HomeMy WebLinkAboutBuilding Permit #00-0232
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 bottofllL..
2. SITE ADDRESS \ J \ \ \.{) -, \ ~. i'\ ....
'~DSS" l--.-.\. \c; ~- V..,. ....-..'
,
\ PID ~~ - 3"0 - 00 3-0
ADDITION - t\.\o,4wtrorl O~ ~~ l~-~
-..
4. OWNER 0~ ~(::\ ~
(Address)
QA TE RECEIVEQ
APR - 5 3D)
3. LEGAL DESCRIPTION
.~
BLOCK
LOT
5. ARCHITECT
(Name)
1. White
2. Pink
3, Yellow
File
City
Applicant
Permit No.
OO-()? ~7
1. DATE
"\-~
_at:>
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
8B\)~C, ~ ~~ (:\~BSSI
FirePlace~' Septic 0
Alterations 0 Addition 0
~~A-\ {(TeI.No')A~nf>S8
U I~ """t\~-l" ~"-' ~
c.... ,:;>\ra '\\.- C;C;~"U>
Deck 0 REl-rbQ}ng 0 Porch 0
Finish Attic 0 Re-siding 0 Finish Basement)(
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
,8. PROPERTY ~R ACRES
Sq. Ft. / /
I hereby ert.' at I
the ab e
build' 9 0
X
10. CULVERT SIZE
Yes No
1/
SETBACKS: Required
Actual
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
License No.
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICAnON
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ --L5' (P. 2. S
Paid /e)'(P. z,!f( Recei 37/74--
Date4~~/dV B~
This is to certify that the request in the above application and accompanying documents is in aCGordance with the City Zoni,(g Ordinctn"ce and may proce as requested. This document when
Si~.. by thee~ City ~ PII~annnneerr~ coo~nststiitutes a temporary Certificate of Zoning compliance and allows Gonstruction to com~c. upancy, a Certificate of Occupancy must be issued.
~ 4-r'L.'"f9D~.A vl~(' . ~rPt.1l<ttl~~
. City Planner Date Special Conditions if any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN '"3,00(::) · ~
PERMIT VALUATIO~;.Ht"""'-
USE OF BUILDING
~85 /i/R
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ................................... $
7LI.15
~
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~#h
{.~n
4{J~ 00
~
Mechanical Permit Fee ..................... $
4tJ~ CJ 0
ur Building Permit "",en ~erov~.
Date '-(...., V - / f'V""7>O
Issued
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS LJ
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn....... .... .. ....... ........ ....... $
.-
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
The ('enlef of Ihe take Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT iY.;"
APPLICATION RECEIVED ,,(
'. \' .
\ l '\ t ~
I
1 ,', (
\ \ 'I.........
j
'-' I
i
r~
l)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..I'~
'\.. \. ~
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
L,,/l/2- -~
Comments:
~(~ ~ ~~ ~ ~D :IAclude
r--tv1M~~ ~\ 0~vc~ + ~,
\..
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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 ~e v.alid."
The ('enter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANT;C Du..n.eJ ~. l \'"'Ie...
APPLICATION RECEIVED ~ L1 5 oC)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-,<: 3 0 '5 5 (.. ~\I ~ rl ~_ . \:)~ v e..
Accepted
Accepted With Corrections
-
'--
Denied /"""\.
Reviewed By: ~ Date: q-/6- 'Zeoc
Comments:
~-fA~~-h~ ~~
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
l
PRIO.R LAKE
,
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~C:;-~ ~V'Ojl",\,~ Or
NATURE OF WORK ~ ('rUASi~l~
USE OF BUILDING S{: l)
PERMIT NO. ~ 9 - F5((~
CONTRACTOR Do \0.\..... '~~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU~rT
_ FOOTING _ INSPE'!J . wl~;;;
FOUNDATION (Prior to Backfill) (4J Iz./"{ ~1
PLACE NO CONCRETE UNTIi?ABOV~HAS BEEN SIGNED
ROUG~INS
SEWER I WATER I SEPTIC / /1 ~1.llov
FRAMING I 7:7' tv
INSULATION I ( dJ ~/!;J;o"
ELECTRICAL I ~
PLUMBING . /h-rL.b( /J; fyr -
HEATING (if required) ~fl- ~,C-1 I ~1'1/ ~
FIREPLACE · .' ~/7IodJ C-? '~.; ~
GAS LINE AIR TEST (/, ~ I ~' .: <5'H/tfb {/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
DATE ISSUED
/a - (~..... q ~
~\v~
'l'~)7k
(/ ,
FINALS
GRADING (Prior to Soddinw, W f/
BUILDING y.(!.. b.1O ~VIJ"\) 0f. I ?J;<5/~' ).\/ ~
ELECTRICAL (~f;"" \J _ _ .
PLUMBING --''t/?, \'/J,1/~
HEATING vJlt I/~ 5M!tJD
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card. must be posted near an electrical service 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.
4~/O~ol
J,~ 1(, tJ I
5/z~/tft/
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Call between 8:00 and 9:00 A.M. for all inspections
enD AI I IN~PI=~TIONS (612\ 447..9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
:3 .12~04-
ADDRESS
305~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00.02-37
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
o Pl.UMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o Pl.UMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
COMMENTS:
('/GOS6
-
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./ ..
~., f-,- 00 A) e w; rvLJ 6J ,
#-g: - ())( 4--.2.-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~All FOR REI~SPECTION BEFORE COVERING
Inspector: l /.~ \: Owner/Contr:
CAll447~ FOR~EX"r INSPECTION 24 HOURS IN ADVANCE.
CODE RUREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl