HomeMy WebLinkAboutBuilding Permit #00-0338
DAT~ -REfEIVEQ, CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
H~Y . 2000 ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(j
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
5/ 0 '-J / (Jb
~~-,. ~) mJ
PID ~~ - JL\ \- rro>r - ,
1. DATE
2. SITE ADDRESS
3]rF
"8 ~Y'IV~"" Cird~
1. LEGAL DESCRIPTION
12.
l-cT_
""'11.
ADDI1 iON
BLOCK
rJ orth(J)bl)J
(Namel &
L. tnAdsdN
(Name)
(Address) . (Tel. No.) (' 1'2 )
315.5"' Pu.1ierNc.,+O'hJe "Jl7-JIR~
(Address) (Tel. No.)
4.0~R
1< Dqe..t-
5. ARCHITECT
6. BUILDER
(Name)
(Address)
(Tel. No.)
.
7. TYPE OF WORK Fireplace 0
New construCtio~i1't" Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Deck)t
Finish Attic 0
Ro-roofiOg 0 Porch 0
Re-siding 0 Finish Basement 0
Septic 0
Addition 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. -.0 0 - 033e,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
Qu00
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
19-. PROJECT COSTNALUE
, S-~ao
17. COMPLETION DATE
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 men" d 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
~Uilding o~' c revoke this pe~~r jUm ~ hereby a~e that the city official or a designee may enter upon the property to perform 1~ t~s.
SIgnature License No. 51- ~
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLlCA nON
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION :J t:JCI" . QO
USE OF BUILDING
~
141R
I
TYPE OF CONSTRUCTION: I II III IV (i,)
Occupancy Group A B E F HIM @ S U
Division 1 2 ([:)4
Permit Fee ................................... $
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
Plan Check Fee ............................. $
(PJ .2G'"
<10. Cft.
I. QO
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . . . . .. . . . . . . . . .. . . .. . . . .. . . . . . . . . . . .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Ci~r
State Surcharge............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
.,^!ater Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Paid /6 ~e.7T...........~;:;;,,~ :ftioV
Date ~/II j()(J By ~ .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordnance and may proceeclas requested. This document when
sign b lhe . Planner 00_ a \en1>Orary Cern'cate of Zonin~ complia"", and allows oJllstrucfion to ~~n~'of Occupancy m. ust be issued.
~. ow. ~~V\'~ ~~~ . .~
ity Planner Date Special Conditions if any . '"
24 hour notice for all inspections 447-9850
Mechanical Permit Fee ..................... $
e:!f: .'
Sewer & Water Permit...................... $
Thi
By
~~~..t. "'~;e:1t WJl~1 AEProved
~ing ~ate ~- "'-200"
Issued
00 -033Q
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT' \~) (-.,C\ e . ('
APPLICATION RECEIVED \ \(\ \ i
\\ \, ;....\.
I " I.
(; X,
L-I
)
~.'\-
(--)
\""'-~'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i ----
I "....
; r
" J-
'1 I
~ (.I'
'-.,
....:>
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~~~
O~K ~~ ·
~~~O ~t9~~~~
A-lA-tAeek ~VV~ Prhj-y '1 0 fJev~'.l' <~~~_c
Date:
",-.. tD .. {)Q
.....
Comments:
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 -D331
I
Tht' Ct'ntt'r or tht' Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~~ \J\~~~ 1\
APPLICATION RECEIVED ~0J..j () i--/ \ &-00 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application tor construction activity which is proposed at:
~ ~ ~~ Bu- crnv~ G l'cO-,
Accepted )Q
I
Denied
Accepted With Corrections
Reviewed By:
Comments: e.c A. 0
ItJFOrt ~ (aN
~ 1M;)
J)eClL f.fA:ND-CJW ANb A~ 71t!=
t1 N (H ~ A:P P fUJ uetJ P /-AJ!5
Date:
s/J>40
, I
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 3/55 3u { I ER-,vU ( CieeL-E
TYPE OF WORK NE4J J)c--r:!r-
USE OF BUILDING ec~, I</A,
PERMIT NO. 00- 0338 ' DATE ISSUED 5/8/00
BUILDER ~O 6E1t- L · M A CIY<:j ~ "
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 3 M ~ ' NO ~~~11 Wt -~~ ~ -511z,/~tJ rfq..-~ #" ~. S/lb./(j1)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
Ht, Yr.
.
5/3CJ /00
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
. . ':- . . . ',~TI..', '._ . of
I
DATE TIME
~1o~ tc):(O
~~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3155
OWNER
CONTR.
PHONE NO.
0-33i
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~I SULA TION u:F::\ 0 SEWER HOOKUP
FINAL (tfSJ 0 PLUMBING FINAL
SITE INSPECTION 0 ME"H FINAL
COMMENTS: dcc..k... --l-;ho.l
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~.-~
//U~ ~.~
f _~ \'"
\ ~ _.~) )
'" - /
"---- ~
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~LL FOR REINSPECTION BEFORE COVERING
Inspector: I@ Owner/Contr:
.." ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI