HomeMy WebLinkAboutBldg Permit 00-0177
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1'7()"2B
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
~ ~~NAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
1? I ~_ t)Q Ii-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(I (~ tp.. 1 .fL_.. rl(,p~
DATE
~08
TIME
00 - 0 I) 7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
-0
-~:,
.Le ,,,,-wJ;\J~b:- /
l
INSNOTl
)( WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREp/;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/
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEI'lEQ,
_2.8~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
_BEFORE P . J ISSUED (Pleas.e Print or Type and sign at bottom)
. ..< .,' '. '" /6028 13t..118K- tJll/C Rt'f1.D
3. LEGAL DESCRIPTION
3
2ND
1. White
2. Pink
3. Yellow
1. DATE
..3/Ze>/OO
f<1
(Depth)
12. NO. OF STORIES
BLOCK
l1ooAl.
.3 PID 25-304- O/G,-O
77.) RASP 8 €,e ev ..€I 0 6i e::..
13. TYPE OF CONSTRUCTION
LOT
ADDITION
14. FLOOR AREA APPORTIONMENT USE
(Name)
nlK6
(Address)
Pel L3BL-C
(Tel. No.)
~15Z- 1329- 731'i!J
(Tel. No.)
5. ARCHITECT
(Name)
(Address)
IIJIIII////IIIi
(Name)
(Address)
Fireplace 0
Alterations 0
Septic 0
Addition 0
Dec~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
(Tel. No.)
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 mentioQ.ed property and that nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi~iaJ ~ re)pke thi~rmit j t s F hermore, I hereby agree that the city official or a designee may enter upon the property to perform ne d i tions.
x~~.// ' '00
- ( ~~'. License No. '\',J.
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other............. ............................ $
Total Due .............................. $---Lf) 3. 11--
Paid Receipt !,!o. ~') \ ~ 0
Date 'l-"3I-~ By ~
;;;.
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 as requested. This document when
si i Planner consmutes a temporary Certificate of Zoning comPli~ all?x.con~tion to commence. Before occ~cy. ~ Certificate of Occupancy must be issued.
z.-~.~ .v._~ ('JAe..d<~ .~ ~~~___
tty Planner Date Special Conditions W any
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2, bOO. ~ C'J
USE OF BUILDING
,
~ e.-5 I::J / .e...
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
fr,2. 7 c;-
C/o.4 y,
l.oC>
Plan Check Fee .................... ......... $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
/
6~)./
~\\od
Sewer & Water Permit ...................... $
~:~.s:r ~:/Z"~ .1~~~.:~~;I~i~~.~e:~:~J?Proved.
By mBec~ Date.5. (?'J-?f;)..-n_'
t. V-- ---- '" ~
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ..................... .............. $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
White - Building
Canary - Engineering
Pink - Planning
The ('("nfer of the Like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P/2-/ I3I3L/6 I 11 / K-~
3/Z9!{)()
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/0 () 28 /3L-17CI:::- O/f~ ;e.o
Accepted
Accepted With Corrections ~
::::::ed 6?~(? Y
Comments:
Date: ]- 5V-~
~ N bQrlC ~~
"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
(J7)-O(77
White - Building
Canary -Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/:-;k:='/ L3l:)L 6-, /'11 J;:: C
-';;: / 2 c.; '/~, U'"''
_,J, elL
f I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'/-) /) .:-)C::; />';/ fl(/j,/ /' ,I-'J ~----' .{-" I')
---' L- t::--(....." 1:...../ '- __ "---- c." / 1'--. /'-""'--'"
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments: '
~~ f=c>v- ~k~. .~~
4u.JJ I~LK€- (Jr~ ~V\ev-Ji(W\( J-
~. f&v- ('-A~J L:.,'t4~ ~D i/eY'~ ~
M~\~ ~ ~ JD rpr- WBv1-1
v0~~ <fO Ar~l/ ~/,,-
. ' ,
"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."
,.
1
PRIOR LAKE
INSPECTION
RECORD
~o::((of
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Js()~ ,Sfliic k
- - ., -
TYPE OF WORK. tbrl\_
USE OF BUILDING 3I="'f\
PERMIT NO. ()() .-- 0/77
BUILDER rr?, bk.Le _ .,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
TtlE PERMIT IS BY SEPARATE DOCUMENT
FOOTING I 'iAjO" I '1 \DA~';v
PLACE NO CONCRETE UNTIL ABO~E HAS BEEN SIGNED
~l I I
--
DATE ISSUED ? -'50 -2oc:>c:>'
I
j
I FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
, . . .
..
, l .
-->>1I08E :.' " , ~~:~SUR~S
-'NGINEE'RING
(OM'IIN,.. INC.q
1000 EAST 148th STREET, BURNS\IIUE, aA'NNESOTA 55337
CERTIFICATE OF SURVEY
. ,
Legal Description: LOT 3. BLOCK '3~ SECOND ADDITIQN TO ~PBERRY RIDGE.
, SCOTT COUNTY. MINNESOTA,
~Z3~~ DENOTES EXISTING ELEVATION,'
(:ji5'~ 0) DENOTES. PROPOSEO, ELEVATION
.....' INDICATES DIR~Cll()N OF SURFACE' DRAINAGE
1Z5'. ~3 - ANISHED GARAGE FLOOR ELEVATION . .
'1 " , /)0 - BASEMENT flOOR ELEVATION
'Z7;1){) = TOP OF FOUNOATlON EL~ATJON
BOB CLARK CONST,'
, .
8814~OO
t95".:' ., ,
2/
PROJECT NO.
. BOOK
PAGE
SCALE: 1- == 30'
. Be!'/ci! /J1I1RK: mil 4r Lt)7" 7, BIkK 2.
. ' . EUI/.:= 12'. if
AW,elSS: /5()tB 8LAcK MK Rt1AP AlC'
1./)7' APe4- ~ 11, 98:3 ~rf
JIbe I!,REIl: /644 $, f;
, ~.,
~/IO:
~, \\0'.'
11\.\ ,
APPROVED
PLANNING DEPT .
na< 1. 'tf~hc .
Signed # . ''';'';C1.lJI1 Date 1,
, . DRAlNAGEAND
UTILITY EASEMENT
APPROVED
ENGINEERING DEPT
-UU,t;/o/za/ll
_.. .-1