HomeMy WebLinkAboutBldg Permit 00-0033 LL
DATE RECEIVED
J /2-0/00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
1. DATE
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
2-40
3. LEGAL DESCRIPTION
LOT
ADDITION
4. OWNER
New Construction 0
Chimney 0 Misc.
BUILD
11. SIZE OF S
(Height)
(Depth)
..AI f2- .
L~~
~.
IZ./ SO
12. NO. OF STORIES
BLOCK
PID ~.e:::,-13fo- 03'1- 0
13. TYPE OF CONSTRUCTION
HE:TBS AND BOUNDS
(Address)
2.-QO ,{H-o ~1t2..l.
(Address)
(Tel. No.)
:Jf1.j()'-7"
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Address)
(Tel. No.)
P6R.. ,,~,- 0704-
-11.. s.t -E. 4(4/-3"33 (p
Re-roofing 0 Porch 0 ./
Re-siding 0 Finish Basement er
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
4- ~415.
8'00 '2..
Deck 0
Finish Attic 0
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. 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
buildi I can re oke this permit f s use. Furthermore. I hereby agree that the city official or a s;!.esignee may enter upon the property to perform needed inspections.
X 361/ 1 - 'Z{' - 0-0
License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
BUILDING DEPARTMENT VALUATION
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILD!
.es.
Ak
/
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $ ~ 'L . <;t S--
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ..N-~...... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
~,CO
~ ItJ . tJO
Pressure Reducer .......................... $
Meter Hom ....... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid .. '2 5" Receipt No.
Mechanical Permit Fee ..................... $
Sewer & Water Perm~ ...................... $
&4~ liD-DO
Gas Fireplace Permit .-:..l.................. $ ~ -
Ing Permit When Approved.
Date 1- 2(g -")~
Issued
Date
By (?O ~
This is to certify that e request in the above application and accompanying documents is in accordance with the City Zoning Ordina ce and may proceed as requested. This document when
si . PI nner const~utes a temporary Certificate of Zoning compliance d allows c struction to commence. ef re occupancy. a Certificate of Occupancy must be issued.
L~~-e90 . \. /
Planner Date Special Conditions n any
24 hour notice for all inspections 447-9850
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00-0033
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J?/1NOV )21-//5/tJ
. .
;/Zh/OO
I I
GONs-re .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5ZCjD Fr1IR.i-/iWN ~AIL-
Accepted
Accepted With Corrections ~
Denied
Reviewed By:Q~~-~~~
Date: f - '"Z (, - 'G0C9d
Comments:
Rea.& ~ ~~o.J .t;'^-\~ ~J--
"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."
,~,,,,,,,J~J~- :~ .~fl:,:::7$\:':;~,'''-'-_''~ .,"l7'~'~~"""'~"'_"j ..~ :~.T'~,,~ 'm."'i;;"-~~'J"W'~,....:.>o;"':r.1:;.~!-:1i'\., - "?~'.~~~f9~}''('-,,,~,~f.,W,"7!_,\~ ;'r.~~:t'.ri"t-"_"J<~""~"'.rf',":.i}f:,."",:,v,:,,,~.....~,..,"f;t"-,...............-..---
~'t':
00 ~()03)
White - Building
Canary - Engineering
Pink - Planning
The Cenler of Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, ,,/ I j I I -' I I
Ie' ,t' 1/\/' / j y 11.-./1-'/ /-' ,1\1
f \',,;';" ~~,~, ,,/-,.., ',' ,-",...-" ~
r ' , .
( / /", "_"_-1.:..:.-
_", c' ',' '.- !
/ /__, ' /1" ('
~',/.~. (t:', C.,,)
1 /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i "~-'.- c.:' c; ( ,[,L-/ / I~::: L./-; (/ 1\/ 7),: i-} / L.
.
Accepted
~
Accepted With Corrections
Denied
~~
Date:
l ,.. Z-f>-~
Reviewed By:
Comments:
~~ ~ ~~e-~ ~~ CiO T~k.-
<<~<ODA<:'I ~V\A>e.-IE'&N\ .J- ~'1[9@~.
c)'r"
liThe 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 jl,lrisdiction. Permi1s
presuming to.. give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid." ,,:
PR.IOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
.
SITEADDRESS -'58.90 ~,'rlo.wV-: \Gl\
NATURE OF WORK ""KB~\AJ.O.+ "'h'\.A~~
USE OF BUILDING S \=" D
PERMIT NO. / -2t., - 0 6
CONTRACTOR
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
____~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
./l'"t{
~ 7-00
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 ildditions
where no service cabinet is available, care: shall be placed near main entrance. .. ,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850