HomeMy WebLinkAboutBuilding Permit 00-0451
DATE RECEIVED
5/30/00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
';;i30 JOD
HIT C,H fZ f.., f.-, C!./ ,e. s lZ ;e1SJ:)
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
/554/
3. LEGAL DESCRIPTION
LOT
Ie BLOCK
(!,O,NOtJNS
1/,.,.,[ f (
ADDITION
4. OWNER
A (Name)
c...oee:> t(j I
(Nam~)
5. ARCHITECT
6. BUILDER
(Name)
PID 2S -~30 - O/()-()
W(}CDA~
(Address) n
/S-.rtf/ ,v\iTc.ke11 c.~
(Address)
(TUiJj- '1'1' I-:()&/f K
L.fVO-' ~~
(Tel. No.)
(Address)
(Tel. No.)
S'e I~
7. TYPE OF WORK Fireplace 0 Septic 0 Deck ~
New Construction 0 Alteratipjs_o^, A~dition 0 Finrh Attic 0
Chimney 0 Misc. I:: ~ It C t.bl~ 1) ,. CJe - z.
8. PROPERTY AREA OR ACRES 9. PROpJRTY DIMENSIONS
Sq. Ft. Width Depth
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
~ S&,t..\ -;J)~
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00-045 J
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 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 me d 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
:uilding offici n revoke this "~se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ~!3n;;7:;;
'!fignature License No. ' Date ·
TYPE OF CONSTRUCTION: I II III IV (Sj)
Occupancy Group A B E F H 'I M (!!) S U
Division 1 26)4' 7t.f.., ~
Permit Fee ................................... $ _ _' ~
~ 5'2-
1.50
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~ ,~/I<-
,
Plan Check Fee . ~ .... .. . .. .. .. .. .. .. . .. . .. ... $
1
State Su rcharge ............................. $
Penalty ..........~;............................ $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN #-
PERMIT VALUATION 3000
.
MA TERIAL FILED WITH APPLICA TJON
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. .. .. .. .. .. .. .. .. . . .. . .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
~
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
This ~~~~~ ~ding Permit Whe').Apppved.
By .... Date ~ /Z / t:J ()
,
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
i. Total Due ....li....................... $ IZt./.. 8l1-
Pail \'0. li I ~ Receipt No. "Z" t L J -1
Issued iid. Q..il2..:1...o(J
Date ~ UV By .
Th~ is to COI1ify lI1at the request in the above awlication and accompan~ng documents is In accordance with the Cify Zoning rdlnance and may proceed as lfI" _. Th~ document when
s~ ~Ct p~~nner constitutes a temporary Certificate of Zoning comPlian~lows cons, truction to commence. !3efore occupancy. a Certificate o~~~~, ncy must be issued.
~ y'b'&>O ~ ~~~ I')A1K ~~:'-~1. .
City Planner Date SpeCI Conditions if any
Certificate of Occupancy
24 hour notice for all inspections (952) 447-9850
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MAY 3 0 2000
Date Received Date Reviewed~ - Z ~ ()D
Permit #~
PERMIT REQUIREMENT REPLY DATE
Date: {9. ~ I &lCJ Date: (,,_tr..t90
Request: Reply: Accept W
L ') S\~._Q-~.5~"'O V W'.-~ ~ ~ ..(\ ~ Decline 0
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T~~ c'P/b"/ro,
Date:
Request:
Date:
Reply:
Accept 0
Decline 0
Date:
Request:
Date:
Reply:
Accept 0
Decline 0
Date:
Request:
Date:
Reply:
Accept 0
Decline 0
Bu ild i ng/Planning/Eng i neeri ng
Permit Complete 0
Permit Issued 0
PERMREQU.OOC
The ('enter of the Lake Country
lJl) .0/5 ,
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Q, ~ 11ro..e, \~~.J..,Q..J,-
APPLICATION RECEIVED MC!....!b ~(j't"', ~ O~O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i '" II t" SL
/5 ~- '-I J M J f-c/ "-W (_ A l' ( if- z::..
Accepted
/
Accepted With Corrections
.~
Denied
Reviewed By: /';tv. - (~
v
Date:
c.,-&~CJC)
Comments:
~~. W 6u~~ tivv\ v.)u-l< ~.
~e/~1 ZV8J~ ~ ~ ~ <)r~ ~
~/~1r ~ {.:vh.Y'lO JSSv.tLVt?e--
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
t~"_"',:"'..".':.:.:>..p.~..:~g-,.~~,t..t:_nl"~,,.t..I."'~.':~:~~~
00 .Ot.~~ J
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr of lhr Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C1~JOI ~E"- \! o..lo k
APPLICATION RECEIVED ~b ~-t"', Q (JOD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ISS-LI/
fV1 ; +-chJ I C;,ck-
~~
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
Comments: &AO J)r:::t-IL
I AI FtJt2--'YIA.Ar I () ~ OIJ
--
~t~p
~I zloo
, ,
,IIA-ND-O(,(r AND ALL lite-
THE A.PfJ(J..dtJE/) PLANs,
Date:
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 /55'-11 J41 /T(;f! ELL- 0~, S? E,
TYPE OF WORK #6w J)c C!.JC:..,S" (2.)
USE OF BUILDING ReS A/~
PERMIT NO. W - 045 / DATE ISSUED {;, / z / () ()
BUILDER 6cCJItOe YAt.-c!< - 4~tJ-12tt(' tI. e;'~ - '17/-(J~?
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 (?r. I 1//7'/()tJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL i?Ati-tL lJ(W-j-- {;---;?-;;..-O/
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
ADDRESS
I ss-L//-
DATE TIME
SCHEDULED ~-;1.J.. --0 f II; otJ
/J1 / 'rJ cA el / Q/),-
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
CONTR.
PERMITNO.DO~ ~LjSl
OWNER
o FOOTING
o FOUNDATION
o FRAMING
.f 0 INSULA TIQ/lt - I 1/
~FINAL J/CL-4L
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:
. ~
GJ'''
~.~ €/
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREnK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ {'U c-€- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
b!S/OO //,'c90
ADDRESS /55LfI frt~ CtG. ~E:
OWNER
PHONE NO.
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
% SITE INSPECTION
COMMENTS: U~ ~ ~J..-<) / "AQ. _ .~)
i) ' "-f/ (- J
S'~ ~
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
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\~ ~
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,/
S~~
Inspector:
'~,.,
- /
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI