HomeMy WebLinkAboutBldg Permit 00-0300
DATE TIME
CITY OF PRIOR LAKE ~oa
INSPECTION NOTICE SCHEDULED
ADDRESS J It{ ~ ~ T~u. A, J.J
OWNER CONTR.
PHONE NO. PERMIT NO. DO - ~cz:?
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
;!NSULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL .0
COMMENTS: $..,
...
Ck~O +p.. 'l ~L.._ Ad" -
.
.-A .'"~~lJ:C /
o
)( WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
..:./
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
DATE RF~ CITY OF PRIOR LAKE
BUILDING PERMIT,
APR 2 -, 2000 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
/~/e3 /7?iSeA- RVe
1. DATE
+/L7~O
1/.../
3. LEGAL DESCRIPTION
2- BLOCK S- PID .2.S-/87-tJ67- 0
. I
ADDITION ~O~V/{,(,6 H/US 6LlH
;;;=-
(~E~ (Name) A L J _ (Address) (Tel. No.)
- - f if r ~N( (l, . c."CY. '-Ot{f //N I/tJtt-f-r7vJ.1t- t/(fJ.. -;;;"6(
5. ARCHITECT 0(~.a.~~ V(Address) I (Tel. No.)
~l+-' ~/(J ;it L/t/7-/ /, /, {,
(Name) (Address) (Tel. No.)
LOT
6. BUILDER
7. TYPE OF WORK
Fireplace 0
Alterations 0
Septic 0
Addition 0
~
Dec~
Finish A~ 0 ..
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit NOo_nO -0:300
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth) (Oepth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
at I have fumished infonnation 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 e entidned property and that all ruction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
b . Cling 0 cial can revoke thi e i for' use. urt~ennore. I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
1/1/'0. '-I-~7-~
License No. ~e J
/
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
Front
Back
Side
Side
--'-----...
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
~R/L
. /
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION ~ ..!J::;!J~, dO PLOT PLAN 0
TYPE OF CONSTRUCTION: I II III IV cz>
Occupancy Group A B E F HIM ~ S U
PennitFee ..........~i~:~~~...1...~.~.~... $ 7L/, 7 s
'1~.S1
J ,So
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
Plan Check Fee ............................. $
State Surcharge................. ............ $
Penalty ....................................... $
Pressure Reducer .......................... $
^ AR.~ MeterHorn................................... $
~ 00 ;e::r~~~t~~';~~~:t;~~;~~'::::::::::::
L.. :I Water Tower Fee ........................... $
V · Water Tap ................................... $
~ in Builder's Deposit ............................ $
~~\:o/. ~ Q ~:';ii~::~:4:::::::::::~=~~o: jfj~i 9A-
Issued 6\.
This is to certify that the request in the above application and accompanying documents is in accordance with the c::on~ {9n~L ~ay pr:: a ~st~. This document when
sign t lanner constitutes a temporary Certificate pf Zoning compliance and allows co struction to commence. Before occupancy. a Certificate ci:~pancy must be issued.
'ftyPlanner .~'~:~ ~ . C~Ls~o~C~J.i\~t-
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Pennit ...................... $
Gas Fireplace Penni! ....................... $
ThiS~~m~:u~ng PennitWhen ApP.r.O'1ld.
By ,;&;f- Date "'1/ Z.C/ dtJ
" .
Certificate of Occupancy
24 hour notice for all inspections 447-9850
rb-D3cru
The ('('nfer of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \ ur~ X"\ce. A 'cJ. L ()l'\e~\\(\
APPLICATION RECEIVED A rx'~ \ Q 1 t1l, a 0 o( ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6/2' 3 I +-~W Avenue,
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~ ':/~f-- Date:./)- 2$ '-(yO
Comments: (2.6"- D -:b rECK- J-,t AN D- 0 u:r- "N 0 ALL
TH E I JoJ ~o R- w\.JlS.. T 10 rJ 0 rJ ^f ftl-O U~ -PL Ms.
\
"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."
()tivO~
The Crnter of the LIke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \ e Jr r t f\ <... e. i\ .lJ. L C)(\e > \ \ ()
APPLICATION RECEIVED l\ F'l( \ \ ~~ 11 ('I (~OOU
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(:;. /:1' 3 / +-
CC~ 1\ V C.lllJ e.
Accepted
~
Accepted With Corrections
Date:
~- 2-~
~~. It::n&r-"b~ x..~ J .:--...~. .
- ,~-'1~~: ~,
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-Aww~ ~ '5~~~~.. ,t-.~. ~'j ~~
~ ~ ALl ~t~ ~ ...f&J:;:J. i:l-27-BC>~
~./~ J.~~~' if7~'~s~tl11
_."-e>'V" ~~JJV(",,-~.~~S ~ .'" .. -" ' ,
:;t;,"
"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 o~. cancel the provisions of this code or other
ordinances of the jurisdiction shall not b~ vafld."
i PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS , f.o 1 8 ;s ITA se A A.UE; .
TYPE OF WORK tJe ~ (7)E<!:~JL.
USE OF BUILDING . f<G5:, AL T, N~,
PERMIT NO. 00-03f) 0 DATEISSUED ~-28-o0
BUILDER TelL1'< 6~ c..E" A. G. L03~Lt tJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
FOOTING rJ((!.., I /~r I 5/~/tJ()
~ NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
__ I 1
FINAL
i
~.
J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
~ 4. .