HomeMy WebLinkAboutBuilding Permit 00-1041
1. DATE
QATF RFr.FIVFn CITY OF PRIOR LAKE
/2.. - 7-00 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
308,1- WcoUuGk
3. LEGAL DESCRIPTION
1 BLOCK I
ADDITlON i.P j L 0 f) 3 ~ d. Add.-t IIn'l
LOT
4. OWNER (Name)
W~~
5. A.JlCHIT~CT (\ (Name)
I:'t'!.{ UAL5tltoJf'\
6. BUILDER (Name)
!-J~~
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
1. White
2. Pink
3. Yellow
Permit No.
1~-(,,-~ooO
o J2 I \J p~
(Depth)
12. NO. OF STORIES
PID dG- '3:' 7-0":l.- 0
13. TYPE OF CONSTRUCTION
(Address
(~:ress;~'
"
(Tel. No.)
~ b5/-I.{O{.-'No.
(Tel. No.)
, ,
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No,)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
"
, ,
Septic 0
Addition 0
SEATS
16. PROJECT COSTNALUE
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re.siding 0 Finish Basement ""
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. FI. Width Depth Yes No
I hereby certify that I have fumished ~. "........""....., 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. J am aware that the
buildin official n r th~, perY1j.\ for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform need, ed inspections.
X '/~~ ILJ.t:;'~ IJ,-b-~.ooo
,. Signature License No. Dale
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF (j6~N~ IJ- / K
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Back
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS Cl PERCOLA nON TESTS Cl
PLANS & SPECS Cl SETS
SURVEY Cl COPIES
PLOT PLAN Cl
Side
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
" fYY'). (J d
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ /:? 9. f5
Paid t t..-q. "Z-5;' Receipt No -;2,Sg \ -'t
I~ _1
Th,. ,s to cemfy "at"e <aquest 'n the above appl""t,on and accompanY'"9 documents,. '" accordance w," the c~:;onon~ ~l,~J :;;'may P''=d ~f::. Th,. document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Oivisioo 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..... ................ $
Sewer & Water Permit ...................... $
GtI4SF.i pt ePe
Th "
B
CertifICate of Occu ancy
.................. $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... <t
SAC ......................................... $
Collective Street Fee ....................... 't
Sewer Tap ................................... <I:
B f'/, '2. "i>
2,."0
$
4.0 .00
Pressure Reducer .......................... <I:
Meter Horn ... ........ ........................ <I:
WalerMeter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
~
rV
Your Building Permit When Approved.
Date I'Z -t>-7""""""
CilyPlanner
Date
Special Conditions ~ any
24 hour notice for all inspections (952) 447-9850
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED 1-:l.-e-'2-..
CONTRACTOR ~ Js>JAc"u..t1Uo..... PHON E t..s/ - C{b(, - '1t{'6CI
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
ELECTRICAL
PLUMBING
HEATING (if required)
'1.1/ 1 ~i21 1m
l
tJ
'E J pj;1J j{j()
,i\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
" FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
-:g, .~ () MIl
\i
"'b.Dfl,v4
~.t) t
OCCUPY UNTIL ABOVE ~S
NOTICE
This card must be posted near an electrical 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.
s- ~-4:1 Of
BEEN
~d ~ of
5\.;l4 Q./
SIGNED
"
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
!';'1A-.OI
f3f!!i
ADDRESS
30B2. I'\j{)OD DU~
OWNER
CONTR.
PHONE NO.
:8'-061 UO-05S'1
PERMIT NO. ~/.F.VE.'--- I'IrJ-tJlOtfl
o FOOTING
o FOUNDATION
o FRAMING
AjINSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
A... 0 SEWER HOOKUP
cr~LUMBING FINAL
PrJ" MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: . I I
J n [de-. ' -e...J eJ
n v\fl \
n\C
~
~
/
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~..l 'v, J JoJ' Owner/Contr:
CALL 447'9850-~ INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl