HomeMy WebLinkAboutBuilding Permit 00-0423
~ CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.QATE R~
.aa.
I 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
33'/0 SP~uc,~
3. LEGAL DESCRIPTION
a3
~\. )(\~*
LOT
'1:7? ~
BLOCK .3
\-\in ~ A{)I) N
1. DATE
sfCJ.d.jao
PID
dS - 11d -040-0
eJ
ADDITION
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. jJO .. 04--23
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) I ~ ,~~ ,- (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
PoD '-
4. OWNER (Name)
A '''I'' ~ /f.:D:.K. {/OH{V1:::::l{$
5. ARCHITECT (Name)
(Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
33W/ SP~t;::; ~ tf~7~
(Address) (Tel. No.)
(Address) (Tel. No.)
~r. I.-e"t:d3 Rf:7PtIC if76-'~3
f.';;;:::::t ~"() ~ ~::.;~ iV~~ ~~~nJ/'r's;,:~ '! / ~
New Construction LJ Alterations LJ Addition LJ Finish Attic LJ Re-siding LJ Finish Basement LJ
Chimney 0 Misc. P OQL
8. PROPERTY AREA OR ACRES
Sq. Ft.
6. BUILDER
(Name)
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes
No
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16.~JECT COSTNALUE
IPt~CI C~
17. COMPLETION DATE
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 and that all construction will conform to all existing state and local laws and will proceed in accordance with sUbmitted~ pans. I am aw e that the
building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform eded i ections.
X - - --- ~ - -==::.. 5 . ~o
SIgnature ~ License No. / / Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ( 0 . 006 .~6
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $ I (.:2 · 2 S-
City:
Plan Check Fee.... ......................... $
State Surcharge ............................. $
Penalty ....................................... $
b. 00
~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS LJ SETS
SURVEY
PLOT PLAN
o COPIES
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . .. . .. . . . . . . . .. . . .. . . .. . . .. . . . . . . . . .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
24 hour notice for all inspections (952) 447-9850
Special Conditions if any
Pressure Reducer .......................... $
Meter Horn........... ..... .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap .............................. ..... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $
Paid / (, '7. ~s:- Receipt No.
Date 6/~/ (/f) By (
t in the above application and accompanying documents is in accordance with the City Zoning Ordinanfe and may proceed
itutes a temporary Certificate 0 onin co pliance and allows construction to commence. Before occupancy, a Certificate
/ ~ 7. 2.5"'
3,7'~1 S-
06 -c +z,J
The ('enler of the L8kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT POC) \ g SrCL C.or""\U4-~A. ~
APPLICATION RECEIVED M 0-,;\1 ad r-ct I d 0 (') ()
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
35 Lf 0 :::::, pr0 ce.. \ f"O...- \ \
~
Accepted
Accepted With Corrections
Denied /1 /U A
Reviewed By: ~ ??7 - ~ Date: 5/ 3~
Comments: '-It- ~ ~ c>1<. .
~",'r)..b ~~ce- ~ of<=-
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."
01J~042.3
Thl' Cl'nll'r of Ihl' Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT pQ0 \ & S\,r~ C""OY""'\c..e.,~-\ ~
.\1\ n )oj ~ "f'cl \ "\ 0 (' ^-
APPLICATION RECEIVED · \ l ~ I O(Q ex J II
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3340 ~pr\Jce.. \roJ\
Accepted
Accepted With Corrections ~
Denied ~)rO
Reviewed BY:(~ ~
y
Date: ~-'2..t;..~
Comments:
I. ~e.6.&. ~ ?~\ ~J. ~
'2.. Do No~ l:: \t ~ Pt)o\ U\A\iH l--l~C4f~ t~ ~<:a \ce'tV\..
,~c.kcl ~af'~:
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS :?;3.9/) SP~LJc.~ \r-
TYPE OF WORK , ~'Y\ C,..&'~_ ?~ (
USE OF BUILDING ~~t)
PERMIT NO. DATE ISSUED S-2~-~o
8UILDER~~I~ ~~ ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
T,I:'IE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING ~. '!Z/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
...
FRAMING SJ\:j ~ r7 fir, 7/lp 10--
~~t~ t:'\'l\.H"~ tk--. Poo \ '- / /1 ' I
FINAL e:r ",. - <61 J ~(O/
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
~eo..& ~~ ~co \ .~~ cn:Q. :iV\ct~
~~" -- (,-S!~ - tw ~:"-"It>A.. ~
tt. ~ - f( --1Z/fJ2> G~ ~ ~
~ ~ O'l-- ~ J(J ~ 60
:::-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
,53L(o
SCHEDULED ~~01
~f~'
A~ "'--../
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00 - '-/.) '5
o FOOTING
o FRAMING
o INSULATION
)CFINAL
tf FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS: ... rO 0 L.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
l
'---
'~~'1
Jd')wORK SATISFACTORY, PROCEED
I ~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, Owner/Conlr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI