HomeMy WebLinkAboutBuilding Permit #00-0217
~
QATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
.-7am
Permit No. CO - 07-/7
DIRECTIONS
SPACES NUMBERED 1 THRU17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
J.f2. S 0 l.H r;s"i\JUT" LA~ e.. 1J, [.
1. DATE
tf /7/00
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
Z. '-0'( /1t 0"
12. NO. OF STORIES
I
(Drth) "
11.0
3. LEGAL DESCRIPTION
t.. (fi) d)- 300-dDJ"-O
ADDITION c.~RR'~ ",L.LS ~\l.t:> ~\)DiTlo,.J
4. OWNER (Name) (Address)
,...... Wo'", ~s. Kuc..I'..H~"',J ".!:>r--.M~
5. ARCHITECT (Name) (Address)
\\$ A. M "'b:. I'
(Name)
-.;
BLOCK
LOT
13. TYPE OF CONSTRUCTION
wooD
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
~ AcaotlG. 44D-SC78S"
I ,\ (Tel. No.)
, W/ 80Z - 72-9.5
(Tel. No.)
,
(Address)
6. BUILDER
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
"
"~~M E-
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. '/4 ~
SEATS
16. PROJECT COSTNALUE
~ 12..C>C
17. COMPLETION DATE
e$.t- "'/1/00
Septic 0 Deck)i(
Addition 0 Finish Attic 6 -
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width ~ 0 Depth I~
10. CULVERT SIZE
Yes NoX
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
bUil~,1 I "iVV;"'a, th~ermit fo . st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform~e de 'nspections.
X (p...-.- Y-~ ~ . 7 Of!)
P Signature License No. ate
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~, 5't:O..lX)
,"
,/!-es ~
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
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
Permit Fee................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. . . .. . .. . .. . . . . . . . . . . . .. . . . .. . .. . . . .. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
'la.so
\J 1 · ~3
. 7~
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn... .... .... ......... ........ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Jti(V
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
ac p.rm~~~.~I~i;:~.;;'h Wht7-1'Provoo
By .. Date - 1- ?DeJ
Certificate of occupa,l
Water Tap ............................ ....... $
Builder's Deposit............................ $
Other ......................................... $
Total Due .............................. $ p.f).-ZPJ
Paid ~D. 7~ Receipt No. ?i2J c,,()
Date Lf/J~/OD By (). f{ )
This i,S to certify that the request in the above application and accompanying documents is. in accordance with the City ZoniniOrdina~ce and may proceed as r,iquJs.ed. This document when
~ity p.lanner constitutes a temporary Certifj~te of Zoning compliance and~s:ztructo com~ce. Before occupancy, a Certificate of~pancy must be issued.
_ ~ LrL"{ .L-1I2.(J l l ..4--",\,-
City Planner Date Special Conditions if any
Issued
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
The Cenler or Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r'\ .,~ t
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\......~
\) tiLl
i -.
\ \ (,
) \ ~-"7
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( \)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L._/
....,
;
1"'-
'. \ :-"-
L' \, I,.v (\J C
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~ -~
-~ -
Date:
L{~ I ~~&c!J
Comments:
u::/M.W~ ~~~~~ry~
L~ . ~ r<>y- ~ --K. ~iM~ \ ,
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
SITE ADDRESS Y:zAr) (' W-~ LtA....
TYPE OF WORK lJDt"'lc-
USE OF BUILDINGS+P
PERMIT NO. fJO - 02/7 DATE ISSUED C/-I(-~
BUILDER k; c!-k l .....-.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC ENT
I ~ATE
FOOTING . t ~11 (Jlf
PLACE NO CONCRETE UNTIL ABO~E AS BEEN'SIGNED
~ \)
DEPARTMENT OF
BUILDING AND INSPECTION
FINAL ~~ ff=r. '5l1ylo~ rlfv~~ ?!l1/~/)
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
1 .'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
s;} I ~ho
I:}S-
TIME
ADDRESS L/~~O ~ .J~f)tl ~ \(A.~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @J
o NSU~ON , (. '1
INAL \.k..e.)l:) ~
~ITE INSPECTION .
COMMENTS:
CONTR.
PERMIT NO.
CP - L>ci\l
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
I~
o
(itM/!~ k ~
/L~ Cb-6./
V
:==--. --..
/ /~ ~"~
( ~ ''}h /)
----- -------
}f.f;'WORK SATISFACTORY, PROCEED
( 0" CORRECT ACTION AND PROCEED
:.::::CT WO~~L FOR REINS:::,::n::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI