HomeMy WebLinkAboutBld Permit 00-0051 LL
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
FEB-3
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
~.
'1';,<1" g.
1-31-00
5:)31- L Ii!/SD
(Depth)
itt I ~LftN'Q ~I~ fJ. ()J .7((l()L[il~ IJl(tJ
I
V/GW
12. NO. OF STORIES
3. LEGAL DESCRIPTION
Zz.
/:5L-rJN D
. "'r:J (Name)
'~U-L ICA.oe:(L~o-tEt.
5. ARCHITECT
LOT
ADDITION
(Name)
(Name)
~Ocbe,J
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
PID 2..5"'2..#- 0"/2-0
4-TH AooAl
(Tel. No.)
tolz ~ ift.fD~1l-1 L
14. FLOOR AREA APPORTIONMENT USE
BLOCK
13. TYPE OF CONSTRUCTION
(Address)
ABlJ -V t
(Address)
(Tel. No.)
(Address)
~(.~ Bee ~r oJ.
Noll:J1.lFl eLb /M.,J
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
fo51-- V S-l
Fireplace
Alterations 0
Septic 0
Addition 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basemeni)'
Deck 0
Finish Attic 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
e,!!i that I have fumished I formation 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 me ed property and ion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi ev It for ju . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
1-31-00
x
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
License No.
FOR ADMINISTRATIVE USE
Front
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
USE OF BUILDING
.e~s A/.e..
3OCO.oo
PLOT PLAN
o
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 ................................... $
$
-, (I. 7 t;;"
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee .Q.Q":':...Q./... $
1.50
Mechanical Permit Fee ..................... $
LiO.DO
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid I sr,. z.~
o
Issued
'lOpO(J
uilding Permit When Approved.
Date ::2 - If - '2a:X)
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee s requested. This document when
si y the ity Planner constitutes a temporary Certifica. te of Zoning comPlian~owsJ\nstruction to commence. Before occupancy, a Certilic e of Occupancy must be issued.
L'~-txJ ~-C~~Ycw-'~~~"
City Planne Date ~ Sial Conditions ~ any
24 hour notice for all inspections 447-9850
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The ("enter or the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
?~I/~ )f(,qOenrJCH6~
2/3 /00
, /
The Building, Engineering, and Planning Departments have reviewed the building permit
application ~c~:;n a;~:-~~;;ropo~~ ~ IV vV
Accepted
Accepted With Corrections
Denied
02Br
Date: ';2- t./.- 2600
Reviewed By:
Comments:
l. Reo.A -\-~ \S~S~ +~~~'X~ ~~ ~.
"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,"
'-~'-';;'.~,.',r:':<" .~,~: ,"':;t4~'~W:"~L";;-~:';:'" r;;.~~~".~", _~-~"~;:-''';_K'i;-:'>l.;,,_,:(l,~:t_,7:'',' -i-;"7,',;;' ':'.:',~7,~_.~.~~:~~~~.-:':')11'i~' :~ :~~~'r'-''<'''-';...l<? "....W'~j-_~_.....,.".~~.If'.....";',''"'-.\''~il'''-fO',W.:~. '-''\,-~~IlfjW'!.'y,--,.-.,..i7'''''-''-<;'''''''''''''--'''''''' "r-o"_.
;;ji.':.l.:'
.~
-HIll f'~
ffi)/?(
Th. e.nl.. of Ih. L.k. Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1;)1-1 {/ f-, ),,/ f-J {) 6 /' /I-} C 1-/ E:/<-
Z /'3 / L: 0
I /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
....~3 4-1-/.5 ).5 LHND (~II<- N vV
Accepted
/"
Accepted With Corrections
Denied
~~
Date:
2-'7-eQ
Reviewed By:
~...-
"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, an}4violation of
any of the provisiohS of this code or of any other ordinance of the juri~diGtion. Permits
presuming to give authority to violate or cancel the provisions of tJ1is code or other
ordinances of the jurisdiction shall not be valid."
.
PRIOR LAKE
INSPECTION RECORD
~,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -:?~ L.{~ Esl~ vt'.(WJ
NATURE OF WORK &s.e.~~ NlAt~ ~
USE OF BUILDING SFO
PERMIT NO. 00 - 005/
CONTRACTOR \?D.J-e~ Wo.<::1...cC-......r-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
Q-l./-2COO
-
II) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
.
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.
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850