HomeMy WebLinkAboutBuilding Permit #00-0355
6. BUILDER (Name) (Address) 1/ (Tel. No.)
t - n f) It\ J CJ ts1 ""~33
I- l+k~~ ~"\!"^' &-~1'~Yf..'\ r.O.p~1.4';J. ~~~,,~~. 4,(...S-:1~
7. TYPE OF WOR~ FireplacA 0 Septic 0' Deck 0 Re-roofing 0 Porch .,
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
ChimneyO Misc. ~vn. 5{-r~rI ru-r, ~ iv1~ '3 ~CltSOI"l. ?.-v4,
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. Width Depth Yes 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 mrte. ed property and that a..1I construc~ion w' conform to all existing state and local laws and will procee. d in accordance with submitted plans. I am aware that the
building officia ~oke this ermit for j t use. Fu rmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X - _ d.-'!l /'0 _ ..4- 016 l ~ "'.., (". ~ S- - 5"- 6~
~ Slgnature~ License No. Oate
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. . .. . .. .. .. .. .. .. . .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
~
,DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
.\:.-". TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
-AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT I~ ISSUED (Please Print or Type and sign at bottom)
2. srre AOO~~, ~ '~_-;~y (. \
1. DATE
5'".. 5"" ...." 0
~k, ~.~i'. ~o-r LA k.
3. LEGAL DESCRIPTION
~ BLOCK 3
ADDITION ~ ~ ~i-h J ''-J t' O'{yt~
4. OWNEFf /' L (Name) 1 \ , (Address)
l.::!"\1' ~ tV' (v1 t \AJ1f j ru. ,.. ~A 4
5. ARCHITECT (Name) (Address)
ffI IV. ~:)~., J
LOT
PIDQS'-dq5 -O~-O
(Tel. No.)
/1,/,- UOc.f
(Tel. No.)
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
If ,5'1)(J . f)7)
USE OF BUILDING
ks
,AI t2-
TYPE OF CONSTRUCTION: I II III IV C:iJ
Occupancy Group A B E F HIM m:> S U
Permit Fee ..........~~~~~~~...1...~.~.~... $ 2/.00
/3. (OS
,50
City:
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
1. White
2. Pink
3. Yellow
I
File
City
Applicant
Permit No.J)f)-0355
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
~ S()CJ ~
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $~6'_ 15
Paid.3 6./ ~ . 3Z!/!I:J
Date S-h"7/Oo By
This is to certify that the request in the above application and accompanying documents is in accordance with the City zoning,.O~di~cfuce and may proceed s requested. This document when
sig~ y the City lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occl'ancy, a Certifica Of.occupancy must be kss~ed'n
//', ,~-I,<"'"-t90 . r~~~ScK~'f~"'\o.3 ~l~'~"~~
~ ity Planner "'-date Special Conditions if any
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Al.9cation ~ecom~ Your Building Permit Wh~ J.pproved.
By ~ '::1~ Date ~// /,,()
. '" - I
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
OO~03~
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,.\ \' ,.'t'.- ,'.;:.. ~\!" \, /,.. " ..'.....
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-:) 6' ~7 ..~ K e. ~:J-tr'e--
t.
, t
" \\ J
Accepted
.t/
Accepted With Corrections
Denied
Reviewed By: ~ 4~- Date: 5- /s: <SlO
Comments: ~'
('~v .~~'l'~ 3 ~
~~.
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 no~ be valid."
(0,0355
Thl' Cl'ntl'r of thl' tikI' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
C. · " V \~ /-
NAME OF APPLICANT J \11 ~- ') f\~_ .. 'N-D (l '0 ~ /{....
APPLICATION RECEIVED. -'" OJJ ~ I-t\ \ ~ & ()
I -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~?f/~ ~~~Te-" S-t~ ~~
/
Accepted With Corrections
Accepted
Denied
Reviewed By: ~:t ~ ~
Comments: R~ ALL THlC
AfpfUJue:-O ~L~N s,
Date:
5/11/00
I
'~F=o(2.~\'orJ ON Ttt~
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 38 73 KE.ST~EL. sr:- S,W.
TYPE OF WORK ,~e-e:NEQ ~~H ~ A :3-S€AsorJ ~~
USE OF BUILDING RES AI g ,
PERMIT NO. 00 -0355 DATE ISSUED 5111/ () 0
BUILDER AL mcFF :BUt LDINEl i ~ePEN\R...V
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
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING ~/& ~1 ~/J-6/~
I NSu L~ TI 0 N /b:r . 51 ~ 51l)~
FINAL · I~ _ ~/S;~ V
Call between 8:00 and 9:00 A.M. for all inspeCtions'
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
&/~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING ~ 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TI9tJ 0 SEWER HOOKUP
FINAL- I ( e 0 PLUMBING FINAL
4'~ITE INSPECTION 0 MECH FINAL
COMMENTS:
('~
~
DATE TIME
g'5~?r- B cc)t)
~jALJ2-
~ '-
0__'1 5")
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)4J WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 0./... Owner/Contr:
CALL 447-985~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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