HomeMy WebLinkAboutBuilding Permit #00-0320
pATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
MAY . , 2000 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)
1. DATE
t.f /27/"0
2.S'TE1~'}f5 8//~ ~AI~e reA-I' (
3. LEGAL DESCRIPTION
LOT
Q' BLOCK \
o , \)
\f\J \ \ Ii OAT\. f .h c:;. t""(JY\ d ~
&AlO
PID ~?<.) -33R' -OD~-{)
~ ('l]t A'IDD t\J
ADDITION
4. OWN~ 1fn Ii (Na~)
/ fI m~ P\ f:/- 11 A.) A-
s. ARCHITECT (Name)
(Address) (Tel. No.)
iC, 7'13 13t"AJJlt.~'}~(re- -1,4{)-212cr
(Address) (Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
AIemoCd,~/~ ~,1sSP:J.~;~ lb~':fJ,~*:r~
7. TYPE OF WORK Fireplace 0 Septic 0 Deck O' Re!-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement)(
4 Rc:c""A.~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
10, CULVERT SIZE
Depth
Yes
No
Width
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
DO '-0320
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
I~~ 2.()o
17. COMPLETION DATE
~/30/oo
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 icial can rev; this permit or just caus . furthermore, I hereby agree that the Gity OffiCi&~78Z sertpon the property to perfqi~/~s.
Signature 0u.I AJe.~ License No. Date
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . . .. . , . . . . . . . . . . . . . .. . . .. . . .. . . .. . .. . . .. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ...........................,....... $
Water Meter.,.......,................,...... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other...,..................................... $
Pa~ T;::;q.8. (;... ........ ~~~~,~; ~o:7, ~~Z-: 5
Issued Date tit J J JIm By l1J '
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 rested. This document when
~ner constilutss a _rary Certificate ot Zooing compliance and allows oonstruction to commence. Belore occ'4>llncy. a Certificate ccupancy must be issued.
. .J ~~. - ~ C~O;;C
City Planner Dale Special Conditions if any
FOR ADMINlISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
4JOCC>aOO
USE OF BUILDIN~
I
Ale
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 .................................., $
8tz.1..S-
Plan Check Fee......................,...... $
~~\
~\tl \6V
State Surcharge ............................. $
Penalty ..................,.................... $
Plumbing Permit Fee ....................... $
-z.e>o
q(J .0 0
Mechanical Permit Fee ..................... $
Sewer & Water Permit...................... $
........... $
uilding ~:tr;i~:2/:~'o
Thi
By
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
~
Do ' 0 '$ zj)
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '" e., \-rn (1If)1-\ ~ (l"\ U \ ( CLf\~u\l CJY)
APPLICATION RECEIVED __ ~ 0 l Q 01r0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ b 'l t../ "3 B); ryl ~ - \ f'a'} -
Accepted
Accepted With Corrections J-
Denied
Reviewed By:
Date: s-L/-~
Comments:
I, ~ ~ -g~.Q\N.~ ~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."
~
White - Building
Canary - Engineering
Pink - Planning
The ('enter of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \'\ e...1t-a (rf\t.\ (k:~~",\-CA \ ({ rf'\>Jruc t1 CJYl
APPLICATION RECEIVED ~ \\\C\\/ 0 \ ) Q GD 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ t',:,l i-/ 3 8) \ ('~;'\ L(\, L, .I - \ { C/t ,
Accepted
v
Accepted With Corrections
Denied
Reviewed By: r:!.;t".., ~
Date: S:.y ~
Comments:~,
/Nrv~ ~ ~~ ~~ 'io ~-
r~ ~ 1 ~ Q~. t3eJ;-~ .J.;-~ A ~
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -.lW~~ 6\.i~ 4&1u --rr-
NATURE OF WORK ~ .t\Al.~~
USE OF BUILDING ~t>
PERMIT No.m-03Z0 [)ATE ISSUED b--t.j-2c1:JO
CONTRACTOR M4'~~'Vo~*~j C1n-..J-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
E UNTIL. ABOVE HAS BEEN SIGNED
ROUGH - INS
PTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if equired)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Tbis 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.
-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE
{Jal~
1 h 7 Ll J; "R\ 'I r\clJ-O. L,o - t ~I J \
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~D JNSULA TION V\.,
~FINAL L.L. r
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FIINAL
o MECH FINAL
COM..MENT~~
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TIME
a:OD
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,::;.~ \
I
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I nspecto~
Owner/Contr:
CAUL 447-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD'iw.EQU]}EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
- ~ INSNOTI