HomeMy WebLinkAboutBuilding Permit 00-0386
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
MAY I 2 2000 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00- 03rc)0
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2'$SlESS~~( ~ \ fLU l
3. LEGAL DESCRIPTION
", ('
~ BLOCK ~
~ Y\.o.nC!\r'\ - LA
4. bWNER~ (Name)'
'Tom G~n-"fr
5. ARCHITECT (Name)
l (
LOT
ADDITION
a.BUILDER
(Name)
((
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
~E
1. DATE
S!J ejaQ
. - I
f~..~O
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID QS - I f,S - OK6-0
13. TYPE OF CONSTRUCTION
(Address) (Tel. No.)
S-S 5"1) fY'oJreJ)\ mJ )
(Address) ,~.Q~ _ 5'733 (Tel. No.)
rv\9\f\h r r
(AddreSs)fb;:::Yl1O<- as I '=> (Tel. No.)
II'
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic 0
Addition 0
.'
Dec~
Finish Attlo '\
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
1 O. CULVERT SIZE
17. COMPLETION DATE
Width
9. PROPERTY DIMENSIONS
No
Depth
Yes
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 d 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 'cial can revo e thi e"!!i or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ~,eded inspections.
X . , ,)!1z./60
Signature ., License No. Date
Builder's Deposit ............................ $
Other......................................... $ _
Total Due .............................. $ qq..5 '-I-
- r I
Paid q 4 , ~'-I Receipt No. 3747 J
Date ~/dJ By <)N
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinanc'e and may proceed r lquested. This document when
sig~,~:=r constitutes a temporary Certificate of Zoning comPlia~d allOWS, construction to c,ommence. Before occupancy, a Certificate
r f _""~ <-(q,~" -,,~~~<t""'_S~hJeL"~ '--'-l~ _
.:..J City Planner Date Special Conditions if any S\(
24 hour notice for all inspections 447-9850
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING '0 !\ J a
.~ Miff-
I
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 (iJ 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
FOR ADMINISTRATIVE USE
MA TERIAL FILED WITH APPLlCA nON
Back
SOIL TESTS
o
o ENERGY DATA
Side
Side
OFF STREET PARKING
SPACES REO.
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
SPACES ON PLAN
PERMIT VALUATION
.fit SOO, D()
GJ
CW S U
5/'. '75
3~. i'
.1tJ
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. .. .. .. . .. .. .. .. .. . .. . .. . .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
ri~o
6~ 1J rJ.
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
This AP3~me~i1ding Permit When Approved.
By " tr Date Sjl7/dd
Certificate of Occupancy
Issued
The Cenler of Ihe Lake Counlry
00-03'i)t
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\om G i n'\-e-,
""" (). ')' \ d'rh 1 d 0f1D
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
566 7 fVo..\!e5~ \ r~\ \
Accepted
Accepted With Corrections
v
Denied
Reviewed By: ~ ::t~f-J Date: 5/17/00
Comments: ttel-'tD ~C:;VL fJ-AND -cJ1Ai ~i) ALL-
TH E I ;J FlJ (L(V'.. A TI o,..J l) ~ TH E M Pf2-() iJeP PL-A:tJ 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."
O)-038fo
The Center olthe Lake Country
White - Building
Canary -Engineering
Pink - Planning
BUll-DING P~RMIT APPUkATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\On1 Ginter
\~Cl.'1 \ att\ 1 dODO
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5657 fVJ1\j.~ T,o,:\ \
Accepted
Accepted With Corrections
~
Denied
Reviewed BY:~. ~
Date:
s: I ~ '-C90
Comments:
-'- ~ JJ~, :5~'i t1D f)W'^W' ~~.Mtt
~ ~Q.lM,~L ~VtUf ~ 10 lS<.cJ6.-Vl?P-,-
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."
~ . '.~' ....-..
... .. .... ." _ ".... _ _, .. "..,4 '..' _ . .'. .::~" .:_. . .~_':. 'II.. ..__' '" .....,.. ....... '.' ,,' ..,. '.
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 555( I11Avs-s jlt.AIL s:r=.
TYPE OF WORK Net<..) Dr=:-c.JC
USE OF BUILDING ~e5. A/t2,
PERMIT NO. m.. n3Bro DATE ISSUED 5// 7/tid
BUILDER 7Otvt- Q INre:Je.- 6gZ..,~~l(, f .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~INSPECTOR DATE
FOOTING ~7.~---
PLACE NO CONCRETE UNTI ABOVE HAS BEEN SIGNED
DEPARTMENT OF
BUILDING AND INSPECTION
FINAL
/)
!fA- I
,
,
Iv /3# t7ZJ
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
. SCHEDULED
/tJ/~ t1Joo
,
AlT'
ADDRESS
.5~S-7 /1~
/~, ~,EI
OWNER
ceNTR.
PHONE NO.
PERMIT NO.
{) - 3~"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
~FINAL (~
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
GASLlNE AIR TST
-~:/
C~
~-
COMMENTS: J:::>l=G(<:'
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:.::'ECT ~ F~R REINS:::::n::FORE COVEmNG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI