HomeMy WebLinkAboutBuilding Permit 00-0821
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVFD
cr. c, -00
DIRECTlDNS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12.sITEADDREss /+94-8 H/~HLrlNO
3. LEGAL DESCRIPTION
3
3A!!A ~N.
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
D(). O~z,I_
1. DATE
".~ . ()O
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
,euo
c.T /1/6
3
70 ,8As~ AULUjt::.. Q52~Lf.I7.31'13
r II (Tel. No.)
r HI 96Z' +f7 ~.3/ Zfi
(jI) 9.5Z - ,~:;. .zOYZ.3
12. NO. OF STORIES
LOT
BLOCK
PID 2S -,3"'2-- Oz.o-o
13. TYPE OF CONSTRUCTION
7. TYPE OF WORK FIreplace CJ Septic a Deck (J Rs-rooflng CJ Porch CJ
New Construction a Alterations CJ Addition CJ Finish Attic a Rs-sidlng CJ Finish Basement CJ
Chlmnoy(::J Misc. SToit!A& e ,1-~&zI UNP€:J'i!!. FrJ.earl
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS I' O. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certlly that I have furnished infonnatlon on this application which Is to the best of my knowledge true and correct. I also certlfy that I am the owner or authorized agent for
the above mentioned P~O:f!j II construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can ravo th erm t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ~ecI9d i~ons.
X ~ ~~~
License No. au.
ADDITION
14. OWNER -e /pmo) ~ / c::l;
15. ARCHITECT (Nomo) I
6. BUILDER (Nomo)
(Address)
(Address)
(Address)
14. FLOOR AREA APPORTIONMENT USE
(Tol. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
F<Ont
Sad<
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I,~.or->
USE OF BUILDING
~ '" //2..
,
TYPE OF ..........:.. nUCTION: I II III IV V
OccupencyGroup A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
~v
"S'I.7':)
Plan Check Fee ............................. $
State Surcharge ............................. $
Ponoily ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
22_';-'
.56
~
............ $
IIdlng ponnn..,n ir~
Dolo - -~
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA (::J
PILING LOGS (::J PERCOLATION TESTS (::J
PLANS & SPECS (::J
SURVEY (::J
SETS
COPIES
PLOT PLAN
(::J
Amount Brought Forward .................. $
ParkSupportFee ...........................,
SAC ......................................... CI:
Collective Street Fee ....................... t
Sewer Tap ................................... CI:
.
Pressure Reducer .......................... $
MeterHom................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... ,
Water Tower Fee ........................... ~
Water Tap ................................... $
Builder's Deposit ............................ $
other ......................................... t
Total Duo .............................. $ ~/. 64-
Poid &7. &+- Reoeipt)'lg. lr+ll
Issued h)JJ
Dalo tf.fC'.fIl) By /wvo..--
This is to certify that the request in the above appllcatioo and ...........,'.......jlng documents is in accordance with the City Zoning Ordinance and may pr~s requested. This cklcument when
~~Co~ a ~rary Ce1lFJ~~pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be Issued.
7~ Date speciar Conditions ff any
24 hour notice for all inspections (952) 447.9850
Th~ C~nl~r or Ih~ L.ke Counlry
fll C 'Org])J
wMte - Building
Canary . EngineerIng
Pink - Planning
.6IJ.U.PING PERMIT APPLlC~TION De.eARTMENT CHECKIJSI
NAME OF APPLICANT
R/ XI (!k'/-/Ih
'. I
9. h. ()Q
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4 CJ4-f3 HlfiHL/I/vLJ CT N6
Accepted
Denied
Reviewed By: 7 A;:)~# CtA-t Date: '1/[/1-/ ~
Comments:
~~~ ~A-~ .~~ l~ ~~~
~~~
Accepted With Corrections
~ ~rvp.P.Io-<.&> t?r ~~~~?~ <-~...
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a perwit 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."
"
~
00.002--(
TIloe Clenller or lhr L.koe Country
White . BUilding
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/?/)( f!R/l/6
q. (p.r/O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4q~f3 J-I/(fH/fiAJD ~/ #6
Accepted
Accepted With Corrections ~
Denied ,0/~/J (/
Reviewed BY~ 112 ~---.::>
)"
Date: 9-1(-~}
Comments:
~o.i""\-""",-- 1. \..v-
n...1-~~ s,'~
r;~~
G t'\ t::\~....)..1'--
"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 ADDRESS ~J.llvLl~ ~.
NATURE OF WORK ~,.-:'V {A.toer, t'~ 0"":<::..\ ~<; ~.b..-
USE OF BUILDING <::t. ~ (\ V
PERMIT NO. on. (Y82 I DATE ISSUED "l-Il-'21lo11
CONTRACTOR lk.,'V ~J<
NOTE: THIS IS NOT JJ. PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR . / I DATE,
I FOOTING /Z1f. I J / /8'/Q)
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
,
AAf)
i,.
\
1--/'1-0 ~
<)/
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD fi~e:lOu.' l~ CR;\~ _ I I
'1=INALS
BUILDING
ELECTRICAL
"
I ;V/r
1 I J, 114'-
l
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrlC1lI. serlLice cabinet prior to rough-in Inspections
and maintained until BII Inspections have been approved. On buildings and additions
where no service cBblnet Is Bvallable, 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
7PJ~Y-
,
/f/'?Y'Y &oA'h~/ e/
,/
CONTR.
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
~~-2L/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING ANAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~-~ ~
/.-/ ~~/ )
~ CftJse /7 /e
~RKSAT~een ______
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ ~ Owner/Conlr.
CALL oU7.986n FOR THJ;. NF.X1" INllPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/
"'""'"'