit Fee ..................... $
In9 Permit When ~ro~d. _ __
Date ?...,~
Issued
24 hour notice for all inspections 447-9850
00- oc trip
White - Building
Canary - Engineering
Pink - Planning
The Cenler or the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT eflf/EL5S 13. ;:::;q 0 R..L/ /::::...
APPLICATION RECEIVED 3/ /5/00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/VJf/;f&; l?fIE/JS/lN/ '/11070 OW uJ,
. , -
Accepted
Accepted With Corrections
~
Denied~ __ pi
ReViewed~ .,4
<... i..I "., - r
Date: 5 -{7'" ~
Comments:
~~~~~~ ~~'-
liThe 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.1I
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The eenler of Ihe t.b Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{!!/;}I!{ES 8 * J::))U k 1-1 l:::-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application ~or construction activity which is proposed at:
}
/ ~I // (> &., f ;fj~/) ::;jl.L//V' / . //j /t.l/ L) {:' tJ i-/\}.
. , --
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ tA~
f/ .,
Comments:
~p.~ ~ t=Ml~ ~q7')
~cjW:~-R_ ~ ~~ ~ t ~d-~L l-t,
~
Date:
3 - 2-2-~
....
liThe issuance or granting of a permit orapp,roval of plans, specifications and
computations shall not be construed to be a perm it'fo r, or an approval of, any violation of
any of the provisions of this code or of any oth~r 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.n,
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS 17()(n(o ~~ I~~ LV\.
NATURE OF WORK ~} q::'lA.'-tR.
USE OF BUILDING SF-A.
PERMIT NO. OO'-{)/~
CONTRACTOR \<a.J t ',,~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED 3-/1- 2a:9CJ
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,FRAMING
INSULATION
ELECTRICAL
PLUMBING \)'tA f ~. l~/I.t,/fJ7:J
HEATING (if required) 16j...... I,;;./~ It'/D
FIREPLACE f\/?;r, !.:;JIJ/ / b?J
GAS LINE AIR TEST ( tb) :- r 3/~~)ov
COVER NO WORK UNTIL ABOVE ~AS BEEN SIGNED
~
~~
)
- ~
/Z/ ~ /60
J~/ ~f II!r6
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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1fT:;- c?- / to / ~ tJ )
.; (
~ ..
/d--< ~ //~ ~/l
f)7 r L/ /1 u/ / U c:::-.---
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electricai 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 (612) 447-9850
DATe TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J70~~
SCHEDULED z.,(P' () z.. 'f; u0
PI1'bft S' ~ I 1'1 Q:n::JO LJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
06-/tf~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING~ 0 WATER HOOKUP
.-:l INSULATIO 0 SEWER HOOKUP
(' FINAL ~ PLUMBING FINAL
b SITE INSP CTION , MECH FINAL
COMMENTS: ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
FIREPLACE FINAL
GASLlNE AIR TST
::t
r
(V pfY-lZ ~~
~ORK SATISFACTORY, PROCEED
~ ~.ORRECT ACTION AND PROCEED
o CORRECT WO , CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
,
Owner/Contr:
FOR, THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSII/OTl