HomeMy WebLinkAboutBuilding Permit 93-0169
DATE TIME
CITY OF PRIOR LAKE
INSPECTIO~OTICE
PERMIT NO. 3 - J LR 1
CALLED-IN
)/ -"'on ":)/,/""'./'''-
SCHEDULED ~ ~..:>-// ~ _~_)
COMPLETED
ISCClO
lJJQ~* O(~~~
CONTR.
ADDRESS
OWNER
E TELEPHONE NO.
..... 0 FOOTING
lL: 0 FRAMING
~ 0 INSULATION
~~
~ 0 FOUNDATION
;x: 0 DEMOL.
~ 0 FIRE PREVo
~CO
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~
~
ffi
Q.
~
~
~
LL.
~
~
~
~
I
! ~OCEED
Q 0 CORRECT WORK AND PROCEED
o 0 CORRECT WORK. CA INSPECTION BEFORE COVERING
o 0 CORRECT UNSAF ,cONDITIO WITHIN HOURS. INSPECTOR WILL RETURN.
o STOP ORDER PO ED. CALL IN PECTOR.
o INSPECTION RE IRED, CALL 0 ARRANGE ACCE
OPLUMBING RI
D MECHANICAL.RI
o WATER HOOKUP
o METER SETfTURN ON
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAINT.
o PLUMBING FINAL
DSITE INSPECTION
o EXCAV./GRADINGlFILLlNG
o LAKESHORE/WETLANDS
o COMPLAINT
o GAS LINE AIR TEST
o SEPTIC FINAL
o FIREPLACE
o HANICAL FINAL
o PHOTO TAKEN
Inspector
447-4230
_ CopyllnapeclOr'S File
y.... Copy~ NoIk>>
1. White
2. Pink
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
I I ' BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
iAIQP UTILITY CONNECTION PERMIT
i
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
o S.E.
3. LEGAL DESCRIPTION
.... ,') f. ').J
LOT C- L.... f r7\, ...) BLOCK
ADDITION S V ^ f\ S Ir-.. "Be...
Permit No. q <---;: ( ~ cr
1. DATE
to/'-II~'3
BUILDING INFORMATION
t 11. SIZE OF STRUCTURE
(Height) (Wj, (Depth) ,.
;2.'1(
,,'
12. NO, OF STORIES
PID (~)-- (Jyj.-U/ ~
4. OWNER
J \ KAlLa
5. ARCHITECT
(Name)
(Address)
is' lUes-\
(Address)
(Tel. No.)
I\....'e s..E.
(Tel. No.)
(Name)
6. BUILDER
(Name)
(Address)
7. TYPE OF WORK
Fireplace 0
Alterations 0
-:Dc t\Z
Septic 0
Addition 0
Heating 0 Plumbing 0
Finish Attic 0 Residing 0
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. ...., 00 0
10. CULVERT SIZE
Yes No
9. PROPERTY DIMENSIONS
Width 100' Depth dO'
13, TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
, l
/'2. /2
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16:tESTIMATED VALUE
I' SD~
17. COMPLETION DATE
Reroofing 0 Porch 0
Finish Basement 0
3
information 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
d th t II construction will conform to all existing slate and local laws and will proceed in accordance with submitted plans. I am aware that the
p m' lust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
0'-1I-9~
e License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Back
Side
Front
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING i '~2--C,L J....:c";'" ~
MATERIAL FILED WITH APPLICATION
.;j
Side
SOIL TESTS
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS IT SETS
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION I > 2 c:; l- ~
SURVEY
~ COPIES
L
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A BEl H~M
Division 1 :(!)
City:
.;2S.0(::)
I? 15.-;::
{. (~~
Permit Fee ................................... $
Plan Checking Fee ........................, $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
~?_ 4,
Check if
Deferred
::::.
Certificate of Occupancy
Issued
PLOT PLAN 0
Amount Brought Forward .. .. ..... .. .. .. ... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
UcenseCheck Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o Water Tower Fee ........................... $
Water Tap ................................... $
Other ......................................... $
Other ......................................... $
~
Paid
Date
application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This documen
e,~porary CjlIfIficate of Zon~~mpliance and allows construction to commence. Before occupancy. a CertifICate of Occupancy must be issu
" c.esZZ-::L~ c; 2 - 6<. ,
Date Special Conditions ij any
24 Hour notice for all inspections 447-4230 9:00 a.m, . 10:00 a.m.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I? ~u:r ^~;[~I 0 <1
Ct) -- 1/ - ~ =<;
APPLICATION RECEIVED
The City of Prior Lake ENGINEERING Department has reviewed the
building permit application for construction activity located at
'\ /~ 0(:
/50 '70' L"-/)~~ xiA (_A-~~ -x:J C'
AcceptedL / P;;d
Reviewed b~~__'11
Comments: ,71. /
Accepted with cor~~tions
Date {!/I!c;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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
fj I'
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,
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~}..LC'JL...-<J
APPLICATION RECEIVED
The City of Prior Lake BUILDING Department has reviewed the
building permit application for construction activity located at
/,$-q7/) l~j-€d (2~).-c JE:. .
Accepted
/) Denied
.. C'~
Reviewed bY~-~-~~
I-
Accepted with Corrections
/' .--, --, ..,..
Date ~. L'-- ~
Comments:
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~::~~~
I~~ ..--~-
"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."
...
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/}~ _/cj~( / ~..A;i-f---'/"'-~ c/)
'--
APPLICATION RECEIVED
t~ - / / - q3
The City of Prior Lake PLANNING Department has reviewed the
building permit application for construction activity located at
,I-!,!c, '7 [) {-<.1,,-<t-'1 C;<'S. x1-t.
,/
Accepted
Di5ied
dfJ
Accepted with Corrections
Reviewed by:
Date lr I ( 9 '3
Comments:
"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."