HomeMy WebLinkAboutBldg Permit 00-0413
DATE RECEIVED
sller/oo
CITY OF PRIOR LAKE
BUILDING PERMIT,
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
/6?.3.5t.f V I CTOte/11 CUK-1I6
3. LEGAL DESCRIPTION
LOT
ADDITION
e>
C/7JeD/ IV At-
:3
IC/OCi6
PID 25...,335- 026- D
57H /7-DOAl.
13. TYPE OF CONSTRUCTION
BLOCK
(Name)
JON I\J /"1/1
5. ARCHITECT (Name)
(TeL. No.) 4-
L(-Lj5 - /5/
(Tel. No.)
(Name)
(Address)
SAI1C
7. TYPE OF WORK
New Construction 0
Fireplace 0 Septic 0
Alterations 0 Addition 0
3 lZ.oortS
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basemen~
SEATS
16. PROJECT COSTNALUE
.Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. While
2. Pink
3. Yellow
File
,.~licanl
Permit No.
(04/3
. 1.
BUILDING IN
11 . SIZE OF STRUC
(Height) (Width)
(Oepth)
PU5D
12. NO. OF STORIES
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
17. COMPLETION DATE
I hereby certify that I have furnished 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
buildi .. can revoke this permit fo 'ust . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform need in pections.
X Y"V7 a2,
License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ lYlO. 00
USE OF BUILDING
K-6.:5 A /1<-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ................................... $
'7L( . 'ls-
Plan Check Fee ............................. $
State Surcharge ............................. $ , . s:>
Penalty ....................................... $
Plumbing Permit Fee 0.0.:............. $ t./-O. 00
Mechanical Permit Fee ..................... $
~
540/00
Sewer & Water Permit ...................... $
Gas Fire lace Permit Q.Q..-:............. $ 4-0. 0 0
Thi
By
mes Your uilding Permit When Ar;roved.
Date -5- 2 -2lr::>o
Issued
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 ........... $
Water Tower Fee ........................... $
Date
uest in the above application and accompanying documents is in accordance with the City Zoning rdinance nd may proceed as r u
nstitutes a temporary Certificate of Z~.....compliance and allows construction to commence. Before occupancy, a Certificate of
C. PI Cldo'?JjW S 'IC .. "
rty anner ~ ate pecla ondlllons " any
24 hour notice for all inspections 447-9850
lJlJ --0 ~13
The Ce"ler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J C1h f\ M o.~ () -\-~
APPLICATION RECEIVED---M~ 1<1'" I OOD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/b3SLf Vi~tb('i~ Curve,
Accepted -::L
Accepted With Corrections
Denied
Reviewed By:QpfJ ~ '"
I
Date: ~'21, -2..000
Comments:
~Pt:ld. ~ ~~"" ~ -HII\\o:.,^- \r.o.wl nu\-
"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."
60-0 cf0
White - Building
Canary - Engineering
Pink - Planning
The Center or the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT JOhf\ Mo.\ (')~~
APPLICATION RECEIVED M(>-..~\ 0."', ... DOD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which. is proposed at:
1(.,354 \Vi(,fu.rio..UIrve~
/
C;~J~
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
sid-~loo
, ,
Comments:
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I ~3.~t.{ !kfntl'O autV~
NATURE OF WORK ~~~IM'\A.~ t1\A~~~
USE OF BUILDING ~
PERMIT NO. (J?)- 0 DATE ISSUED 5"-2(,-2000
CONTRACTOR ~~ l'IIotl~. ctl/S"-/5/<.f
NOTE: THIS IS NOT A RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
--
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE
- I
FINALS
~.
4: 00
AS BEEN SIGNED
I
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall.be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850