HomeMy WebLinkAboutBuilding Permit 01-0450
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
c9- /4-0 I TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
yow AppliOln'
Permit N/61- 0450
B {NG INFORMATION
1,. SIZE 't:'~UCTURE
(Height) (W>dlh) (De"h)
~i__C'J
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 ~55(D H(jnf1IN6I~/RD
3. LEGAL DESCRIPTION
\1\a.~ I L1, ~l
?Je.. I!./
12. NO. OF STORIES
3
3/aO
PID 25-3'19- ()Z3-0
8.J)OAl.
(II)
(tI)
6
K Ii.fU!;
BLOCK
H!..LL.
LOT
ADDITION
13. TYPE OF CONSTRUCTION
(T.1. No.)
'-/ti-5 - z I (p f!;
(Tel. No.)
9f3b- (,557
(T.1. No.)
(Address)
BIeI'1D
(Address)
14. FLOOR AREA APPORTIONMENT USE
4. OWNER (Name)
(/!SSMF-I:::-/ t-:.Je..
5. ARCHITECT
,
(Name)
p,.,_n "
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
5t WI e..
t\loc9t.1<.
'-ts.
SEATS
7. TYPE OF WORK Fireplace LJ Septic LI Dec::yt Re.roofing [j Porch [j
New Construction lj Alterations LJ Addition 0 Finish AttiC CJ Re-sidlng CJ Finish Basement 0 .6.,P~OJ7E,~C~S~ A~UE
ChlmneyLJ Misc. '""{ I .:>.....:J ~
8. PROPERTY AREA OR ACRES /9, PROPERTY DIMENSIONS 1'0. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. /.},l%V Wldlh83.8"(D.Plh \,35,()l!> V.s No >Lt........-..r ~(
I hereby certify that I have furnished InfolTll8tion on this application which Is to the best of my Knowledge true and correct. I also certify that I am the owner or authorizecf 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
:ulldlng Off~~.:1~~-;".~.rmore. I hereby agree thallh. cityofffclaJ ora d.s;g::a::nt.r upon Ih. property to pe~~L
FOR ADMINISTRATIVE USE
I
SETBACKS' Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGV DATA 0
Fronl
Back
Sid.
Side
PILING LOGS 0
PlANS & SPECS 0
SURVEY LI
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
BUILDING DEPARTMENT VALUATION
Kf5S r-J /..e
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~...~~
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R
DMsion1234
Permit Fee ................................... $
AmountBroughtForward .................. $
Park Support Fee ........................... s:
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
City:
S U
Ut. :2r;-
Q5.ol
1.f'}D
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
MeterHom...................................$-
Water Meter ................................. $-
Sewer & Water Connection Fee ........... $-
Water lower Fee ........................... $
Water lap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
TotalDu. .............................. $ //5". Z ro
Paid /IS.z...~ R.ce~Pt~I.. ~~"I
Issued ~
Dal. .54/4 -tJ I Sy
This Is to certlfy that the request In the above application and _~~_., ,,""',flng doCUments IS In accordance with the CIty ZOnlng Ordinance and may proceed requested. This document when
signed by the CIty Planner constituteS a temporary Certificate of Zoning compliance and aHows construction to commence. Before occupancy. a Certlfic:ate Of Occupancy must be Issued.
~
~.I
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
5ewer & Water Permit ...................... $
:S~' P.rmll ~~.~;f~I~~.~.:IIWhen ~ved
By _~ Data ,'>-/~.?Ir!J/
/
Certificate of Occupancy
Special Conditions if any
Oete
City Planner
24 hour notice for all inspections (952) 447-9850
~\
O( () t}(J)
Th~ e..nl.., of Ih..l..k.. Country
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPABJ]IIENT CHECKLIST
NAME OF APPLICANT B'J"a-.d. Le5 rne..J~)-
APPLICATION RECEIVED S- -1'1-0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cOij;;~ activi~:~ -;Jft/
. 0
Accepted .x..
Accepted With Corrections
Denied ~/J J
Reviewed ByVf/~~
p;jn~ Dedc h ~_J ~
Date: s:/t-k71
"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' qS't\(~ f..fU/M.W\I'lA"~,---<
1"'\ _ IV I
TYPE OF WORK _..J.....r;;;;.k 14 ~ /;(.
USE OF BUILDING ~ J=~
PERMIT NO. 01- ofSb DATE ISSUED -'i" -/~ -7..-..1
-;y .
BUILDER L .e<;IM.p.lo:..j.~r- LJ. '18t;J. C'5S)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
A/SPECTOR /' DATE
, FOOTING' I e:r . I ~ /~t-/K'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
, FINAL
~(
I f]!-S 10 I
, ,
l-
I
I
.,
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
'\
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
(- 3-6/
TIME
ADDRESS
J-fSsb
jL); 3 0
~~
. CONTR. (/
OWNER
PHONE NO.
PERMIT NO.
/ - LfSo
COMMENTS:
[J<7f J/
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
D PLUMBING FINAL
o MECH FINAL
D EXlGRADiFlLLlNG
o COMP
o FI
OF
o FOOTING
o FOUNDATION
o FRAMING @
e. INSULATION
t.:! FINAL
o SITE INSPECTION
.-..---...
.""~
~ .'-':..'.:'~:----:r-
~ ftj/1I-V--
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~(
, I
Inspector:
OWner/Conlr:
CALL ....7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
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