HomeMy WebLinkAboutBuilding Permit #00-0158
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~
37;R~"fO
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please ~rIJ.Pe and sign at bottom)
2. ~E ADDRESS ~r ~ ()
53~) 5pru~ ~. <)W. I/ft\Jr j~.L,<-
3.LEGAL7IPTIO~ . /.~
LOT Tf1,. . ~ 13 BLOCK -./y i- .:;:J
ADDITION (VJ1_c)~ -t *,' I) "2 aJJ..
13>)
1. DATE
J-:J,5-0~
/11". t)>s7:L
,e/
.::U- .,-,-, ~
PID ~ ~'~ L-
2f> -1'72.- 077 -0
4. OWNER
L~r,'~
5. ARCHITECT
(Name)
5 e..~?
(Name)
( (Address) .
.J{) rv,<- ttCA.I.
(Address)
(J,L .
/:I;~ - 731 J
(Tel. No.)
G't ~t, ').,1,.{0
Septic 0 Deck 0
Additio~ Finish Attic 0
C{l{O:T!i 1013
I )c; fJ, :> f, It. -, f'. L.
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
6. BUILDER
(Name)
(Address)
~5 flJ,,-bfA~1
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace 0
Alterations 0
9. PROPERTY DIMENSIONS
Depth
Yes
10. CULVERT SIZE
No
Width
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
1JlJ ~O/58
BUILDING INFORMATION
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 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
lI1e ~ mentioned Prope.rty and that all c.onstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi g fficial ca rev ke t~is it for jusyause. Furthermore, I hereby agree that th'fity official or a designee may enter upon the property to perfo.~eeded inspections.
X A.... tf'oo?77L11 1'-;'~OO
" Signature . / . - License No. " Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
IZ.e.s R/K-
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ ~ ," eoo · cg c:>
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
I ~2 .2s
1Cf5.t((,.
;-, C>O
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
1 nnY
'1:1'00
~1~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Lio · OJ
Issued
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . . .. .. . . .. . . . . . . . . . . . . . .. . . .. . . .. . . .. . .. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ... ................................ $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
24 hour notice for all inspections 447-9850
Water Tower Fee ........................... $
Water Tap ............................ ....... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ 3/2 .V
Paid ~ \ 1.-.. "{ ~ Receipt No. ~I_ \ \ ~
Date .~/-u., I~ By (Lf> r.J.
This is to certify that the 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
s' the . Planner constitutes a temporary Certificate of Zoning compliance and allows ~to comme~occupancy, a Certificate of Occupancy must be issued.
CftyPlanner ~-2-~:~ ~ ~. ~' speCiaIC~~ ~ \ ~ eJ
~
()1) -O{~<I
Thl' Cl'ntl'r of thl' Lakl' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
o /lM6S ;vJ/(!'Hf96 ~
3/20/00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3355
speu~6
-m/l / L
51Ai
Accepted
Accepted With Corrections
y.
Date: 3' 2?-. -"2.000
Comments:
I. Op&c.-!... ~k.... t:.>eht'~O~ ~(J~v~
'2. (2.efb.~r- ,.f €X\'s~l0 no,^- ~\,>li')/ ~ ~~-
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."
t/2J -Of r V
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,:J-/~lll/E:"- liC/If-IE V
3/2C/OO
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.- "OJ _____
...,./ ,.~. ....~.., (~.
-.-J__) .-..J ~
/''/ L:;'" l J (I L~'
1'-. ~/ ....... v'
'7~-fi:? ;:'1/ L
(""""" J
-.':) L.
Accepted
/'
Accepted With Corrections
D~ied
Reviewed By: ~___~-'1M,~~
Date:
S.. 2,,7-80
Comments:
(Jew- LtW6. ~~~_ <P~ ~t!).,r~/~k:..
-A1-QJf~ !> .;}S F' MJv\.,~~.
A~L\("~' ~~J. fA9~ ':).r~Lj .(jl0..~
~). ~ L-J>t. Ll~ \ &-- 0-11 g~~\-
<{IO V8-Vl4-1 ~~~k~0 <J-tof-:\ t)./~~Jc9~,C'
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~~.t;"' ~.~ ""l;~,'l
NATURE OF WORK Qo",,~" ~c.~ ~",-\.o ~r<:..~
USE OF BUILDING ~\=D
PERMIT NO. O{)-(J75B DATEISSUED ~"22.-LOOQ)
CONTRACTOR ~ J,-,u....e'-.. M,~\ ~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU - E T
FOOTING
_ \ \ DATE
4\eP(
FRAMING
INSULATION
ELECTRICAL
PLACE NO CONCRETE UNTIL ABOVE AS BEEN SIGNED
ROUGH - INS
(1 ~) ()t-~
(i ,l~
\..
~\~~
v
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
/J J
fr;p ~~//; 0
(/ /.1./
FINALS
BUILDING
ELECTRICAL
'B-0~
5" I~.,o-L
1
~
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 shai-: be plai:ed 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
3355 SpgUc.6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~ INSULATION
FINAL
~ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
AJ::>D'l1 OrJ
~,
~ '
DATE TIME
6.+.01
:3 ',3 0
t<A, L,.,
00 -Ol~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTlqN AND PROCEED
o COR~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: G -- \. /lJ.JvlI Owner/Contr:
CALL 447-9850 FOR TH:: NEXT INSPECTION 24 HOURS IN ADVANCE.
}
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI