HomeMy WebLinkAboutBldg Permit 00-0241
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I LJ'):2/) RD~'^- I2A
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULA TION
~ ~INAL
o SITE INSPECTION
COMMENTS:
..
~ +p^O ~C.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
#a
TIME
00 ~ ;xl/I
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
-0
~:,
J u e. .i:, t k acktlt ~
. 0
INSNOTl
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREPBRKI CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
..y
,CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
OAIE:._R~~EIVED CITY OF PRIOR LAKE
lr~[ff '-: '. ~ BUILDING PERMIT,
:.,'.,.. ! ...- TEMPORARY CERTIFICATE OF
I, r.! I ZONING COMPLIANCE
NO UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No.1JO,OM /
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
14:' 0 '2- (LobI n 120acL
1. DATE
4 - I 0 - 2t>C>o
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
<0
Kt\JOR
12. NO. OF STORIES
PID Q'S' - 33 q -Oc;?~-O
~ AOn\\)
S
fO~
BLOCK
\.\ I LL-
LOT
13. TYPE OF CONSTRUCTION
ht. W {;('( tAL
14. FLOOR AREA APPORTIONMENT USE
ADDITION
(Tel. No.) L {pI z...)
-et> bl h t2.d. . 44 S -4223
(Tel. No.)
(Address)
14:;0.2-
(Address)
4. OWNER
(Name)
Shu.. P-e...} {ll t,)L
(Name)
5. ARCHITECT
(Address) tis z...)44b -.,..,~ 0 (Tel. No.)
t6Ylstvut--n6Yl1 h,'ll . 15blPlP S8:~~'"
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
6. BUILDER
(Name)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PR9JECT COSTNALUE
.5.;1,DD.lll)
17. COMPLETION DATE
ApV\ , 2000
~\o1)vrh t y-
Dec~
Finish Attic 0
7. TYPE OF WORK
New constructiof
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace 0
Alterations 0
Septic 0
Addition 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
I hereby certify that I have fumished 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
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
buildin 0 icial can revo~e this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ".JWI<....\--A I... 11..11 . Z () 2. 1 ~ Ill) 4- - 3 - tm
srg~~t~;e ~ - License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION '2i'II'II!\O' t')r)
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
USE OF~. ILDI~G It !
'jl2
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ............................ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ... ..................... ........... $
Builder's Deposit ............................ $
Other ......................................... $
City:
R S U
~?_7..s-
t..(D.4("
l.tPcJ
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
~~t
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Thi{Aj}pl~ti{;b Becomes lur Building Permit When AQproved.
By IJ.'!.. X' \1s- 8'AF- Date L/ -I 'S' '2oC>/J
. I
Certificate of Occupancy
paiJ/r;3 .5(............~~~~i~;~0~ . ~i,r'r
Date Lj /I?( By tM)
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 pref1uested. This document when
sign the C' Planner constnutes a temporary Certificate of Zoning compliance an allows const ion to c~ence. Before occupancy, a Certificat\9ccupancy must be issued.
llU............. ~-t!iID
ity Planner - Dale ... Special Conditions n any
Issued
24 hour notice for all inspections 447.9850
The Cenler of Ihe L.ke Counery
O(J ~O 1A-'f
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT "Fe-Dr\'\-"\ e...r (~f\~~udi (') l\ \(\L.
APPLICATION RECEIVED A pr\ \ \ ()) 8 0 () 0
The Building, -E.:.;:/ - ("'Hil"lg, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4 3 0 ;;) R D hi Y"'\ ~ (lCAd KY\-tlb \-h II ~V\.o\. <M)Dt\\
Accepted ~
Denied /)
Reviewed Byc.4
Accepted With Corrections
Date:
L{-f 5-~
v
7')mme~s: I ()
l~~ Qorr
~o-zJk--.
"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."
{)D -() ~4- (
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\:2.-Jr
"
\
\.
(}\ () 1\ \. {\l _
\ \
1."\
\() I
...,
(~
('-.,Q
\ ) \_-
The Building, Engin€e~iAQ, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,~\ I
c\ \(""\ k CAe
/43D;;;
~.\
(jlt,ll
,\I \ <Am t\\ .
Accepted _ 1/
Accepted With Corrections
Denied
Reviewed By:
~/4-r~
(./
Date:
Lj-I y,ev
Comments: .
{J~ (J~it -
"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."
,
t
I>
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~ ~~(lI\. ~
TYPE OF WORK ~ed.c
USE OF BUILDING ~_D
PERMIT NO. QD - 024-1
BUILDER r-tov..\., /? I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO ENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED '-1- Is-~
FOOTING I
PLACE NO CONCRETE UNTIL AB
~ I
EC R J D E
IS.. 4JD
E HAS BEE SI NED
I
FINAL I (t(7 I q.b.z.!~
Call between 8:00 and 9:00 A.M. for all inspeCtion$
FOR ALL INSPECTIONS 447-9850
..
,C---- ,~
CERTIFICAT~ OF SUR\I~Y
Fo~ ROCK CREEK HOMES
APPROVED ~~ '"
PLANNING OEPT, 0
//1, \ . ~ ROBIN f39A
Signed 0 b(f .DateV"":l-, :::::::23 59' 1 1 ;; -
" R:::::75. 00 N04010'2JLW -
BENCH MARK ~s. J .' - ,.. 949.0
TOP OF SPIKE (.9S0 1 \1:149.5 45.60 - 949.3, -
ELEV.= 950. 8.5 . OJ. -.. ," cJELE.c 0 49..))
\ I 1 0)- ...... ElE \ T.V.
'ffJ J Woe( ....,
. r- -4-8~~ · ,~
") s .-/ . a. W SERV.5 ....,
I r ~~~ t I of- BENCH MARK
(950.9] 0.0 ! TOP OF SPIKE
"/);1-- .le 20.33 0~A~___.....,_..~ELEV.=950.27
V 9110.0 N/ of ~.:]. -..I v
/ ~ ~~~%AR./lli12'1~ 9~L.l.q) ~I ~ x953.0 .
~~/ /~I') ~ (Jl'\\~
/ 8 )",10.0 PROPOSED cO'7.~ ~ I. ~
lli "':1 ~~/ HOU~Y'./~ ~ ~ cD 0 EXISTING
" A~:'lli,/ / L/~ T ~ ~ 0 HOUSE
.......... Jc' / ~~- ,~ -~...... L!9.=rQ_ ~- ~~>"E~c; Z \ \ \
........ 944.3 t.... ( t .... ~944 2 , \
0........ .;.3 944.1) J3' ex> k 944.6
R / (Jl I f"'\T
V) I llliillf I i L. V I
/ x943.2 Xg42.9 ~
~ \I~
~ ( LOT 6
,
/ ",
'.....-___.. DRAINAGE & UllL\'TY -::::::::::,:---,
f----------- E~SEMENT PER PLAT \ \~5
i \ 0 L{922.Ql
....,
-U1
:z
I f"'\ I
LVI
-7
I
r-
::'
147.94 N 04010'28" W APPROVED
APPRO"ctJ ENGINEERING DEPT ~
PLANNING DEPT ( ,frio
~ ~ 8Ignedu'~/ _Da.~
011I 4-14-ao \ - - - - .
~- - -. ~~ 'PIKELAKE-ROAD
Scale: 1"=30' Page 2 of 2 James R. Hill, Inc.
. fT1
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(920.0)'
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