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Home My WebLink AboutBuilding Permit #00-0363 -;-Q~T~~~-:~-._ CITY OF PRIOR LAKE BUILDING PERMIT, M I TEMPORARY CERTIFICATE OF AY G 3m ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 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 1. DATE ,I=) /1 (ri (JO I I e, / . 12/ /'7.34-/ LOT ADDITION Je/D66fVtJO.o z. BLOCK 4- PID /YO 0 OR/ D68 rCS//l /{:;S L~-2q4-tJ29-0 ;.~;VO /lOoN. 3. LEGAL DESCRIPTION 4. OWN~R (Name) (Addre~) n ~ (Tel. No.) ~)'J:',f\.n'. ~~<~~,\,\11~':.~~~~~~~&, '19-1JLb-~}'- 5. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) 7. TYPE OF WORK New Construction 0 Fireplace 0 Septic 0 Deck 0 Rl3-roofing 0 Porch 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 F/JI//Sr/ L. L,. B/l77I,eC)O}~ " 9. PROPERTY DIMENSIONS 10:CULVERT SIZE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Depth Yes Width No 1. White 2. Pink 3. Yellow File City Applicant Permit No. OO~ 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 17. COMPLETION DATE 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 buif'iAQ ~oke this p it r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X Vv.. ' ~ .~-lo-~o Signature License No. Date - Amount Brought Forward . .. .. . .. ... .. . .... $ Park Support Fee ........................... $ SAC . . . .. . .. . .. . . . . .. . . .. . . . .. . .. . . . . . . . .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION /()rJD.OO USE OF BUILDING ~e5 A/~ / TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 4 Permit Fee..... .............................. $ -3 . '7.::> Ci~t: Plan Check Fee............................. $ State Surcharge ............................. $ Penalty ....................................... $ - · 50 MATERIAL FILED WITH APPLICA liON SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ ~O~ Q() ~ 5)1/00 Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Sewer & Water Permit ...................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ Paid 7~ 2- ~ ?ate S-l.2h/Q1I By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinan~e and may proceed requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. This By Building Permit When Ap~~ --J Date '-f r~~ .- Certificate of Occupancy Issued City Planner Date Special Conditions if any 24 hour notice for all inspections 447-9850 00-03(P3 Tht' Ct'ntt'r of the Lab ('ountry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT W', \\ \ QJ'(Yl APPLICATION RECEIVED MOJ.A I lL~her~n \ 00\ ::J (\() () ) - -- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7~~4l K\~e- \f\J(1 a~ C T u Accepted Accepted With Corrections Denied Reviewed By: Date: 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." - -- I 00 -03io3 The Center or the Lake Country White - Building Canary- Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST " ' , 1 NAME OF APPLICANT ~\.) \ \ \ D.Yl'lL ~ ()~rt- Y'f\(bX\l'\ APPLICATION RECEIVED M 0--,\..1 \ Ol~ to, I :;) (\. () 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: j7~7)4 \<\c~c~~ \f\.Jcr[)(:! C .A ,J Accepted v Accepted With Corrections Denied Reviewed By: ~!/.~ Date: S" t 1-...6t) Comments: ~~'\I\.\S ~ ~h1 '^ ~ ~""IA'''l 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 DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS a34. f( ,~wod OJ... NATURE OF WORK ~\^^J ~\W.dc!)ov\ USE OF BUILDING CS;~\:) PERMIT NO. 00 - 03it;3 DATE ISSUED 5-1,-2000 CONTRACTOR ~ bu\- ~""'" Pt\cNE ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE . I) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) /) ~ ~ ./ /1 i~ - It; 1;;-14 2/ (p/~iIo ~ 10 / ~7t.f;; '6 i.' . I 0/e-4~v COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT yvy/ L\ --1,,1 ~ ~l ~ j..,~ 4 --~v, SIGNED l/I# V1/y? OCCUpy UNTIL ABOVE HAS BEEN NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 4-1f ADDRESS l7S41 ~}cl.,/~ C~ .Q. OWNER CONTR. PHONE NO. PERMIT NO. 66-3'3 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ,irPLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASlINE AIR TST o COMMENTS: (JAde -rob TrIJ 0 q{l-r.s;<; /;---<-- _J ( ~ ox;;/teL "'- ~ ~ -'~ SA TIS FACTORY, PROCEED P'CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING IAAi?&. _ ?~-C6 Inspector: , V, I r Owner/Contr: , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl