HomeMy WebLinkAboutBuilding Permit #00-0324
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
1. White
2. Pink
3. Yellow
File
City
Applicant
. saw
OO-lJ3~
Permit No.
1. DATE
'0 /03/00
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
l!:.LJ '-if-, C ,(lAI\ an 0 ·
3. LEGAL DESCRIPTION <:r
q BLOCK cQ
C P-(I\(AQA~ \-\i \ \~ 1- ~+
A
4. OWNER AA (Nrme) I / (Address) I - (Tel. No.)
LlI~ e I zr j-iD ifhd US /474 ~ CurTtJ.:.f.L.n 41./7--5;2tJ.5
5. ARCHITECT (Name) (Address) (Tel. No.)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
~NE
PID 6l5-~?f'-(-~b-(J,
A-~N
12. NO. OF STORIES
LOT
13. TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address)
(Name)
6. BUILDER
5dme .j~ ()WnC!.r
Septic 0 Deck ~ Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
~ ~Twa-E" -Po tt..c:.-H
9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Width Depth Yes No
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
~
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
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 me~tioned. r,operty and.,. that all c. onstru. ct,io..n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official c ~e ~s .pel1Jlit )~t ~uY!-hermore, I hereby agree that the city official or a designee may enter upon the property to p~rform ne ~e9 i~spections.
X 7/~!/1..1 ~LL 0'~~ 51&!>
, , L ture - License No. bate
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
SETBACKS: Required
Actual
Side
Side
Back
Front
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
BUILDI~ DEPf-RTMENT VALUATION
r )( i'\\-
USE OF BUILDING el!"'S. ~/~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~OO .00
TYPE OF CONSTRUCTION: I II III IV (JJ
Occupancy Group A B E F HIM ~ S U
Permit Fee ..........~~~~i~~...1...~..~.~... $ 43.0lJ
27, 'IS
,"'S
Amount Brought Forward . .. . .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC . .. . . .. . . . . . . . .. . . .. . . . .. . .. . . .. . . .. . . . .. $
Collective Street Fee . .. . .. .. . .. .. . .. . .. . ... $
Sewer Tap ................................... $
$
City:
Plan Check Fee ............................. $
State Su rcharge ............................. $
~~~~
\Y'.~N ~ \
Penalty ....................................... $
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Pa~ T;j, ~~;, ~~~.........~:i~; ~o$? i~~g
Date '&11 0 jOU By 'U
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Otdinanc'e and may proceed req ested. This document when
sig b the Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate f upancy must be issued.
. StJ.GCJ ~~~~~,,\O~~-
City Planner Date Special Conditions if any ~ ~I"",~ \~, .
24 hour notice for all inspections 447-9850
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit...................... $
Gas Fireplace Permit ....................... $
This A~ :~fO::.es _Y~r E!uilding Permit Wh'f$p~roved.
By :::f~ Date S; '/ lJ 0
. l
Certificate of Occupancy
Issued
00 -0 3vr-
Thl' Cl'ntl'r of thl' Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '1\ \ ~ ~. \ \ 0 \ t'rt0J ~
APPLICATION RECEIVEDt'f\ O->..f 0"3, I 8-JJ u 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4?4c-' ~Q1)'~ L~
G
Accepted
Accepted With Corrections V
Denied
"2_ · -/_ n)~
Reviewed By: ~ --f~
Comments: ;(t=~D ~e:cfL
p~ i ~~E
Date: 5IB/DO
"AND - Du::r- AN D ALL THE
NJP(l(JUGO Pl.~ s:
Jf\IFD ~{ iON
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."
r
j
,
The Cenler of Ihe Lake Counlry
D6~o 3~4--'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '{1\ \ C\'\C\.JL,\
\
.....).
\"-\-n \ \ \r\/'J. ~J ~
" T 1 r.." '-oJ
o
APPLICATION RECEIVED
1\ i".
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(,\ "Z
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ L) 7 '- / f-, C
( r~ i C l (~ \.
. J
~, I
j
L...
f\ I ,-~
Y' -', -,; I-
v.:. ~ 'x! .,
Accepted
Accepted With Corrections
v
Denied
Reviewed By: ~~
v
Date: Se,-tSC)
Comments:
_A~ ~ ~ ~i~ r~ ~()b.~ea 10 ~
~~ ~ Vt.t.'-ltl:D-, ~ on.f~~~
SJ.r~,~N~~ ~~~ :J'~D
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
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS I 47 L/ to CA t'-R.- ( ~C\e-- L~6 ~J. E:", ~
TYPE OF WORK Nt::.l.A.J Dt;E:;./;L (~Il ~(4. fLcrtA.~ ~ru:.tf)
USE OF BUILDING RE"s. Ale.
PERMIT NO. OO-Q32-4-- DATE ISSUED 5/8/00
, I
BUILDER rv1/e-HAef.., .s: H()LT~/M.S
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
~
LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL M /o-~-oo
Call between 8:00 and 9:00 A~or all inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
CITY OF PRIOR LAKE /.o/~/&O 1/1~
INSPECTION NOTICE SCHEDULED
ADDRESS /L/7L/~ C~/ .4q~ L-tJ,
V
OWNER CONTR.
PHONE NO. PERMIT NO. t) - 3 z-L-/
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING t(B) o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL ' o PLUMBING FINAL o GASLlNE AIR TST
~ SITE INSPECTIO o MECH FINAL 0
COMMENTS: ~€l!I<-
~..'~
. ' ,
I'~
i1'1.vORK SATISFACTORY, PROCEED
f; CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ I Owner/Contr.
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI