HomeMy WebLinkAboutBuilding Permit #00-0267
~
-- QAIE REC,f:IVED CITY OF PRIOR LAKE
BUILDING PERMIT,
. 11 JIll 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
,+q '53 A1>Plt tOOS-tL IVA.' \
1. DATE
4 - I.., - 20 0 0
3. LEGAL DESCRIPTION
LOT
ADDITION
\ BLOCK a
fi\cLr,,!, (hc:.if~ A
PID ~ s - ~'-lL/ - 604-0
\ ~t- Ab\'1\\
4. OWNER
jo h Y'\
5. ARCHITECT
(Name)
Sc, Vlt-e., i I tV'"
(Name)
(Address)
14'153
(Address)
(Tel. No.)
Aprtl\~ TVll.ll
(Tel. No.)
6. BUILDER
(Name)
(Address) (Tel. No.) (a. ~ L)
, SOlo f.p ~'V\tltU. ~a:+t .......
Sa.Vetq~, HJ Mb ,.,,"50
Dec~ Re-roofing 0 Porch 0
Finish Attic 0 Re-siding 0 Finish Basement 0
m~-h'l.v
(t)Y\s-tw. t~ "'-'
7. TYPE OF WORK
New Construction C
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Septic 0
Addition 0
Fireplace 0
Alterations 0
9. PROPERTY DIMENSIONS
10. CULVERT SIZE
Depth
Yes
No
Width
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit NO.JJO ..()U 1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
D'ttL
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PRO~CT COSTNALUE
, 4.+ D D . on
17. COMPLETION DATE
ApVt )
21)ot)
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
:uildin~n rev~ih~it for just cause. Furthermore, I hereby agree that th~ OffiC~ o~ ~eSignee may enter upon the property to perform 4e~e;i~1t~n~ 0
Si~ License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE 0~":'1/R.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee................................... $
SPACES ON PLAN
PERMIT VALUATION
1i Z-OOCJ. () 0
"
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
o COPIES
o
PLOT PLAN
S U
VJZ,zS
~O, ~~
I, ~O
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ..................... .............. $
$
City:
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ........ .. .. .. .. .. .. ... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn... .... .... . ........ .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
pal~~~ 03.'7 'j' '... ....,... ~~~i~; ~o$ {!fK i: J-1
Date S/9./(f7) By ~J *
e request in the above application and accompanying documents is in accordance with the City Zoning Ordimlnce and may proceed a ested. This document when
ner c titutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate f cupancy must be issued.
, C~~lanner q jJ 'f1(p
~oO
~.VJ
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Th~ App/iJJIion B<:I:"mt~Uilding Permk When Approved,
By ~ f-' Date ~-Zl- ZCt:/tJ
Certificate of Occupancy
Issued
Special Conditions if any
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ron+'\~r
APPLICATION RECEIVED ~n \ \"1 I
COf\~ \ I ~\LGn of)
~()t)O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'19.)5 AefW \ MYA \rrM
Accepted /'. Accepted With Corrections
Denied
Date:
1- 2/- ZOtJ-D
~ a..L(
ILl,,; 7
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."
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~I~ll-.,\' ,_,_ t..,,.T:-',,...- - _ '; "'_' ~. ',. ;+- ,'.
'I
.
Tht' Ct'nlt'r of Iht' L.kt' Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r, ' . ". ('\ ..~ \ (~ v'"
: \' t 1 t ........,..,1
\ /"'" \
ro' \. ~ 'I' '\
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ll)r\ S \ I '\l.L. D (q')
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for, construction activity which is proposed at:
/ t-f '/ 3 /):f"'J \ C(;~A j, I
Accepted V Accepted With Corrections
Denied /7/ A
Reviewed By: () _ I "1J, ~ Date:
Comments: ~ ~;/t):;z&; ~ ()~,
)~ -p') STan Srk flC0v:J
If! 'Jt)f/~)
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. II
PRIOR LAKE
?
INSPECTION
RECORD
SITE ADDRESS /~953 lI(;j?o...IOO5'A /IZAIt--
TYPE OF WORK Al6 IAJ D6GK-
USE OF BUILDING fZt::.~. AdJ./ i2~ '
PERMIT NO. ~. ~ DATE ISSUED ~- c/ - 2<J o()
BUILDER ~N( J ~'fJ- COI\J5>Tt2-v(CTto^-,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
/
_ ,L ~'NSPECTOR DATE
FOOTING fJrr - 6/zz/tJo
. .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,1 I
FINAL il~ ~. '5.hilo~ R-Jj-//~/tV
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/Jf'753
SCHEDULED 7f2-t,/1JV 10: (J 0
APPALO()~A lit-,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
60-02...10'7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~
It FINAL
o SITE INSPE TION
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: 1) El:!.-JL l S
F\~~
C1-o~
~~, .~
62wORK SATISFACTORY, PROCEED
o CORRECT ACTION ,to D PROCEED
o CORRECT!. <. ( AI.L FOR REINSPECTION BEFORE COVERING
'1<
Inspector: (' \1 I. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl