HomeMy WebLinkAboutBuilding Permit #00-0234
d~~ . QATEh~
~2) Pt.A,<!' .C~:~~
.s (/e ~/ ey
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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. DATE
Lt-7--00
7l2- J!.I :s D
/~(; 24'
8t//NO
~,q /C&
3. LEGAL DESCRIPTION
2- & BLOCK 3
I:JLLL fJ f:; IC.-N l:/5S'
PID 25-33B-{)45-0
PONf1S 2#P /lOON
LOT
ADDITION
4. OWNER (Name) (Address) (Tel. No.)
:JOe Rue h~ ~~7-1I' ~
5. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.)
l\
7. TYPE OF WORK
New Construction D
/'
Dec'SX.. .
Finish A~ D -
Re-roofing D Porch D
Re-siding D Finish Basement D
Septic D
Addition D
Fireplace D
Alterations D
Chimney D Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit NO.-D.D-O~
BUILDING INFORMATION
11. SIZE OF ." rqJCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE QF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
t~
>:~
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
bU~'ldi.ng 0 . . I can re~this ~rmi~se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ OLf- (~OO
Signature License No. Date
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 ..........;.,............... $ /214-. a.4-
Paid / Z- 4-. e...,.. Recei 3.
Date4//6/tJO' By
This is to certify that the request in the above application and accompanying documents is in accordance with the City ZoninQ Ordi",nce and may proce
s~ ~v th~' Planner constitutes a temporary Ce~fipate of Zoning compliance an allows constru<tlon to .commence. Before occupancy, a Certific
--zrv..;; ~ ~~ \ ~..(.!i.) . V~r, I
- ity Planner Dale Special Conditions if any
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ?~. CJ ir
USE OF Bp;.~~
I
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee................................... $
S U
City:
?!I 7 rs-
<(5.53
I.SO
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~~
th1k
Sewer & Water Permit ...................... $
~~:.~~....t~.~.e:~ wt.nM~,,""'"
~Date .r - /~.-~
Issued
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS
D ENERGY DATA
D
PILING LOGS D PERCOLATION TESTS D
PLANS & SPECS D SETS
SURVEY
o COPIES
PLOT PLAN D
(JO -O~3~
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT j lJP - ~aNe.,\~CJ.
APPLICATION RECEIVED ~ \ 1 ~ QQmo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ f,@LJ 76 (( (\d L.aJca. (rc~-' I
Accepted Accepted With Corrections ~
Denied ~ /
Reviewed By: ~ 'l Date: t.{ _/'?-'2cC/d
\ Y
Comments:
~J. ~ Deck ~..e~J-
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."
()O - 0 Z3/l
Thf' Cf'nlf'r of Ihf' Lakf' Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f:l .
\C,,\~
i ')
A
\ \
7'C
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ih~d4 Biif\fv LokJ2TrQ~J
Accepted V Accepted With Corrections
, .
Denied
Reviewed By: ('Jt~> ~~ Date: '-/-/3 -60
Comments:
A-~~ b,v ~e.L k 0~/T I
-
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 }L,(1:> '2 Lf T51;~ (.u.Lu~ \J--
TYPE OF WORK ~.~v~ ' Dol k::-
USE OF BUILDING SFtJ . ~
PERMIT ~ ()O. - ()2 W-- DATE ISSUED 4;//4-;/0 0
BUILDER -1:id .'r~_
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
FOOTING ~/L /~. 5/~/~tJ
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
FINAL
r
\?&7 11-4').2./ ~
Call between 8:00 and 9:00 A.J.' for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
jfp~JL/- $/I~/d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA T,lQN J(
~INAL U~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
9- d"-O /:'g()
LIe /r
--.C2P- 0;2.3 Y
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
bfr\t Q~ t(> d.o--~W\~V\ ,t=- ~t. ,~
r-e.lV\~t-r~ ~ ~~~a r~t:: i NO
,....,V\.p \l\Q1N\..C ~ -' ( IA ~\ d\..-{ ,
-f-woRK SATISFACTORY, PROCEED
o CORREC N NO PROCEED
o COR CT 0 K, C LL FOR REINSPECTION BEFORE COVERING
I
Inspec r: /\ 1/ Owner/Contr:
C~ ~~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl