HomeMy WebLinkAboutBuilding Permit 00-0340
~CE]vEQ CITY OF PRIOR LAKE
BUILDING PERMIT,
MAV ' 5 TEMPORARY CERTIFICATE OF
f1f 2000 ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I, White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
DO-0340
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 ~a2 ":l
;J"', ...J nl Lf...,€I<~ (!, I f<(!"L,6
1. DATE
5Jo~
I
1<.1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
4-
12. NO. OF STORIES
LOT
BLOCK
/
2N.o
PID 25-0~-064--C
R{)f)/J.
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
11/ ~'-6I<.S
(Name) -r L. (Address) "" '3
SUI-FLOW. yf'tl\l\ S"Gd
(Address)
l"\ \\ \~)
(Tel. No.)
(j.q~- 0/(. S-?
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
-'
6. BUILDER
(Name)
\\
(Address)
(Tel. No.)
( I
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck )(
Finish Attic 0
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
Yt~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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
bUildin;tgffiCi,1 ca:t;Znev e thi permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perf~needed inspections.
X ".,/ :J ~. Lf - 00
. - Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING J~
A/~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN ~v.
PERMIT VALUATION ~"O() f!), 114
"
PLANS & SPECS 0
SURVEY 0
P.LOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee................................... $
Plan Check Fee............................. $
S U
?7.Z5
,5~. 7J
2, () d
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~ JlO~
{{Il,r!>
Pressure Reducer .......................... $
Meter Horn................ .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This A~tion BQcomes YOLV Building Permit Wh,!ll},.A~pryved.
By ~ i:f~ /.-J Date 0/ ~ / ~
" 'r
Certificate of Occupancy
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ I t./..S ~ 1-b--
Paid /4S:- ...tft, , JIL /
Issued T::::CJ
Date ~ hto By
This is to certify that the request in the above application and accompanying documents is in aCGordance with the City zonin{Ordi nce and may proceed requested. This document when
sign by the C' Planner constitutes a temporary Certificate of Zoning complian.~and allOWS,GOR.struction to commence. Before occupancy, a Certificate of Occupancy must be issued.
_ _{"'-(;t-,~ ~L-'" ,,~'~~ ~lr1i,.,r<t-~ ~'^'~
City Planner Date ecialConditionsifany ^~~ ~.
24 hour notice for all inspections 447-9850
00 ~ 0341J
Thl' Cl'ntl'r of thl' L.kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
-:\f\ h y\ ~(J \f: Q LU
5/ OS 10(.)
/ ' I -
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5~ :13 \1\ \ . \u~ G (' ~\ e..
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~ -=I~P Date: 5/9/60
r r
Comments: ((6/40 (])ECl<-' fI/ttJ 0 - t:J(A.../ tt-NO ALL
,
Tlfe- IN Fat!- fVLI4-Tt{}y\..) a,..J I tf~ A:pfJtLtJIJ6lJ
~.5,
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
o 0 ~o 3t/1)
The Centef of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1" r'\ \-W\ i <:,() \ C 0 lJJ
APPLICATION RECEIVED S / 0 s / () n
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.:; 'J ;<13 {V'l 1 . t..J~ C \e.
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
Date:
~l('t90
Comments:
~ ~_ twwl .
fOr,WAr ~~ ~ ~
<to 1~~6P ..
1~ -<ll1bj~Ll -10 ~
frv-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."
\,,~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS S9~3 IY1/LL- t:;,es C/I2&L~
TYPE OF WORK Ale IA-J (7)cc...;t:-.
USE OF BUILDING R~, AI,e#
PERMIT NO. DO -034-0 /DATE ISSUED 5/9/ tJo
f r .
BUILDER ~t)HN SUL;-iow
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 ~ I 5(.;/I/t>b
, . ~I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
Call between 8:00 and 9:00 A.M. for all inspecti"ons
FOR ALL INSPECTIONS '447-98~O
"
ADDRESS
54 Z-~
IDATt
jj2bltJo 2=30
\
m\~~":J e'l (2-C.( e'-
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t)~-~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INALDE('" \~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~tt\t"V\ Ho.~~\'\ ~ ll.\1c ~-S-t~
~/
/
cyf ~}O
o WORK SATISFACTORY, PRO
)( COR CT AC AND PRO.
o CO ECT W LL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ