HomeMy WebLinkAboutBuilding Permit 00-0336
.DATE REQ.E..IYE.Q
5/31/00
CITY OF I)RIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00 -O.~ ~(p
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
/5042-
3. LEGAL DESCRIPTION
LOT 5 BLOCK 2-
K~P86,eRA( /G/Ot?tP ~O
(Name) (Address) z.2..,{p_ .z~~O (Tel. No.)
.::JEF F I tfOeSON DAIlIeu..-e 703 - 3(, z,z..
(Address) (Tel. No.)
1. DATE
05/.3//00
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
/fPPrt '- OOS/1
-, t'<- ·
12. NO. OF STORIES
PID ~~5-3t.J.;2- 015-0
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
~ -. .,~
' '"".""..., .(, JlU III , ,
i . '.... -
(Address) (Tel. No.)
OaN ,C\ Fl~(;;~bCHJ\
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
6. BUILDER (Name)
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-sicling 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Y,es No
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 abov n, ti~O~ pr party an that all construction will conform to all existing state a.nd local laws and will proceed in accordance with submitted plans. I am aware that the
b 'Iding 0 I can ~ev . for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo~ needed in~~ions.
'- S-~'VU
"") ) Signature License No. Date
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
K..6S ,q/~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~6bx:>,.~
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
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 ........................... $
Division 1 2 3 4
Permit Fee............................... .... $
7{. 7~
f{8 . Sf
I · <}O
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~
(0 U'
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $ .
Total Due .............................. $ I z.. 1/-. ~ t.J-
Paid 11 4. ~ '1 Receipt No. 67"i~)-
~sued ~ .
Date I-. I ~ I/' ^ By ~ I\J
This is to certify that the request in the above application and accompanying documents is in accordance with the City zoni;lrdinaC:~d' may proceed a r uested. This document when
signe he C' Planner constitutes a temporary Certijcate of Zoning complian.CJ\. and ~lIows construction to ;omr~nce. ~fore occupancy, a Certificate 0 cueancy m~.:- s~t be . i-=ssu_A.ed_~. ,
y-~-eD 'W,,~k..~~tA1~~~ ~~ ~~
ity Planner Date Special Conditions if any -... ~ ~ .
24 hour notice for all inspections (952) 447-9850
.. rmit ~en tp!~;"\
Date ~-I"~
)0 -0330
Thr Crnlrr of lhr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-/h0~~o~ ot5F'--
5/3/ 100
/ I
The Building, Engineering, and Planning De!partments have reviewed the building permit
application for construction activity which is proposed at:
/S04-z /!PP/tL-OClSrJ . /~ '-
Accepted
Accepted With Corrections X.__
Denied @ J--
Reviewed By: ~~ Date:
Cimments: /
/~ ~ ~~ /j~~
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 501-/2- APPAL-()()SA \ lZ-c
TYPE OF WORK ~E7AJ ~cvtL
USE OF BUILDING f2.e~, AI f2-
PERMIT NO. 00 - 0330 DATE ISSUED 5/6/00
. ~ .
BUILDER ~~-S 't)~ CfJt./5t:
./
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP'l\rOR \ \ DATE
FOOTING l rJ ~ \~ 110
PLACE NO CONCRETE UNTIL ABOV~'HAS BEEN 5 GNED
DEPARTMENT OF
BUILDING AND INSPECTION
FINAL
v~
3,-(r-1}4 -
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPE,CTIONS 447-9850
I
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
'EJ SITE INSPECTION
COMMENTS:
1I~
/'
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DATE TIME
SCHEDULED
:3 -(7-Ot-(
/~rrtI L tJf~(oC>'t
CONTR.
PERMIT NO.
~- :>3~
o PLUMBING RI
o ME:CH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ME:CH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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/Il WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCE,ED
o CORRECT WORK, CALL FOR RE~INSPECTION BEFORE COVERING
Inspeclor: ~ OwnerfContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl