HomeMy WebLinkAboutBuilding Permit #00-0337
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
building officia an re ke this~~for just cause. .?rthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ -r-/'2e'~ S-/,.("O
/": .', '~"ure License No. Oate
f/
SET~CKS: Required
Actual
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
QAIE..BfCEIVEQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2 2000
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
/901'9" j){U~./~;A(;) 7JZ.
1. DATE
ALe..
,y/ -00
;:>rz,h~ / A-'U ~-~ 7:J-
3. LEGAL DESCRIPTION
LOT I~ BLOCK
ADDITION Mo.p\Q.~' \s
4. OWNER (Name)
..) (JJ-h./ K;- 2€d.U/
5. ARCHITECT (Name)
2
2\"-~
PID _d'~ - 3'13- O~)-()
(Address) (Tel. No.)
L4/07 R'R(.u., ~ ~fU) 7i?",J c. 1:1 ~ "'39;1/
(Address) (Tel. No.)
6.BUILDER C (Name) . cr~ddltSS. i"ct AtefJ .gTe.IJ.~tr)l~
~ ~~ Ht:>rwS I J I.. 1 AJ c::;:.;.~-' "'-"
uo,,",^,~! Hontc.5 1'-1~ ! ~ ''''''''\ ~),.:'x.cf..,J
7. TYPE OF WORK Fireplace 0 Septic 0 Deckl(. RlHoofing 0 Porch 0
New Construction LJ Alterations LJ Addition LJ Finish Attic LJ Re-siding LJ Finish Basement LJ
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
10. CULVERT SIZE
Width Depth
Yes No
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING
Jler;s
.4/ J2.
I
SPACES ON PLAN
PERMIT VALUATION
."2.000,DO
TYPE OF CONSTRUCTION: I II III IV (!f)
Occupancy Group A B E F HIM (]!:J S U
. Division 1 2 D b z,., 2..5
Permit Fee ................................... $
'to , L/ (p
I, ~o
City:
Plan Check Fee............................. $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.-.DO -03.37
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
C)q (? l<.-.
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $~. 7-L
Paid 10 3 . 71 Receipt No. I'=? 4 ~..t;
Issued ~ J . ,
Date .' JJ IcJlJ By (
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rcii~'nce and may proceed
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificat
"1
~/~
'j'OO
6
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~ion ~eco~~ur Building Permit ~~n Approved.
By ~ 7J I- Date -::Jf'~!OO
Certificate of Occupancy
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447-9850
~
00 -03~1
White - Building
Canary - Engineering
Pink - Planning
Tht Ctnttr of tht tab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J D "f\ \(.. \. "f {\(iJ
APPLICATION RECEIVED Mn.. AJ Q f\D{ I ~. crn-o
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/LJ()9~ BJ, ,p"hta21 ~i I ~
Accepted
Accepted With Corrections
/
Denied
~
~ -I~i-' Date: S-/3/0tJ
~~ ~-cJ- ~ ~
Y-k ~~~. .
~
Reviewed By:
Comments: f/ ~
/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."
~
00 -033>"
The Center of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'\
'\ \
\" i (, (\ (' h
(JO
NAME OF APPLICANT
APPLICATION RECEIVED
'\ (\(\ K
\
'. j (~...,,1
~ 1 "'~.,.- ,
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /~ I e I ct', I i {(I. 1 j /\J I~
Accepted
Accepted With Corrections
v
Denied
Reviewed By: ~ -I /
(/ ,,~
Date: (): LL-B()
Comments:
~tf~~ 5~ ~ ~t~ ~_'j
-::Lv""S) <S\:"'~ ... ~ Ar~ LJv.o_1 ~ 7-.\~
~'D Ijev~~ It:)F'\ Mtv\'hw.)IM.~k.. ~~.
~<::r6 ~~ ~~ ~~ ~. q,p
0.e~~,~ hs-- '1 ~AL~'S tt>/C ~ k~~~
~W()L~€-~ ~ tn 1I{~8vl8~ 2ov1~ ~
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
SITE ADDRESS I'-{()q~, 73L.'<.e b/~ /te,
TYPE OF WORK 1J E "-' T)~
USE OF BUILDING &, Md/ ,e'.(Ufv,
PERMIT NO. 00 - 033 / DATE ISSUED 5/3/t1 0
BUILDER ~attN ~, ~t:;:.lvCff ' , .
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
FOOTING ~ ~/ 5//5/(TO
"E NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
h
tSl/7/D 2..
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CA TE TIME
SCHEDULED J -/'7 -",7 -I 0 ~ Be)
...
~-I j--
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
(~Oq&>'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING @ 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATI~ 0 SEWERHOOKUP
''1;I(FINAL l . 0 PLUMBING FINAL
vtJ "siTE INSP TION 0 M~H FINAL
COMMENTS: (l~i-;~
//~
'-'"""
,
~'
o~- -3 3~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
- ~[d - '5511-
( 9' 5'0
~ 074. Ld-ov-~
,) (L
../1
flU..Ixu
~
,
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT/ON BEFORE COVERING
Inspector: ~/'" A Owner/Contr:
CALL 447.:~1 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!