HomeMy WebLinkAboutBuilding Permit 00-0712
~1
124TC RCr.~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
ApfIl-
8.14-- 00
Permit No.
00 .D1/~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
5",,\ 4 S tI-\(:>~ C9A~S
3. LEGAL DESCRIPTION
1.0ATE
B-I4-'OO
BUILDING IIII'ORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
Gl~.
12. NO. OF STORIES
LOT
o
PID
BLOCK
I-h,:>l'>~ OAic.s I ~ A-,~~.
- .
(14. OWNER 1 (Name) ../)-&.-1"\....... (Address)
I" 1 Y11?1/l'I?fLtr-K\ IT 'At. \~ '\
15. ARCHITECT (Name) (Address)
6. BUILDER (Name) (Address)
13. TYPE OF CONSTRUCTION
ADDITION
(Tel. No.)
Q:;J J-Itii U2.,\ '/
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Eo~t:=SS
Septic 0 Deck 0
Addition 0 Finish Attic 0
LoU II'.IDo....J
Ae-rooflng 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for
the above m d property th t all c truction will conf to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 . lal 0 i ~h ore I hereby agree that the city official or a designee may enter upon the property to perform~~/JJ~ec'!JrJ
.4 License No. 'f"Date )
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
Ll
ees A/"e.-
I
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
2, Sl)n 00
.
PLOT PLAN
Ll
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
V
R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
1~.1S
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
I . "'Z.b"
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee "......... $
Sewer & Water Permit ...................... $
This
By
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ it.
Other ......................................... it.
Total Due .............................. $-2Jp. () 0
ReceiPt~3B z.o G-
Date p,./4-.no By !JUt-..
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 ~requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to """ ,.. ,..,.. ....a. Before occupancy, a CertificateTof 'Occupancy must be issued.
.......... $
GasFi
lding Permit When Af.PJ:veP......
Date t!>. ~-oo
Issued
Paid
CilyPlanner
Date
Special Condilions if any
24 hour notice for all inspections (952) 447.9850
PRIOR LAKE
INSPECTION
R~~q~~A\C5
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK E.G(Z---..esS .L-UIM)o....v
USE OF BUILDING f20; I"t;( rC /.
PERMIT NO. 00 r"1 12-. DATE ISSUED eJ (4/00
BUILDER 1:xvc.:. ~f>E::r2-TMAN,.J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
C,f2. ,
~ I I
PLACE NO CONCRETE UNTIL ABq,VE HAS BEEN SIGNED
, FRAMING I 6;. I r(Z-S/ /:Iv
INSPECTOR
DATE
, FINAL
I #?- I 1'- I- c1V
Call between 8:00 and 9:00 .(M(for all inspections
FOR ALL INSPECTIONS 447-9850
1
I
J
"
ADDRESS
SQ45
DATE TIME
01 J._ Ir~:7_
SCHEDULED ~ ~ ~
J.k~ O~ Q.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O-II~
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
.....-li4INAL
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:
Fl"lq IL~
vv
k) I ND~
~ ~ -~,r-L.
:;;~~-
r..,-- ,"t1 _ ., )~ ~
X - ~
,
'f:. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~l
Owner/Contr:
Inspector:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl