HomeMy WebLinkAboutBuilding Permit #00-0044
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
~242000
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
\ leG ~ ~
3. LEGAL DESCRIPTION
/ / ~ BLOCK
AI ag I tJj1/ QOO
(Address) k.
(\ol.dD~Ob~.
(Address)
::r f\~ ~ \ \ Z. 0 C>(:)
~ () -n... """ ~\I,j 00 b
Q~'AD
12-/5D
LOT
PID zs-L!::tJ- 08)- I
ADDITION
(Tel. No.) --.,
4"1 S- ~(o /
(Tel. No.)
4. OWNER "i (Na~e)
...~~~_ L\~~HU
5. ARCHITECT (Name)
6. BUILDER
(Name)
(Address) (Tel. No.) _
O\1C\53i.11 ).~
'3 75 ~ ~no ~,..\ E-Et, ~u ttr
"::i 0\4 "''50''-1 ~~'~~Nb
7. TYPE OF WORK,:
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Additio~
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERlY AREA OR ACRES
Sq.Ft.
9. PROPERlY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
Pile
City
Applicant
Permit No.
00-004+
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. lYPE 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 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 pete t all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~official cn.rreev e h permi for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspectio~s.
i~,~ I - '2...[-00
_- License No. Date
FOR ADMINISTRATIVE USE
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 ........................... $
Water Tap ............................ ....... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $--230. t.I-~
Paid ? ~ . 4ft:; Rece'J.pt o. ~ -U:JI /J_
Issued - .. ~
Date z/ ~/D d By -
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi~ance and may proceedls requested. This document when
sign C' Ian. ner constitutes a temporary Certificate of Zoning compliance and aIlOW~"structio" to commence fore c,,"," . a Certilical;,t :;J:paocy must be issued.
~ '/-",-Ll~ ~ /' ~~~ ~ ~,,~~
ity Planner ", Date ecia Condi ns if any ...., ...
SETBACKS: Required
Actual
Side
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 8. N:;O~
USE OF BUILDING
.~~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Permit Fee ................................... $
I ~'1 .1E:
~..21
~.ro
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $.
Mechanical Permit Fee ..................... $
ur Building Permit Whe!!. ~proved.
Date-1-~- ~
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN
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~ ~ ;(1 JAN 2 A 2000
AK
White - Building
Canary - Engineering
Pink - Planning
The Center of the like Country,
~
I
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /"/ ,~~),
./ I.. ...,~-'_i
/'1;.. (~/,:"~"-7-,7-l / \/ (j (. l~;)
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I~'-
1'- jr'
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~ [)d~.LAA
c::;....' '""'""'-
Date:
I - (3 1- eo
Comments:
~tJV€-t.l ~ 2-'2 {;:r 'I- if; t {g" ('W.V/~ MJ;i;::-"bYI
10 ~~ ~ 9.fVL't0-/e-,
..-/u~ ~,\S 2xJbje.-L\ - '\0 ~j" ~;-"(t-i9ttt5
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\SW~ cfJ ~ r A/l\tt~ ~ (9LLJ.)~..
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 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."
v
" JAN 2 4 2000
J/ty
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L-IAlD 6;/26rJ I
J /7..4-/00'
I I
/VII eH46 ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/0033 NOI2/ffNooD !GO
Accepted
Accepted With Corrections
X-
Denied //)
Reviewed B~~/~
Date: /.28-2000
Comments:
J. I:kJ ~ot-~ rLH~WIr ~~ ,\~
2. M.(jJiA.~t'^-. 1 ~~"^- Ch..bcJ
'3. ~ ~ ~ Sd~\ ~s
4: l1(lt~~~~~ n~,o...,~. 1-0 s/~J dt- f~_
5. H..CAjc~~ s \-c \ ~\o~
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 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."
~
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; iI":') :,s 'C . : ~-. ','./'?~; <,.,
JAN 2 4 :)' !
White - Building
Canary - Engineering
Pink - Planning
Tht Ct'nltr or lht I_akt Counlry
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1- /.^/ LJ [::3; /d 6- IV' J
APPLICATION RECEIVED J /7- 4/00'
/J,} I Cfll-I 6- L-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ (;,; ['33 /vO/2 /,1--1 tv 00 0 Ie) I~
Accepted
../'
Accepted With Corrections
Denied
Reviewed By: JJf\c..:r E:.R CI-tA.CSMAl\JtU
I ,
Date: 2./2/00
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Comments: ~OE~ M nu: EAsr SillE. i}F THE. P~oPou:.o I:,AAA~f: (.lODIThI\J
CAI-J~o-r E. If.c.qn ?,-o I .5L 0 PE .
-:cr ~AOE.S ,IK\ u..c.EEl:i ~"fo' I 11
.cif..1oo,) C (tAo , tJ '" ? <.dW Wli.t.. ^' fLI) -ro
'BE: ~MITTQ;)
SH.W\N(P ...~ E.
.coME.c.T\ 0 NS .
SEE },..sFoAMA.,e,v ON ,..-iC RCJfAS~ s,oe.
sa "11TAlH r'l'\E.J rs .. L ER 0 S I 0,,-, C. 0 ,..r;n 0'- Pc- It IV
2.. h NIlt- Gallo€. lusPUliON jpFolUf1'fTi"tV
3. fA&~'o,J COtJra.,oL- MfAsva.E.~
"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. n
PRIOR LAKE
INSPECTION RECORD
k>A
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -L.f.a.();-S ~ ~)or\-~.u ~~~C'~
NATURE OF WORK ~ 14,JAV\
USE OF BUILDING SPD - .
PERMIT NO. QD - 00 4-4-- DATE ISSUED 1-::2.5 - 2000
CONTRACTOR HI'~ l ~: ~ .
NOTE: THIS IS NOT A PERMIT FO~ ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC ENT
(1 INS
J ,
FOUNDATION (Prior to Backfill) 'J s-~cv
PLACE NO CONCRETE UNTIL ABOVE AS BEEN SIGNED
ROUGH - INS
FOOTING _,,'
!il Sf;
FRAMING
INSULATION
ELECTRICAL
?u
~\~:~
\)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
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 tn=tintained 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
fATE'
\ d4 ~Vo
I, ~ n ~ tJaz;ftt~ (L
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'it'FINAL
r 0 'sITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(~H~rJ~~
f\Aa-J~
TIME
~ ~T~
co - 0*
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
*RK SATISFACTORY, PROCEED
o CORREC CTION AND PROCEED
o COR CT v.~, CALL FOR REINSPECTION BEFORE COVERING
Inspect r: , l Owner/Contr:
--.....
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOT/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DAte T11IE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 'I-S-O'(
ADDRESS Iw3~ 1\J"fJr-fl-.vvr/A.1 fJ
OWNER CONTR.
PHONE NO. PERMIT NO. 60-'1'1
o FOOTING o PLUMBING RI ~~~lWNG
o FOUNDATION o MECH RI o CO INT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION a SEWER HOOKUP o FIREPlACE FINAL
~NAL o PLUMBING FINAL a GASUNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
Grq.<tV - r() r
1 ./
,;---
tLu"
J( WORK SATISFACTORY, PROCEED
I J CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In.pector:~_ __ Owner/Contr:
CALL "1.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE_
CODE REQUIREMENTS A1lE FOR YOUR PERSONAL HEA.LTH 4 SAFETYI
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