HomeMy WebLinkAboutBuilding Permit #00-0326
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
2000 TEMPORARY CERTIFICATE OF
3 ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
MAY
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
1/13
B t.. uv c, h 1riv)
,/
1. DATE
->/3/Q\J
TV l..J
o
I'
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
Permit No.
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
ADDITION
13. T')E~UCTION
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~
.5 \\ lY\ t.
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck~
Finish Attid'6 \
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
17. COMPLETION DATE
YI~S No
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 cons ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Uildi'tJC~vok'this it f 'ust ca se. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perforrpr3dJn~~tions.
~ Signature License No. oAte
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING ~S Ai- ~
I.~.~
,
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Ci1y:
Amount Brought Forward . .. . .. .. . .. . .. .... $
Park Support Fee ........................... $
SAC . .. . . .. . . . . . . . . .. .. .. . . .. . .. . . .. .. . .. . . .. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 3 4
Permit Fee ................................... $
q~
~?qS
.V>5
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
nJ~
\J ~ 11,0 0
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
. ding Permit Wh~l}~pr()V~d.
Date '$.. 1.(.'7.&00
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ 7/. t;; 0
Paid 71.. Gr 0 37t/.s 1-
Date5!J~/VO
Issued
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 proc as requested. This document when
sign the' Planner constitutes a temporary Certificate of Zoning comPlia~s I~struction t~mence.. Before occupancy. a Certificate of Occup ncy must be issued.
. ~<9::) . .~ -~~C 19t..~
City Planner Date ecial Conditions if any ~ ~';? ~ "
24 hour notice for all inspections 447-9850
CO-632-Cp
The Cenlef of the tab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 'Co. JVk\.. fi\(~
APPLICATION RECEIVED 5/03 )m'J!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4ILf01irnl~Nun ~'tJ 'j;
Accepted
Accepted With Corrections V
Denied
Reviewed By:
~~ Date:y6~eo
Comments:
l .Jr.wr~ fiw f.)e.d.<~ ~~n . l'6 ::;"bJGc-l ~
$I~IA~ ~ cY\. 7xM..~/6fi;> ~ ~1->bYl4l&"t
-lAJ'c1l--. ~~'t 14r/1J~~'l ..
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
00--03ZlP
Thr ('rntrr of thr takr Country
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~l \'f\(il~~
APPLICATION RECEIVED ~(fD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
'-II Lf ~ "~ (lJl ~\nUff\ 13. \ff'l \t e
Accepted '/ Accepted With Corrections
Denied r~{l
Reviewed By: ~ l.)..... ~
f
Comments:
1.~+4.~k. ~~
Date: -5..,/..2000
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 vallid.1I
..~/~ .
." ~. ~. , .
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...~"ro~~J~>>-T'J:'-;.jO!lo;~'" ~..aftuiiDi
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS L.j I 4 ~ 13~
TYPE OF WORK Nt2.\.0 ~
USE OF BUILDING s~A-
PERMIT NO. ()O ..,032,,(P DATE ISSUED 6' --4-'2.ca
BUILDER I1(lLas~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING ~, 5: to I z., I Cf7)
PLACE NO CONCRETE UNTIL AB9VE HAS BEEN'SIG~ED
FRAMING EJ"Clte. l:Wi.~t\~-.., .-Duk,~ ~ f ~/~tJtJ
. / ' ,
FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
. -;,'..'~ ~';.:....~...""t, ,k, '\II\.,'",~,::-:..~:"
/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 4\4:'
OWNER
PHONE NO.
-4~
~~L~
o
CONTR.
TIME
SCHEDULED
to ,:~ dO
PERMIT NO.
o - 'S z..c.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH R:I
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CQMMENTS: ~_u ~ &:; ~
(~t:; ChV/:lJi]""
-< r-- II ')
~ ~---- ~
'" ---
'-7~ A~
( ( ;tft"T~J t:: /( I '\
\ J><l' yr f fA )
" - v - /
~ ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
~NAL 0
o SITE INSPECTION
/
/
/
/i6RK SA
I nspecte' ':
-
Owner/Centr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REQUIREME 'ITS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl