HomeMy WebLinkAboutBuilding Permit #00-0245
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
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
~ q ~ P J-ea54/1.l- sr ~ I;: p((O(
3. LEGAL DESCRIPTION
LOT ~-r L.Dt5 }... d- _~ BLOCK 3
ADDITION C A- T E \~
}ttlf t
1. DATE
3)J-7/C) ()
A1 ftJ (!..3
PID _~5-00'2--02-+-0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
O()~OVf~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) .rl~/r) ~~
12. NO. OF STORIES
lJiI~
13. TYPE OF CONSTRUCTION
4. OWNER
0() Le
5. ARCHITECT
(Name)
l- (Vt~ch+f'1
(Name)
(Address) (Tel. No.) ~ 1;)- tlII7 ~. 3 14. FLOOR AREA APPORTIONMENT USE
4t, q i P/t"(iSCtll~ S,(k Prlcr LAtrf MAl
(Address) (Tel. No.)
6. BUILDER
(Address)
~f-
L
~Tel. Np.), fI
V4 Y if "1 'C....
-' ! 1- J6t J? <{ (
Fireplace 0 Septic 0 Deck 0 Re-roofing. ti~ch 0
Alterations 0 Addition 0 Fin~h Attic 0 Re-siqil'lJ 9.. -:-F!lSh Basement 0
G Afl...A.~&- ~ ~ rv~'
- .
9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Width Depth Yes B
(Name)
_4_'~
New Construction'
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
,Sq. Ft.
15. NUMBER OF OCCUPANTS OR SEA"S
OCCUPANTS L/
SEATS
16. PROJECT COSTNALUE
l+ qDo~dD
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
building official.ca~o,~ kee ~ thli~S Pf R,~ rmli~t}roo~rJ jUUSSlt cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X _u:'x:.(>/ 'GOT ~ 3/")-7//) (]
Signature License No. / De'
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 8,~.~
USE OF BUILDING
~ Ai /C--
,
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 ................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Plan Check Fee ............................. $
I 3'1. zs-
a, _"2.1
" .00
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. .. .. . .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn... .... .... .. ... .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap .................... ............... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $~ o. 4-h
Rec~~~~
Date "l- '20 - 2000 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 requested. This document when
sign y e City nner constitutes a temporary ce~ca~el07~~mPlianc~~~er. Before occupancy, a Certificate of Occupancy must be issued.
y Planner Date ~s if any
Mechanical Permit Fee ..................... $
~~1{
llX\\'b\~
Sewer & Water Permit ...................... $
ce Permit ....................... $
ecome/vour Building Permit ~gen ApP'roved.
~ Date" -10" 2.oC:0
Paid
Issued
24 hour notice for all inspections 447-9850
6l) -,0 vrS
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
lIt ('fITE L{,
.3/zpj'(.6
I I
~
C. t/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-(;: 13 !-/)[ t. I' i:~'11 /\/'- I.~:~-r E.
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~:; ~
Date: t,1../g..6t?
Comments:
~~,~jAttw~~ ~~ !l)~'
\~~\~ ~ ~~.#~~
L6 Fr ~.1M.U1M. ~ .tr9v- Aue<~ ~.9d~e..S",
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 ot 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
(f{) -ous
Tht Ctnltf of Iht Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
neCI-/7t/L, GOLb'
3 /2?\/O {)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-hCJ3 P~6I1S,qf\/1 Sf S~
Accepted
~
Accepted With Corrections
Denied ]
Reviewed By: \,1f..J
~~
Date: 4... 10 ..."2.000
Comments:
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
'i.
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS !k'f3 <V\p~ s+.
TYPE OF WORK Ke.c\o..o.Q.. ~ ~ ~\~~,'v..q ~1C>.\o
USE OF BUILDING Cb~ c::.)
PERMIT NO. 00 - oz4-t:::> DATE ISSUED t.(-~-2Jxx:J
BUILDER r..ak~ ~c'^.\~\.
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 tx:.\'S\\'~ ~lo.\o ~c, ",,1{).--. CJ>~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING (1 q h/rflJ
~o tl.cc~~ u / /
I FINAL ,1 ti f 0lJ
Call between 8:00 and 9:00 h for all Inspections
FOR ALL INSPECTIONS 447-9850
.. ...-
DATE
CITY OF PRIOR LAKE I' t //17\
INSPECTION NOTICE SCHEDULED ~
ADDRESS !J b 9 '3 ~JJ1J- ))f-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING_-I\
o INSULATION \
J's6INAL
YDSITE INSPECTION
CO~MENTS:
~t(j :J
\J
TIME
~.' 30
CONTR.
PERMIT NO.
~ -(')-;;14 S-
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
.~ n Ir-J
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C~ ~-Jfi(Ge j
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~olK SA TI RY, PROCEED
~~~ECT TI N A ~D PROCEED
o CORRECT OR 7LL FOR REINSPECTION BEFORE COVERING
Inspector: _ Owner/Contr:
CALL ~_9~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE UIR 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN8NOTI