HomeMy WebLinkAboutBuilding Permit #00-0504
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Permit No.
1. White File
2. Pink CU:
3. Yellow ~t
or;J~o~
1.0&/15/00
Ie/SD
, .!"
BUILDING IN~AnON
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
BLOCK
I
PID 2-5-3/0 - OJ 1- fL
13. TYPE OF CONSTRUCTION
ADDITION
(Address)
rr~".J
~.,:''1IJ;'.r'-'.ll
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
...beFt (Name)
G. ~~ ~~e....
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic 0
Addition 0
Deck K
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes 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 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
:uilding offic~n revo~....., permit.fe riu.s t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform._~ins.IJ...p.~ons.
~ -.'~ "', License No. "":"."';' .
:'.; -~""i'.> - ,- , ;:~~:i,:
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
USE OF BUILDING
R6S A/I<..
,
OFF STREET PARKING
SPACES REO.
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
PLANS & SPECS LJ
SPACES ON PLAN
PERMIT VALUATION "2.1 {)OO . 00
SURVEY
PLOT PLAN
o
SETS
COPIES
o
TYPE OF CONSTRUcnoN: I II III IV lSL:J
Occupancy Group A B E F HIM dD S U
Permit Fee ..........~~~~~..:...~..~~... $ ft,Z. 2..S
J./O, ~
/. (Jd
City:
Amount Brought Forward .. .. .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC .. .. . .. .. .. .. .. .. .. .. . . .. . .. .. .. .. .. .. ... $
Collective Street Fee . .. . . .. .. .. .. ... . .. .... $
SewerTap ................................... $
$,
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
!total Due ....J.................:..... $ /0-:3. 7 I
Paid 'J 1\ '2 7 Receipt No. 37 0'ff1
Issued ~~. ~
Date By ~N
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 0 inance d may proceed uested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate f upancy must be issued.
~
Pressure Reducer .......................... $,
Meter Horn ................................... $
Water Meter ................................. $,
Sewer & Water Connection Fee ........... $
Gas Fireplace Permit ....................... $
This AJBcation ~m~ ~~Uilding Permit When Approved.
By ~...,.. J- Date -':d~ I" 0
Certificate of Occupancy
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
00 ~050~
The Center or the L.b Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"
n ~ )
NAME.OF APPLICANT "---,('~ .,~.
- \,,) \ /'" +h n ~
APPLICATION RECEIVED '-'" fY ,~-" ~ ) c::AU V f J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ Lf b qj' ~ ~e-\^,ooel 'ed
Accepted
Accepted With Corrections X
Denied
,.
';2 t 'J_ IlLJ
Reviewed By: ~ 7~
Comments: R~ J)cc.:Jc..... ~~NO-OCA.,,'T
Date:
t../ Z ()!f) t!J
\ ~ f=Ort.n\..An c,..l O~ 111 E
ARpfL4va
A...~ 0 AI....(.,
~L~,JS,
THE
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."
r--- ~_~______~____~__ __~~
----- -------..-- ---
00.0504-
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(\ ~)
NAME OF APPLICANT \......,('~ -\ 0 ~~ .
APPLICATION RECEIVED :) \_rr<~. \ c;.' ~ C< C5T57)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ J..jS-9 X' ~~e_\.JJooc4 ~
Accepted
Accepted With Corrections
Reviewed By:
Q~,
Date:
Denied
........... -~
-
Comments:
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. II
.~"'::'
... ....
..
;,' :
PRIOR LAKE
INSPECTION
SITE ADDRESS 14~EE-2o~e,
TYPE OF WORK N(5{}J ;[Jr;~
USE OF BUILDING Res. AI ({ ·
PERMIT NO., ()!l1J 504- DATE ISSUED to/ZO/(Jo
. BUILDER ...e tZ.E~ PMsE"" .... l{ C '3 - /7/ 7 · .
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
~OOnNG ' ~ 7/ZII~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG'NED
FINAL ~ /0/;;1.( /',0
. . / .
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
..., .
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/ak'l~d
A. l (-,
ADDRESS
/~S9?
~oS"e4J()fJO I<d (
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J-soL/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION (BJ
FINAL
~ SITE INSPECTI
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 GASLINE AIR TST
o
COMMENTS: J) ~
)4 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~J
>./
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI