HomeMy WebLinkAboutBuilding Permit 00-0379
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. Width J Ii Depth / Z f' 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 m ntioned property and t t 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 off revoke ~~ pe for just ca.)1s.e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X - 11/1. L S- - I i) -~ crt.7O
Signature r / License No. Date
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn...............,................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ............................ ....... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $-Eq. 9$
Paid ~qq~ 37t./b Z--
Date .s/lq/OO By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin6 O~din~ce and may procee as requested. This document when
~~~onstitutes a temporary Certificate of Zoning comPlian~ ~ws construction to commence. Before occupancy, a Certificate of Occupan y must be issued.
~ _~~,t~~ _ _~~q-Stb)cA '4b L~~ ~
C/ City Planner Date Special Conditions if any ~
24 hour notice for all inspections 447-9850 '(
QATE R~IVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
MAY , 2 2000
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
/60/90 r;"i(",..,c
1. DATE
.5 - It> ~ t.> 0
PY', /-1(- ~ I
~
3. LEGAL DESCRIPTION
LOT
t:. BLOCK I
3/'C.h.lkf /jl lIe fI,llr
PID Z,5-02J- OdD-l)
rc> v V' I'll dt/rf/ ~ h
ADDITION
4. OWNER
~/el/e,N
5. ARCHITECT
(Address) (Tel. No.)
/C~yJ ~, //;.,u"r. A'l/t! I/(/} -3.33c..
(Address) (Tel. No.)
/!AU, "TNl/" :IIlfIdPAJ 4k.n - ZtlZ9
(Address) ~DY (Tel. No.) ·
'--..
(Name)
" "J1I1 r () 1/
(Name) /
6. BUILDER
(Name)
-......--
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck IiJ'"
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
.....
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING
eGoS ,q/te...
1
Ii ~~(). 1Jl)
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV f::i)
Occupancy Group A B E F HIM (f} S U
Permit Fee ..........~i~:~i~~...1...~..~.~... S'I, dO
Plan Check Fee ............................. $35. I {)
, f(5
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This A~~tion ij~co~lJ3_ Y~lj" ~uil?ing Permit Wh~ APP!Oled.
By ~:t:T~ Date 0 ~dd
Certificate of Occupancy
Issued
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. ffJ "()3lf
BUILDING INPORMATION
11. SIZE OF STRlJC'rlJAE
(Height) (WiIIIhl. (Depth)
, <' ,. /ij'7 /c "
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
tJ~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
~S-GJu ~
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Thl' ("l'nll'r of lhl' Lakl' Counlry
00 -{) ~11
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT $-e>.rV) C."f\ 1O'j
APPLICATION RECEIVED .\ 'O-Af 8 r\ I ~ ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/b'-l'-l6 ~ .4\rWlJ~
Accepted
Accepted With Corrections
V"
Denied
~ 1~i)
J)a:!JL- #ANO - oWl
Date:
61/51o~
. ,
TII&
ON
/H~
,4,U.a ALL
1pp24t1(7L> ItIfNS ·
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
The Center of the Lake Country
~tq~~i1:n7 /
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~eNe J) (C\r'\r (J\. J
1\ ~ . /'~ t.. \\ l.~\{ '7\7)
APPLICATION RECEIVED 1-1 \('-..\..1 (:;j. ,ex ~ ') t J
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ f::~. LJLI () r/ / / rf) i ~'("-t: II ,,- (- ('II - (,.
, . .-
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~-~
...... Comments:
(kLK.. ~~v\M '\ l~ 5tJi\ea Th ~ ~}fi'A4 Y ~
~~ec.1 ~ 4t1C.- {J~ ~ ~ l'65v~,.
Date: ,j: ~ Lt9Q
~/ot.}~ ~ ~ Ar~" tJ /...Jl1e
~ ~~ ~ ~L( S\~~~O V~~
<Se-~~ ~
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. eermits
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 I fa 440 F,oL'-' fVlo~ At/E
- -
TYPE OF WORK JJC/AJ CD61!..J::-
USE OF BUILDING R6S A-//2
PERMIT NO. 00 ~ 37q DATE ISSUED SjLs,/(j()
BUILDER STEt/6 JJ I G'()AJ eo Y'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING B:nINSPEaTOR 5/ ,;i~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL J}o.JJ ?~. ~/"1/02'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /(e, ~ <-I D
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
KFINAL ~
. 0 SITE INSPECTION
COMMENTS: 'Det.JL-
DATE TIME
SCHEDULED ~/~d
(
FI L-t.- J1.\l) ILe
'/3' tJ
CONTR.
PERMIT NO.
~ - 379
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
.~~~.
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(1 ~IJC...-AJ " " .~ ,.
\\.. .... ' -~.
<~_._-- ~
~~ (
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::O:ECT WO~~LL FOR REINS::::/::n:~FORE COVEmNG
I
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI