HomeMy WebLinkAboutBuilding Permit #00-0216
DATE RECEIVED,
+/5/00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
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
J '1/5 tfJ
, ~
3. LEGAL DESCRIPTION
/
'}-5' 00
(fJ I u\ t::rbl,-~
,}r~
rv~
LOT
BLOCK
7 PID 2-S-~" 04?- 0
h/~ 2#0 nOLJN_
ADDITION
,r# ()~
4. OWNER (Name) (Address)
tir<~,V) d r;~&J~, ~)(.sc>"
5. ARCHITECT ..- (Name) (Address)
(Tel. No.)
~S/- t;~8-(P"45
(Tel. No.) X-2/3
6. BUILDER
(Address)
(Tel. No.)
#-
J-.I . ~ J./03--- 0793
(Name)
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement ~
Fireplace 0
Alterations 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit NO..m - 02-/0
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
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 icial can ,~ cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe'!9"}1 needed inspections.
X "P/. ~-4'OO
~ /' Signature License No. Date
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
L/ .l'.}~ · c.2-O
,
USE OF BUILDING
,j
!Z6S /fje-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 8!U
L_-
Permit Fee................................... $ --
City:
Plan Check Fee ............................. $
State Su rcharge ............................. $
<<2 . 00
Penalty ....................................... $
MA TERIAL FILED WITH APPLICA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
40.00
\~~~
\J M (?\
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ............ ............... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ 1?C1. 2~
Paid /30. 'J,t) Receipt No. 31 f g I
Issued ~ br
Date ~ By Y r)
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdi e and may proceed as r~q~sted. This document when
sig~ the C.~lanner constitutes a temporary Certificate of Zoni~g compliance a~ows construc~ t~ c~mmence. Before occupancy, a Certificate of &lupancy must be issued.
/' :.~. Y-l\"'~'~ '?6'~~
pr ity Planner ... Date Special Conditions if any
ur Building Permit ~~en.AJproved.
Date ..., - -~
24 hour notice for all inspections 447-9850
The ('enler of lhe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT F If! 6: D 12!. / Cf:::-S 0 tV. e ,e6q 0 R.. Y
APPLICATION RECEIVED 4/ ::;;/00 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-/59 BLU68/RLJ/R-. ;\16
I
Accepted
Accepted With Corrections ~
Denied .~ II? / _
Reviewed By:\d~~~
Comments:
,. ~ +~ \oa..~'~\~ ~cR J--
Date:
4- 7 - "2000
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
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-:' ."," /~
I /c_ 1.._,
,1 /
L,/f'" .~ / /-; / /" (/\)
......., J L/ ..../
/ /
C'~ "/ ( K. \/'
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,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~--1 /' r>)'" Q l.j( ,-.,./'" I / j,...../ .
/ r' ~""- I L..,,' L C. l :~- / j:::::~"LJ I"--
I
Accepted
t/
Accepted With Corrections
Denied
Reviewed By: ~ - ~
Date: 4 - II - C9C)
ComMents:
1'f)fV~ Fl9V ~~ ~ 10 ~
~Lv, ~~ l ~I\ +- 2- '6~8eV1tt'"
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 J L\ L5::l ~\L>~~n& --r-~ \
NATURE OF WORK B~~ ~'lA\'~k..
USE OF BUILDING S~f)
PERMIT NO. IJO-Qz/0 DATE ISSUED 4-1-2000
CONTRACTOR fi..~I'('. ksav\
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I I
V/t 1J;r. '///1 NtJ
, ..... ., I
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
1
t){~~ n ~/I'!/t?tJ
. 1"/
--'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~)17
t,
j -- ~ S /{)v
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electricaJ se~vis:e 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I-~~OV
ADDRESS III t 51
tSuR Io.'t-e{l
OWNER
CONTR.
PHONE NO.
PERMIT NO. (J (j - Z ( Co
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
J1' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
'lb. ~f
()Cc-
(.2e;- ~
" -
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORgT ~~K, CAll FOR REINSPECTION BEFORE COVERING
Inspect r: ~ '/ Owner/Contr:
CA ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl