HomeMy WebLinkAboutBuilding Permit 00-0403
QATE R~IVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
~J 1/CfD
Permit No. J){) .. ~ 3
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
4-' , D
1. DATE
5/17/OV
RASP8~KK" R'DG>8" ~. Nr; ,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
.L.f BLOCK a ot. PID QS - 304 -0051-0
ADDITION ~%Y\.f ~~_' or Itt\l'N ~-___
.\( I(R~ SlIvlN\ ON; (A'4\\O KMPBel2flt{ d:";~c(jh3 ') 14 FLOOR AREA APPORTIONMENT USE
5. ARCHITECT (Name) (Address) ttel.~. -- .
em de~IQ() - Pee Ho~ De~t -1>roqrnm ~ #0 - qq~z, ov ", If::
6. BUILDER J (Name) ~ddress) te:L.t- q ;T~O ~ 15. NUMBER OF OCCUPANTS OR SEATS
12. NO. OF STORIES
LOT
13. TYPE OF CONSTRUCTION
4. OWNER
SelP
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
17. COMPLETION DATE
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 tio 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
building officia can re k this e . for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform eede inspections.
X U
License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
ees !tIlL
"
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN -.JI
PERMIT VALUATION !:3,tx!J{), 0 ()
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM @ S U
Division 1 2 a:> 4
Permit Fee ................................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
7Y, 75
18,5L
/ I Sf)
~~~~
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Issued
Builder's Deposit ............................ $
Other......................................... $ .
Total Due .............................. $-1Zi. ~
Paid /2~ B4- Receipt,N ._37CP05
Date .s:-/~ / tID BY' .
This iSt;)O ~uest the above application and accompanying documents is in accordance with the City Zoning Ordi~nce and may procee s requested. This document when
signed y the _~~ co itutes a temporary ce~ ~7~mPliance ~c~n to commence. Before occC)~ Certificate of Occupancy must be issued.
/ City Planner Date ~ditions if any
v 24 hour notice for all inspections 447-9850
This~~n ~~ Yo~~B~i1~ing Permit W~~ Appr<~yed.
By ~ Date 4 2Z! t!:J 0
Certificate of Occupancy
~
Whi~ : B~i~
Canary - Engineering
Pink - Planning
The Cenler of the Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
U,r-K S\fY\m(l~
tx\c ~'-1\ 7 t-r.. \ d ('; ~ 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
LJ II () <Ra '{h:")Qrf'l \Z\(lr:3r. tIE i2d NI;
Accepted \/ Accepted With Corrections
Denied
Reviewed By:
Comments:
efT ~1. ~ Date:
~ ~A/rY
~ m/ro
., ,
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
em - 463
Tht' Ct'nlt'r of Iht' Lakt' Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \{ \ r K S'\ N\m~
~\.I \'(1-h,\ ,,^^O
APPLICATION RECEIVED I I gWf )
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
411 () n~bg.Af"I K:\~_. .. Qat N1;
Accepted Accepted With Corrections ,/
Denied
Reviewed By: ~ ::/~/-J Date: S /U/tJo
Comments: If €1t(J J)E'(!./K-. 'AI ItNfJ - t!JtiT AND ALL
TlfE /U~tLhtkTllJtJ~,J 'lifE ~i/B1) tTtMs.
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
.... ..,...:..".. ,"~. _..,:~...:~"l~j'." ',:> . ..~~.;- '!'" .'~.. -."., '
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 1..//10 e1t5~I2Y ef)G~ t:J. ,J.~,
TYPE OF WORK /1!ElAJ Ef)~c.Jt::-
USE OF BUILDING K'e3 A/,e . ~
PERMIT NO. m <J L/(J3 DATE ISSUED 57'z? ~&()
BUILDER J<112..K.- .s;Jt1.~NS ' I -
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 fiq-., tp/7/0tJ
.-E NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ ,
FINAL ~ rt/Q'f81;
Call between 8:00 and 9:00 A.M. for all inspections { ·
FOR ALL INSPECTIONS 447-9850
g....Te TIMlii
CITY OF PRIOR LAKE tj'J,/ b1J A,T;'
INSPECTION NOTICE SCHEDULED
ADDRESS L/IID If;::;:; ~
G/
OWNER
PHONE NO. PERMIT NO. (')() ,.. 0 tfc '3
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING @) o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~ FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~u.L
~~
~~/
I
----""
'111 WORK SATISFACTORY, PROCEED
(O'V CORRECT ACTION AND PROCEED
:s::o~ECT wo~: FOR REINS::::/::n::FORE COVERING
\ V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ