HomeMy WebLinkAboutBuilding Permit #00-0352
QATE R~IVED
s-/qjoo
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
at)'
Applicant
Permit No.
OO-()351-
1. DATE
5/q /2L~)
KI
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
i11~'IL/~ (U~ G
I
2 fVL/
2. SITE ADDRESS
5C)/ ~'L1
3. LEGAL DESCRIPTION
LOT
ADDITION
s
BLOCK
/'1/ LL tK: ~.
4. OWNER (Name)
~ .~, ~ " ( . .,
..-..e..Q, ~ ( ')~ l..t; 1..
5. ARCHITECT (Name) t1 e: I E rZ-
6. BUILDER
(Name)
~,r~-~~ ,1.. L~ ..'__~
7. TYPE OF WORK \ Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID
-) <C -0' ClfJ... - 1/1C.)' - 0
,,,,,-,__~ UL/ ()V~
13. TYPE OF CONSTRUCTION
(Address)
S' \. ,~~ t~....JL);
(Address)
(Tel. No.)
~... i 7.. '- i...\ y(: -(y..... :..
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
( 1._.
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
'--'
r
Dec~
Finish Attic 0
i.~ {'I.-Li4f_C'(7'1
" . " -, ." .-1 , .
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Septic 0
Addition 0
· 9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
10. CULVERT SIZE
YI~S No
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 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 o. ~ can r~oke thi' permiffor ju).t.zause. Futthermore, I hereby agree that the city official or a designee may enter upon the property to perf?rm needed insoect,ions. .
I I , . ~ --... -F"J r .
X . /~;' ,k....{-t,2f \. \...h-~--- v -1- ",",-.tI'l/.t1
'> /' Signature License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
KE5
A/ /2.
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back
Side
SOIL TESTS
o
o ENERGY DATA
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
~/7()() . OD
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM (B) S U
Division 1 2 t!J 4
Permit Fee.................. ................. $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ e'1. '15
Paid 81. 1*') Recei1JCp3- ,./~ / I
Issued ' {...X..::C..f
Date <h~ It. U By f
This is to certify that the request in the above application and accompanying documents is in accordance with the City zon~ and may prOCeed;s, requested. This document when
sign by the . Planner constitutes a temporary Certificate of Zoning complia~~ and ~lIows.construction to commence. Before occu ncy. a Certificate Of, Occupancy must be issued.
.5"I'2-~~ v~~~T'"~ _t \t9 ~~~~
City Planner Date pecial Conditions if any ~~ ~1!V1 ~..
24 hour notice for alllinspections 447-9850 ------ - I
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . . .. .. . . . . . . . . . . . . . . . . . .. . .. . . . .. . .. . ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
5~()()
..35./1)
I d'S
tt~
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
This ~m~l~lding Permit When Approved.
By T.J}- Date ~~{)O
Certificate of Occupancy
00-0352-
The ('enler of Ihe Lakt ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT F r ~.d ~ D€> A \ \CLh "" ~ er
APPLICATION RECEIVED V ~ q-H') QQ)()n
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
59 l~ 'Y\', I p r CA,CrP_
Accepted
Accepted With Corrections
/
Denied
~ -;d~
J)6c/L tll4;tJlJ -()C{," -ANa ALL
INFOfl-MA((IJN ~ TH6 AfJP~tI€!) 'PLANS,
Date:
S/II /00
,
Reviewed By:
Comments: REJI(o
/116
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."
~........ \
06-6352-
The Cenler of lhe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
t31J1LDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT F r~-d ~ Dcl'\ \C\ h M~,.A€.r
APPLICATION RECEIVED IV a. \ q ~~) Q(J()7)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Sq ~ 'Y\ l . p ,r CA r'( e_,
Accepted
Accepted With Corrections _ V'
Denied
Reviewed By:
Date: S'- l 2--~
Comments: .
~, W~ i~ ~u~'d\ 1"'0 ~~~
W "2>'\t4~ ~uVL~ \JAcnr~ 19;V~"
~fl...w,v ~~ ~ ~~ke ')
s,~. (~~ U\NJ, ~~ ~O-~ 10 V€W~
I, f) \~, jV\.MJ~ se~ I{rd/ .6
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 jurisdigtioQ shall not be valid."
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 51 /3 MILLElLS C/~LE
TYPE OF WORK Nc-w J)6CK-
USE OF BUILDING ~C:;) All?-
PERMIT NO. no -' 035~ DATE ISSUED 5 / ! I / () 0
BUILDER L~y He:-NN6J t
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 #, ~/t?r,(6"
~ NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL . I>> ' _ ff z;Z"/ (Jb
, .'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SCHEDULED
'>1/3 4~r:,A.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING rN
o INSULATION .
~INAL~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/) ALf ~
,~~(
u '
/i. ..rTE
~a1Cb
TIME
A-~r
0- () ..- 3> 52-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
(0 CORRECT ACTION AND PROCEED
o CORRECT WORK~ FOR REINSPECTION BEFORE COVERING
Inspector: - J:;7:::r I Owner/Contr:
. ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl