HomeMy WebLinkAboutBuilding Permit 00-0731
CITY OF PRIOR LAKE
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit NO.j)O- 0731
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. sq ADi~SS ~ G,u it
3. LEGAL DESCRIPTION
<6 BLOCK-J PIDc<S-3b~-o08'-O
~(b ,j~ '-L ~f)DITl()N
~~me)
U-UIc-
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
Mtf-
~~#c
(Address)
(Tel. No.)
13. TYPE OF CONSTRUCTION
All.. ,.6#7-
14. FLOOR AREA APPORTIONMENT USE
ADDITION
5. ARCHITECT
(Name)
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
~~2. -I/V7-
c:>9J~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
o (.,t:. Wt- Mf;,J
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
3911 Ktm-aSr- S"'N P,l,.
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-sicling 0 Finish Basemen~
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Y.es No
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
. WI con rm to all existing state a.nd local laws and will proceed in accordance with submitted plans. I am aware that the
ust cause. Furth ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X -z..o U:;~. '? 0 '- 8" 'IS" -do
License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMITVALUATIO~,<<'O. CO
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING -R ~ ~ ~
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
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. ......... ......................... $ ~ 2 . Z. c,-
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee.. ........................... $
State Surcharge ............................. $
1.00
Penally ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
LI D .or)
~DO
Pressure Reducer .......................... $
Meter Horn.. . .... ......... .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Sewer & Water Permit ...................... $
.............$~
Issued
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ..... ............ ..... ........ ........... $ ?
Total Due .............................. $ t .3 .2. ~
.~ ...36ZJ#~
.0
Paid
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proc as requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
Date: 8-/ "( ~
Building Permit # PID:
Site Address "f7a4Po.Jt-,~ e.~.
Legal: L B
Zoning:
Subdivision:
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning I
building height? ....... I
"- "'-
Is the property located within the flood plain? Refer to Planning '---
Does the alteration include any additional kitchens? Refer to Planning ~
Does the proposed alteration include any outside Refer to Planning ~
entrances other than patio doors?
Is the proposed use of the finished space or Refer to Planning ~
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERl\'IIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
00-0131
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
NAME OF APPLICANT ~(')C~ (,re.-e. \=.. \.\om-e.~
o..!~ \5 I ;;JOQD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-4:1 3b ~()X'm~. ~ .r't-
Accepted )><
Accepted With Corrections
Denied
~
Date:
e- (?-'?o:::o
Reviewed By:
Comments:
~f~ ~ ~ .J::''^~ ~o.<A
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."
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
ADDRESS
1-t8fo
SCHEDULED .3.1Z,.6~
'It 1rA7U.P G15 C/f..
OWNER
CONTR.
PERMIT NO.
06.013/
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RII
o WATER IHOOKUP
o SEWER IHOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~I-OJ b Pi ,-6
.~~ ~.II4-/
o CORRECT
Inspector:
Owner/Contr:
'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl