HomeMy WebLinkAboutBuilding Permit 00-0422
DATE RECEIVED
5/15/0D
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
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.StTE ADDRESS 11 A I
~1q ~t1i CO\iE. TRL,
3. LEGAL DESCRIPTION
I
1. DATE
5'-I~-oo
ie/sO
LOT
/
PID 25-o9Z'" tJ()j-o
I
BLOCK
LJlKGSIDB
ADDITION
4. OWNER
KEN'~
5. ARCHITECT
(Name)
Ot... ~~
(Name)
(Address) (Tel. No.)
~F ~(.,. 44-,--1"323
(Address) (Tel. No.)
lS,'\\ (,l"L- 581-S21e
6. BUILDER
(Name) (Address) (Tel. No.)
UJ-4:ePla:e~'-' s.l~~~}~~' Re-roofi:~~ -~~~;
Alterations 0 Addition 0 Finish Attic ~ Re-siding 0 Finish Basement 0
a,SriftJ4 D~I'.. ,t..Ep~r
~\)()E"R\ oR.
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
10. CULVERT SIZE
Width
Depth
Yes
No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. DO -04-22--
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
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
ruction' orm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
se. u ereby agree that the city official or a designee may enter upon the property to perform needed inspections.
~Q03 36-a...J .) ,. - IS -- 0 0
License No. Date J;"
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 ................................... $
v
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~J IJdtJ, ec
USE OF BUILDING
I
~e.sA/~
TYPE OF CONSTRUCTION: I II III IV 6iJ
Occupancy Group A B E F HIM (!!) S U
Permit Fee .......... ~~~~i~~ ..:. .. ~.~. ~... $ ~ z.. z. 5
1lJ, Lit,
/,Ot)
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Builder's Deposit ............................ $
Other......................................... $ I
Total Due .............................. $ / 0...3. 1
Paid t D3." · Receipt No. """l l' ,., {\ /
Issued Date L J t,L" {//) By (~~ ) ~;:) X
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni~r inance and may proceed a;' ested. This document when
sign~~":y lanner constitutes a temporary Certificate of Zoning compliance And allows construction to commence. Before occupancy, a Certificate of upancy must be issued.
rF,;/ L . ~'.5(),90 -1.J_~ ~~~ a.1.-....l<.... 2...? ')(. ,.0 't.
~ ity Planner Date , Special Conditions if any
This zcation ~eco~~ Y~ ~u}i1ding Permit Wh~~ Appro~ed.
By ..~.. 1.fw~ Date S/~S'It!JO
Certificate of Occupancy
24 hour notice for all inspections 447-9850
'~O.'MlpI:...-'r...",-."" "-:,,.,.,.~..
....' ..
bO '()4~z"
Thr Crnlrr of lhr Lakr Counlry
White · Building
Canary . Engineering
Pink · Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKlJSI
NAME OF APPLICANT
APPLICATION RECEIVED
/ (\\1' ~
~V\('\ V :::>CN ,
~(J-\J \..S,~.~..y,) rA.~ 000
. I - '-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_" Q " r....----
t-""'l : . ~ C. I .''''' '(' . ,'~' '
\.....--' " 7 i \....~ v\ ~....lr\f e.", _ \ iJ. \
U
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~~.A-M
Date:
('),..,.. 3 C) ~~
Comments:
~~J t='l9V'~~~..M)... KJe-Li< tDI7T k1~ ,z7Fr.
0-.e" ~PtWLM1" SVhJLL't. <io ~ ~~~~
~~ ~ /~~ ~ltc.M f}~ <G ~~(}~o
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
00 r Ot-,~ 7/
White - Building
Canary - Engineering
Pink - Planning
Thl! Cl!ntl!r of thl! Lakl! Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~~ 0(\ (j \ ~(J(l
APPLICATION RECEIVED ~~ \5 ~ ) CAO 0 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5Q7Cf ~ Unr~m)
u
Accepted
Accepted With Corrections ;1
Denied
Reviewed By:
~S/~
re e- Aj)
'J) I::::; cJ/<...
o ~ f f-\ c=:-
Date: 51Z-S/~()
H-AtJD.cJlA1 A~D AtLL Tl-t~
A1>fIUJJSD crJLArJSI'
Comments:
I ~ ~ (L 1lI\...~ (ION
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
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 52.79 CAtJ/Jv C()tle 'teL,
TYPE OF WORK R€:pU't(!B EJc/S'1 / /Je;, ZJ)~ ~4Mt!" Sizer )
USE OF BUILDING /ft=.s AI f2-
PERMIT NO. 00 -042.2. DATE ISSUED sl?75!oo
BUI~DER ~u P6J2-/ ofL,:, f1J1JSTfl,tUIlb~ I ;.Je, ~ s;<j -;;;7(, '-/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECrOrS BELOW
,.!H~ PERMIT IS BY SEPARATE DOCUMV. T .. /
INSPECTO / I I ATE
FOOTING ./ 71 {,!Jlf
PLACE NO CONCRETE UNTIL ABOVE "H ~s BEEN- $~~-NED
'/
V .
DEPARTMENT OF
BUILDING AND INSPECTION
~ ,
FINAL e;J4 '7/ltJ/1W
Call between 8:00 and 9:00 A.M. f~r al'I' inspectlon~1 . /
FOR ALL INSPECTIONS 447-9850
'::-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1 /1Q.j D1L A1
ADDRESS SQ'lq Qo~()....tA ~~ Till) l
<J
OWNER CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING PJ
o INSULATION /
FINAL '
~ SITE INSPECT
COMMENTS:~JL
Or.
~~~
I
I~-
PERMIT NO.
OD" u4~
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
~~
~-
.c_-~~~
:I~
~ORK SATISFACTORY, PROCEED
/ ~~.ORRECT ACTION AND PROCEED
o CORREC~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ./ Owner/Contr:
../
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI