HomeMy WebLinkAboutBuilding Permit 00-0565
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
7/5/00
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.-1)O'05k>5
1. DATE
7.-f-06
IV V PIJO
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
'1.1
12. NO. OF STORIES
2. SITE 3R~/ Z- 1#"tJ'Jd Du(,-~ Dr
3. LEGAL DESCRIPTION /
LOT '<"~ BLOCK IIcJd
ADDITION tvllls 5~
4. OWNER (Name) (Address)
5. ARCHITECT (Name) (Address)
(Depth)
/4/
,
PID 2~7- 025-0
13. TYf);~ CrSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
6'~c,~i I ,(';;'5.~;/ss()( /'1~7';/c; j~/v( ~2~~~-'-h;{J
vv ~~ Ar?~~/hv <rS-/2V
7. TYPE OF WORK Fireplace 0 Septic 0 DeckJ( Re-roofing tJ Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PR3t'CT COSTN~
Chimney 0 Misc. ~ ~Z;
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No 5f ~~, Cj I 7~
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that~ am the owrJ or authorized agent for
the above mentioned property and that all construc .on will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building off~ev~it f~ . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ ./4~.~ D l/('7Z- . 7-)=-t>0
./ S,.,"" , license No. Date
. ,,; " FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA
o
Side
Side
Back
Front
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ tot:J(:) .00
~ I/$-
USE OF BUILDING
PLOT PLAN
o
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................................... $
Amount Brought Forward .. .. .. .. ... .. ..... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . ... . .. .. .. .. .. .. ... ... $
Sewer Tap ................................... $
$
City:
(,;2.25
40 · C{~
( . OeJ
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty....................................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~
Sewer & Water Permit ...................... $
Water Tower Fee .. .. .. .. .. .. .. .. .. .. .. .. ... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ /0.3. 7-1
Paid / ()3~ f I Receipt No. 3 7~ /
Issued - , ~
Date 7.1.. (}lJ 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
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifica of Occupancy must be issued.
Gas
This
By
Special Conditions if any
Date
City Planner
24 hour notice for all inspections (952) 447-9850
-.~
~
o. ~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 3~~ W~O~ ~"""".
TYPE OF WORK _()or~
USE OF BUILDING . ~~ \->
PERMIT NO. (JO...(2ffil,~ DATE ISSUED 7-5-~
BUILDER Mr W\\\~CA...-" ~..J-
NOTE: THIS'IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUllDING,AND INSPECTION
t! INSPECTOR DATE
FOOTING f?;r' fJ Y/I In
PLACE NO CONCRETE UNTIL AB9VE HAS BEEN SfGNED
- /IIIIMIMIV .
..
RNAL b · &J./ .,..<1/ fJ1:)
. f
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION N~Tlel:
ADDRESS
337~
?h-\t")~ ~_l ~
, - ,
~'-~
CONTR.
l .~"IiIiULr:D
OWNER
PHONE NO.
PERMIT NO.
{J -56s/'~
.v
o ~~ING
o ~~~~~N]'_~
o FIREPLACE RI ~
o FIREPLACE FINAL -;
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING cE
o INSULATION
FINAL
~ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~
R9 WORK SATISFACTORY, PROCEED
I CJ CORRECT ACTION AND PROCEED
CJ CORRECT WOR~' L FOR REINSPECTION BEFORE COVERING
Inspector: r Owner/Contr:
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl