HomeMy WebLinkAboutBuilding Permit #00-0193
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
,-, 1(3
3. LEGAL DESCRIPTION
t).7
LOT
ADDITION
DATE RECEIVED
3/24-/00
~
Stv'\.I':~
BLOCK 3
3 t..tV\~ t..L lis
h:.k.\-.
4. OWNER R.. ~Name)n r.
' \:~ ~ U~'^-
5, ARCHITECT (Name)
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
AJ~-.
3- d 4 -C)f)
.s LV ~/S{)
PID 25-/7Z.-(J44-f)
AcP ~:' -\-z"u"
(Address)
"Ii ~
(Address)
(Tel. No.)
.5"~t.(~~ 'itjo'567S-
(Tel. No.)
6. BUILDER (Name)
-.JD~. ~ c.os:t~
(Address)
~t., 'i;A)
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq,Ft.
Fireplace 0
Alterations 0
Septic 0
Addition 0
/I (Tel. No.)
6r.e(~ {,' 'l'{o,- S-/f>~
ceil 'ftIO,.. 1/ Dca
Re-roofing 0 Porch ...
Re-siding 0 Finish Basement 0
Deck 0
Finish Attic 0
Width
9. PROPERTY DIMENSIONS
No
1. White
2. Pink
3. Yellow
File
City,
Applicant
10. CULVERT SIZE
Depth
Yes
Permit No.
01J - O/Cf::2
BUILDING "FORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNAL~
I L1CCO'~
17. COMPL€TION 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
buildin~fficiFFan ~ke. thi?ferm!t for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ F--- ~ 4e'S:l 3 -d~-<!YO
,signature License No. Date
SETBACKS: Required
Actual
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
Front
E6S rJ/k!-
/
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
't').~l".} .iX)
- .
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 II "
Permit Fee ................................... $~ · ~ S-
Plan Check Fee ............................. $ -t..t>'5. 1/ ~
S;oo
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
This
By
Certificate of Occupant'
Issued
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN
o
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 .............................. $ 2.7 z.. "li-
Paid 2.72-.7/ ReC!iP o. 37/42-
) By 't .-
nce and may procee as requested. This document when
cupancy, a Certificate of Occupancy must be issued.
City:
~
tr",
r Building Permit Wt)eft Ap,rJved.
Date LI -., - Q:::::l
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I' ,
Ii ..,'/...; :--',' /1. i <.... i, ,"
l ." J\...i ;:./-11 '_./ t f \j C" ~, r't
~"'2 /' ,.. // /
;.~j 2. Cj / L/ ui
I 1/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
If /7'" /,.,/.-/1 ..'_/,'~J \ , I ; / ---C'
... ' / \/ r::::' <: J 0'
j (/6
,,:~.. I /0
" " \-"
~-..,~... .
Accepted ~ /'
Accepted With Corrections
Denied
Reviewed By: ~ ~
Date:
L/~ 1.. 19G
CO~;-tV-eJ ~ I 2 ' ~ I 2. I Pev~.t<\Mr-t 1'6w1.-
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.1I
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr of lhr Lib Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JOH IV CIlSA NOVA
:3/2-1/00
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicatiO~/; jn730n a~i~ ;:;c~s/ ~P6ed a~ V 6 :5 vJ
Accepted
Accepted With Corrections
x
---..
Denied I~(l -f-:
Reviewed By:~(j;) Jv..... ~
Comments:
Date: if- V -?t!Jt:JC>
I. tx''S~I''^j Dc.c.k s~ ~o\-.t- era l~ SC:,~ .\'~,
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.1I
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
\
BUILDING AND INSPECTION
SITE ADDRESS / '7 /7 3 0' U /V1"e / S C /1 ~/ 6 Still
NATURE OF WORK 'f>O;?cti
USE OF BUILDING RES" /III<- I /
PERMIT NO. (7).- n/9;3 , DATE ISSUED 4-1 /1-/00
CONTRACTOR '..~ / ()/iAl C/1.::/tNO~'l7 I'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING ~CTOR 4- f.8...Ii7E
PLAC~- ~O CONCRET~ UN~IL AB1E HAS BEE~ SIGNED
ROUGH - INS
- --..--
f . --. n [lJ J. Uti. . ._
FRAMING
INSULATION
ELECTRICAL
...
Wlt~, l.{;l~~~/)
, 1./ ;j, L/!RIff)
!/ f f
~
5// / If)-t)
'\
n~~
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED}
~ /
/
/
/
17
FINALS
. )
---W ~I 5//&,/CJ7J
BUILDING
ELECTRICAL
-
\ n Jill.
DO NOT
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical ser.viee 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
lil13
8l.uLYI<F1!-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
" 0 JNSULA TION 0 SEWER HOOKUP
\}(fINAL 0 PLUMBING FINAL
o SITE INSPECTION n 0 M~C:FINAL
COMMENTS:tC2C.J..L. --/N~
DATE TIME
~/fojM ~ ~c.o
6-lq3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~.:.~- "-
~;;C-~ ~~- S'j
\:',.-._- . ~/)
-------- .--------
- ,
~\ ~ ~ -J;\.J..rfJ
~
MJ~ ~/
y'O~ I ~J( I~~- 5//7/'0('1
-- - /
')f\WORK SATISFACTORY, PROCEED
I D'V CORRECT ACTION AND PROCEED
o CORRECT WOR~LL FOR REINSPECTION BEFORE COVERING
Inspector: f:It7- · Owner/Contr:
. /
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl