HomeMy WebLinkAboutBldg Permit 00-0239
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I, '130 'R..~~
o
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
~ ~~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
...
(~(~Q." -!-p"'l ~(~, do-t~ ;U
DATE
Ll/I~/oa
f I
TIME
l;>o-07-:1i
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
.0
~..
n.~4"v~ <-r /
{I
)( WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREPBRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
...y
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
QATE RECEIVEQ.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
III , 2 2000
Permit No.
OO-()z3l
.
ill~ GT.
~..r-.
1l;/&D
~J
PID QS-0A4-0a7-6
~ MOl\]
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS I~SUED (Please Print or Type and sign at bottom)
3. LEGAL DESCRIPTION
LOT / n BLOCK
ADDITION lJoocln~
Name)
I
12. NO. OF STORIES
~
~~ t-oJ-v
13. TYPE OF CONSTRUCTION
(Address)
tJ\?()~.n.yY~ c'r
(Address)
(Tel. No.)
~
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
)~f.,
. ., , "(. i\J'\i(."
. ...
"."5 Fireplace 0 Septic 0 Dec~'
Alterations 0 Addition 0 Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
17. COMPLETION DATE
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
building official can rev~' ermit for ju cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ ~. ~ '~iG:<.""."
c...;. . License No. _
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~O.O 0
SURVEY
PLOT PLAN
o COPIES
o
USEOFB~~G ~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Permit Fee ................................... $
Plan Check Fee ............................. $
4a.so
3\.S3
. ')S'
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ..................... .............. $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid t80. 7 ~
Date 4V7/dV By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinanle and may proceed s requested. This document when
~ by th~lanner constnutes a temporary Certificate of Zoning compliance and allows constructi~ commence. Before occupancy, a Certifica of Occupancy must be issued.
~.I~ J.,. Ul< - . ~4:~60 ~~ ~ I\.t,..<:r--
Cny Planner Date -...... Y . Special Conditions rt any
r Building permi'l/hr ApglQv~d~ _
Date - '1-~
Certificate of Occupancy
24 hour notice for all inspections 447-9850
The Cenler of Ihe LIke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ "(}_~J\ ~. R 0.' \ e..- '"
APPLICATION RECEIVED A- \In \ \J \ d CJOf)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\'7~~() 1<\r\~e.\f'JOod CT ~f:
Accepted
Accepted With Corrections
~
Denied e
Reviewed BY? a....O ~
Comments:
Date: 4-/2-2aCG
I, f?eo.J. .t-~p Ueck \A~~
"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."
The Center of the Lake Country
wCf! ~- ~u::J
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT S'rV) \1\1 r\ -PR (\ \ \ f2..-"-J
APPLICATION RECEIVED A \1() \ Id \ ;; 00 b
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ 'l2:;,~O \2. \ (\~~\J\/ aoe, C.1 Sf:
Date: L{ -I f-.{-,&O
~
Accepted With Corrections
r
Accepted
Denied
. Reviewed By: ~~ u.--~
Comments:
~p~
~
"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
SITE ADDRESS ~ ':\(') ~iJ.~l~ OJ.
TYPE OF WORK ~ck
USE OF BUILDING S Fb
PERMIT NO. 0-0 -Q23q DATE ISSUED t./-r~"Ax:>
BUILDER S kQ.\Al '^- ~o.i\6
NOTE: THIS IS NOT A PERMI'14:0R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~ FOOTING tJ(J /~, I 4-18'~()() ~
PLACE NO CONCRETE UNTIL ~BOVE HAS BEEN SIGNED
FRAMING \J/~ t.J:r I J./"" Zlv MJ I
I FINAL ~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
C'. ..