HomeMy WebLinkAboutBuilding Permit 00-0242
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS Ill.) t.f {,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
~ ~~NAL
o SITE INSPECTION
COMMENTS:
q,...,., 0>>..
CONTR.
PERMIT NO. ()(j ~ YI2--
SCHEDULED
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
l.."I'1JO~
I I
TIME
I
I
I
I.
I
I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
-0.
""
~ ~"'l f(.. -ell)' J.c .'~Q.C+~~
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE('f;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!
OISNOTl
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;;7;,100
. t
."11I
. 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
l,SL\\c <SunV-f\'-\
3. LEGAL DESCRIPTION 0
LOT 3 BLOCK
'N. aD[)\f \ 6: VJ
~t0
ADDITION
~Q.
\
rl f\Qtl AD DtJ
PID QS -d.d7-(fJ3-Q
4. OWNER , (Name)
tJ OJ...) ,c\ \-\u. s.c.
5. ARCHITECT (Name)
(Address)
\,C..)\..\\.o ~\A.X'\( CL~\
(Address) U
(Tel. No.)
(l', ~ ~ ~""\ -lp~ -'\"),
(Tel. No.)
6. BUILDER I?A W t:1me~
~\d ~SS
(Tel. No.)
(Address)
\...\t) '-\\.c ~rCLL\ L\\\..
Septic 0 Deck)(
Addition 0 Finish Attic 0
Fireplace 0
Alterations 0
~0\fY.\.(" ~
(~!\ .~~
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
7. TYPE OF WORK
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 No.
no --'oZ4-2-
BUILDING INFORM~
11. SIZE OF STRUCTURE I
(Height) (Width) . / ... (Depth)
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
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 awa that the
:uilding 0 ci I can revoke this p i for just c:use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo~ ed ins
~ ign License No.
MATERIAL FILED WITH APPLICATION
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Side
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~-~O
USEOF~G.~
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Permit Fee ................................... $
5CJ.st')
~e. ~~
. qS-
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
~~
Pressure Reducer .......................... $
Meter Hom ................................... lI:
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Thi
By
~" ~~~';*:;~';'~I~O'--__
Date , ~ f. '5 .. ~
"
q 9./:5
~ //80
Total Due .............................. $
Paid Cj/:) /3~
Issued ~
Date 7/{fl) By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdinan~ and may proce
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifi
Certificate of Occupancy
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447-9850
I
(Jl) ~2A-7 -"
White - Building
Canary - Engineering
Pink - Planning
The Cenler of the L.ke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~('A e. l'o.. WY\ \-+l1'S>S
-- .' - ~
APPLICATION RECEIVED .A-}Y" \ \ ) () 00 ( )
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17/::;4 b '\(rnrtAV GrrJj> J SeD
. I
Accepted
Accepted With Corrections X
Denied ~
Reviewed By: l . "- L...
y
Comments: \
~ ~ black ~J
Date: ~-15-~
"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."
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J'\( \ ,~
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/ \.. Li! \
~
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;"7 I=)- L,L~ I..Lf)J ("t \ J (~ ( ( ) (i J S t AJ
I
Accepted
[/
Accepted With Corrections
Denied
Reviewed By: ~ !4~
Comments:
Date: L/ -1 t.{ -t9C)
~~ k ~tM.;\l
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed tobea permit for, or an approval of, any violation of
any of the provisions of this code 01:' 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."
It
.
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -1""5"'-1 I 0 ~V\ r-o.J er-.
TYPE OF WORK DecJs.
USE OF BUILDING SFD
PERMIT NO. 00 - 0 Z4- Z- DATE ISSUED 4- 13 - d>OO
BUILDER 1...1 t )~c:::..
NOTE: THIS IS NOT A PERMIT FOR ANY OF T14E INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUM~NT
I FOOTING \\[~ I ~SPECTOR I 4 - ;: 00 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I I
ANAL I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
...