HomeMy WebLinkAboutBuilding Permit #00-0206
~
,DATE RECEIVEQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
R.a_
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2..$TE AODMSs
JLJ'71/
1. DATE
1./ - 3-()O
JeISD
~.srr9'rJ: /JJ/t 5,~, , PA.J(J~ LIiK~ ~m# 55372
3. LEGAL DESCRIPTION
LOT BLOCK PID 25-/3D - 00/- /)
ADDITION IRBc.r A ) f<{;6-I$T~W L/lJ'VO $p,e1/6.Y #73} 5C4TT Cot.WTY
4.owf.t&R (Name) (Address) (Tel. No.)
I')?Jt;NI/~ /lJ1f.!.J <bf/ 1'I97~ 1E$7Jf~ ~ S~f{t ('/2) z2t -50/~
5. ARCHITECT (Name) (Address) (Tel. No.)
AlO',.t4
6. BUILDER (Name) (Address) (Tel. No.)
/f/fJ,H~
7. TVfI!' OPW'ORK
New Construction LJ
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Dec's)(
Finish Attic LJ
Fireplace 0
Alterations LJ
Septic 0
Addition LJ
Re-roofing 0 Porch 0
Re-siding LJ Finish Basement LJ
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. -1J /) 122-0 c.,
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
'3 SCJ<fJ, 00
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
building off~~~e1ke_th)permit fO\just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X~/~ ~ ",-~.-oo
- Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 3~.02s
USE OF BUILDING
.
eE.5#/R-
/
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS 0 ENERGY DATA LJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS LJ
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Permit Fee. ................. ............. .... $
7 ~ .1~
4. e .SC!
L .~)
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Issued Paid TOi~rgq:........~:i~;~. $-LZ. n ~4-
Date l./ -l~ By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as r/quested. This document when
sign . lanner constitutes a temporary Certificate of Zoning compliance an 1I0ws constructio co~.n nccee). Bef e occu ancy, Certificate Occupancy must be issued.
_ ~7 .tJV r~_
ity Planner Date Special Conditions if a y
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
24 hour notice for all inspections 447-9850
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1/I6I-SbN1 /'11 Cf-IA6l--
4-/-=?/00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4--974- CS;ffim' A1I6 <;G
X
Accepted
Accepted With Corrections
Denied ,/2/;; 0
Reviewed BY~/ ~
Comments:
I.~J. ~DecL ~)~
Datg-7-200'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."
Tht' Ct'ntt'r of tht' Lakt' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1/'/6L.,:St, IVl I~'/ I {, rl11 is L,
4/3/00
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14~' q -7 4- 6,'~~ /7) ;1 C /"l~/ E" _~; r:::'
Accepted t/ Accepted With Corrections
Denied
Reviewed By: ~~.o/....-v' . ~
Date: y- 7-t30
Comments:
.~~ ~N- YJe.LK_ ~ -
..
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 14W ?~~ ~
TYPE OF WORK htXk
USE OF BUILDING SPI,
PERMIT NO. n 0 - (7 ZD Co DATE ISSUED 4-- 5" -2~
BUILDER .J)ietsOJ\
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING 'WIt.. FtJ?, _ 1-(<!"~o
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
"
FINAL ~,,~. fZ~/p, M:~. 5//t?a,O
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
SCHEDULED ~O .illS-
~/H/6'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J4-q74-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION /A\) 0 SEWER HOOKUP
X FINAL.1)eC,.I::- 'lBI 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: R-- ~ .
00 -tz ' ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(~/IA'~ ~ ~
~
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(~~ ~ 7Z{f~)
"- --- - --:;::/"
----- ---
."" WORK SATISFACTORY, PROCEED
I ~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ -, Owner/Contr.
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!