HomeMy WebLinkAboutBuilding Permit 00-0397
DATE RI;CEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
MAY lil,20r 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{
L!:J~ 90
1. DATE
(!. AN DlE )MO#!l 0 J...,v
3. LEGAL DESCRIPTJPN
LOT /b
5"-1$-00
P~IO/lo.. ~ 1 11111I' 55379-.
&16 - <</S--tJdl-6
ADDITION
BLOCK ~
~~
PID
Lf1h ~
(Address)
11IJ.. ~D lwD/E.Wt:kJlj IN
(Address)
(Tel. No.)
q Lf5-33f'
(Tel. No.)
4. OWNE~ (Name)
I:) /l u.c.E 6 0 tJl) IE-
5. ARCHITECT (Name)
6. BUILDER,
(Name)
(Address)
(Tel. No.)
,\
dAmE
7. TYPE OF WOR~
New Construction 0
Fireplace 0 Septic 0 Dec~
Alterations 0 Addition 0 Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. ~ --O.3lf1-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
I hereby certify that I have fumished information on thO application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above me . ed property and t II constru will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offi n revoke this pe 'ust ca . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ~ed in$l~!~~.
X . -J-/S-("JJ
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
USE OF BUILDING
Ke;
A/fL
(
PERMIT VALUATION
If 2. DO 0 · DO
J
TYPE OF CONSTRUCTION: I II III IV <Sf)
Occupancy Group A B E F HIM tJ!J S U
Division 1 2 ~ 4 ~ z... 5
Permit Fee ................................... $ 10,
40. '1fp
1,00
City:
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
MA TERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA CJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
~o
.~ ~ \ _. ~ Li ~ :::; ~:e:.~.~..::: :::::::::::::::::::::::: :
II. ~ tiC) ~~ ~6fl" Builder's Depo;~ '~J,g....................... $
tJO tttfi.. ~the~ . O' ~ ....:............................ $
rei'. 0 '..~tal Due .............................. $ / tJ.3 7 /
4-0 f .j' ,
'J. ptv1 l^(} If,. ~~~d 103.71 Receipt.Ng,. 37 fJ 11-
Issued 'Vo /"U UV a.Jttr- /~ /_ J/"r? ~ 11/1
4r: ~(V: 0 ~tJ.S Date ~ l/ By ~
This is to certify that the request in the above application and accompanying documents is in accorJJnce with the City Zoning Ordinance and may proceed's requested. This document when
sig~~ the C, lanner constitutes a temporary cern. 'ficate of Zoning compliance and allo.ws construction to commence. Before occupancy, a Certificate of occupa~ must.be i~Ued.
O'~Lf ~2.~~ ~ ~~~tl~."" ~~ <...~
ily Planner Date Special Conditions if any t.::l.\.'\ ~ ~
SpF/ao ~ _ ~ ~4 ':;:tice IO:;~ 447-9850 ? (
Meter Horn................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Ap~tion Be~ms Your Building Permit When A~oved.
By ~ "fttIJ.J-. Date Slllt/tJt!)
Certificate of Occupancy
Tht' Ct'nlt'r of lht' Lab Counlry
00 o/07~ 7
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ruc-~ G oode_
APPLICATION RECEIVED "\ O-.y l.s i--h) ~OOO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ '-I ;).9 0 COJl~ {)O.CJ
Ln () e_
-
Accepted
Accepted With Corrections ;('
I
Denied
Reviewed By: ;j) ~ =t~v Date: 5/ 18" ~o
, .
Comments: ~~A.D J)e~ /JAf'JO -au (s AND ALL I /16"
/AfRJteJrtATfD,J ckJ THg 4/JPfUJtJG:lJ flMs,
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."
OO~0311
White . Building
Canary . Engineering
Pink . Planning
The Cenlfr of lhf Lak, Counlry
BUILDING PERMIT APPLICATION D.EeARTMENT CHECKLIST
NAME OF APPLICANT '"Er \LA.. G () 0 d~_
APPLICATION RECEIVED v... o..y IS ~ ~ dQUO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I 4 ;J q 0 Ga...n r.lk- w (lad Ltl_ ru:~
V
Accepted With Corrections
Accepted
Denied
Reviewed By: ~.~ Date: ,S-2-L{-19O
Comments:
~~ ~I'~~ ~~~
%~ ~~/G1c.. p~ ~<0 2l1;w~~
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
SITE ADDRESS /~Z9{) (!A,vtJLetVtJolJ LANe
TYPE OF WORK Not<J J)ce..J::-
USE OF BUILDING k~ , A/r<-
PERMIT NO. (}O'0397 DATE ISSUED S//f?/tJo
BUILDER < ~~ GcIo D~ ' .
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 j~ - 6r, ~//c,/(Jo
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
th
/lJ/IS!o/
,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
ADDRESS
IJJ~W4-
,
DATE TIME
SCHEDULED IOj/C;;OI 1t~7
~/l!diuui~ 0-J
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0,-397
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION nor /./
~AL IJCJ.-I'C.-/
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
o GASLlNE AIR TST
o
COMMENTS:
SA.uv-LQ.I~. .
(7..
(~ -~
v
PJJ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING
Inspector: r AI Owner/Contr:
- J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI