HomeMy WebLinkAboutBuilding Permit 00-0490
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
\ ~ I ~ VJ ~+bv "r'\) A" e.-ll\.&
3. LEGAL DESCRIPTION I
'I /'
c::>( BLOCK-'
\rJp~4-n, 1~ p~~
- -- - ~ f
(Name)
~~e..-.~f H-o.J1nI "
5. ARCHITECT (Name) (Address)
~ roi3~
LOT
ADDITION
4. OWNER
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1,;;QA TE\~~
&- S-Qg
~'W
PID ~.. ~qs... O~s-rt
(Address)
(Tel. No);'
~~~L, - ~LI<.(4
(Tel. No.)
6. BUILDER? (Name) (Address) (Tel. NOf)
m AttAWEtiT I t:.ch~~t 0' Y 133 E ~tV,J-c flY' t r . ((p 12.-) Sf S
.j ,~ M Prt>'! Gt1f41,t4;fSS tV' yn/tl :iSJ '""'\ q~l1
7. TYPE OF WORK Fireplace CJ Septic CJ Deck ~ REl-roofing CJ Porch CJ .
New Construction CJ Alterations CJ Addition CJ Finish A~ Re-siding CJ Finish Basement CJ
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
OO-OAqO
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 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 plans. I am aware that the
building ~I can revo~,e this pe . for. just cause. Furthermore, I hereby agree that the ,~ity official or a. designee may enter upon the property to perform needed ins pections.
X ~ ~, ;Lo I' 8~ 81 :L- l -~--vo
( ) . I ~ License No. Date if
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
J
,~
AJ
'"
"
"
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~'4eoo. (J1)
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS CJ
SURVEY 0
PLOT PLAN CJ
SETS
COPIES
{, 2, 2'5
Lfo. 4'
I.()o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
R S U
City:
Pressure Reducer .......................... $
Meter Horn... .... ......... .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
~
Gas Fireplace Permit ....................... $
This Ajilication Bpecom~ Y~ur Building permit'l,int/~roved.
By ~.. r 1 -- .",:.AA.tA~ Date () C
Certificate of Occupancy
/Q2J.7'
71?~3
./~~
Do ~041o
Tht' Ct'ntt'r of tht' L.kr Country
White - Building
Canary - Enqineering
~ -~ing~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ \e..e,. \
APPLICATION RECEIVED (J ne.. ~ ~
I
( ~ ~_\ \
'-' \ m t'\aay I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6371 ~+but"')' A~ue.. Sv.i
Accepted V Accepted With Corrections
Denied
Reviewed By: ~~
Date: ~ ~ l (p tSO
Comments:
~~4~eS~ ~ &~~
<fJv_ S\~~ ~/~~/d~ ~<jd ,
~(tJtlJ^v~ ~ v
"',
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."
~
OJ 1) 4J1 ()
Thr Crnlrr of lhr Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ""Q.("qp~e-~. \~C~~()\~( ~ \\0\ tI\<Ady)
APPLICATION RECEIVED (~lr"\~ .3) .:t cra 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 6$7J? 'We:~+DYY A~\Je. ~\t..'
~
Accepted
Accepted With Corrections
Denied
~ -::/~
Comments: ((efJct) ~~iL ;JAIJ/) - lJL4..T:
I ,.) I=tJ ,t.1tf\.-A.T"( l),J O,u ~ ff: "pp~ J 6D
Reviewed By:
Date:
t,/9!~
ANO A L.L
PLJ1-N S ,
I H6
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 1t.,5~<p, w6sr8u./2..l/ ~Jt:f . ~.W,
TYPE OF WORK :Dee'~
USE OF BUILDING R..e-s AI R- .
PERMIT NO. 00- 0#0 DATE ISSUED to/9'/()O
, , f -
BUILDER ;rAt^.t=:~ ~AD,{ -6-torz...-5/a-CJ11,
NOTE: THIS IS NOT A PERMIT FOR .ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR D~TE
FOOTING tt-, &/11/{)/)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
...
I'J
FINAL bJ, ~/z.z,//)o
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
ADDRESS
.J ~ A 76
DATE
SCHEDULED ~ z",/dD
I
W6S I eUrZA./
CCJNTR. /
PERMIT NO. - '1-9 ()
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
2~dD
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~ION
FINAL
* SITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH IFINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~9~
- ...:.:::::-----
/:,. _ r~
~.-~)
b(}WORK SATISFACTORY, PROCEED
~... CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPI:CTION BEFORE COVERING
Inspector: ~ '
I
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI