HomeMy WebLinkAboutBuilding Permit 00-0488
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.~ (2)q5
PID a~- 33S-0)S-O
M)~tJ
t/:J. 2l4IJ-34L17
(Tel. No.)
DATE RECEIVED
0/q /DO
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
~ WPl'8it~UX5k. (T ;ltt ~
3. LEGAL DESCRIPTION
LOT \ S BLOCK \
ADDITIO~,,\ ~~ 12i~. ~'tn
.r ~7JG $), ~ C!tR..
5. ARCHITECT (Name) (Address)
__ (Name)
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
OO.04e~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Fireplace (:J
Alterations (:J
. ~
Septic (:J D~ Re-roofing (:J Porch (:J
Addition (:J Finish Attic (:J Re-siding (:J Finish Basement (:J
SEATS
16. PROJECT COSTNALUE
Chimney (:J Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
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 aboY. e mentioned P"':"1% end thet aU construction will confonn to aU existing slale and local laws and wil proceed in accordance with submitted plans. I am a.w. are that the
~Uilding "ft: ';";.':7'(- .pOO" for just cause. Furthennore, I hereby agree thaI the cily official or a designee may enter upon the property to PBrfoi. ~ ne I ~" ..00.. s.
./~'Cl . .....,..No. ~.!'
FOR ADMINISTRATIVE USE
SmACKS: Required
Actual
Front
Back
Side
BUILDIN~ DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN ~
PERMIT VALUATION !:StJO(J .6/)
USE OF BUILDING 6 ~. '(
TYPE OF CONSTRUCTION: I II III IV G:J
Occupancy Group A B E F HIM dO S U
Permit Fee ..........~~~~~~...1...~.~~... $ 7~, 75
'1,q,Sf:j
',50
City:
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty. ...................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
'A~
J'(p 0
10
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS (:J ENERGY DATA (:J
PILING LOGS (:J PERCOLATION TESTS (:J
PLANS & SPECS (:J
SURVEY (:J
PLOT PLAN a
SETS
COPIES
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 .. .. .. .. .. . .. .. .. .. .. .. .... $
Water Tap ................................... $
This AJ:fJcation ~meS~ing Permit When Approved. Builder's Deposit ............................ $
By ~ "If. Date '/1 iillJoo Other......................................... $ _
Certificate of Occupancy Total Due .............................. $ ~ Z, If, B Lf
I ad Paid t ($ '~4. ~L-f Receipt No. 3 1 b ~~
~u J
This Is to certify thaltha _In the above eppIicetion and accompanying documents Is In acconlance with the;~ ~~meY ~ as~ested. ThIs document when ~
Sig~_ by the ~:':"' constitutes a1empOrmy ~ ~ Zoning C<J<l1llIance and alows construction to conmence. Before~, a Cer1IfIcaIe ; ~~nCY must be i~ued. )
~~'"-~-~.. (,-UP'"lSl? ~~~~~~~,~
City Planner Date Special Conditions if any ~~ .
24 hour notice for all inspections (952) 447-9850 '
-
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BUILDI"G....PERMlt.....AP~~.P~RTMEN,..caEct<LI$I
NAMEbFAPPLICANTLe.i.R0 f\~
APpUGATIONRECEIVED ::'itP'\.~G t1'\ I dl(jQ{)
The Building,. Engin,eering, and Planning Departments have reviewed the building permit
application for construction activity which Jsproposedat:
.55'6 d D't~lon r.. Ortla....
~
Accepted
Accepted With Corrections
Denied
Reviewed BY:~ ~
Comments:
V\..uK ~~ -~~t;,,~-l-~ ~ ~lt~~
~ ~ ~~~I/J~ tt&v ~
16f.()~D
Date: C, -l& . ~
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."
Tht' Ct'nlt'r of lht' lab Counlry
00 -04ee
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Le \-\ \J r\~
APPLICATION RECEIVED ::JvnL- C:."t'n) Q 0 0 D
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SS6 d O~Lo-o It: CAr(;IfL,
Accepted
/
/
to
Accepted With Corrections
Denied
I N ~ R.... rr'-A.T l 0 rJ
~ ::J.tdP
4:)~lL- ~p,...~O - O~ ~lJ A.L.A- THe
O,J Tt'\ e;: ~P~J~. t>L~S,
Date:
t//z/t/d
. ,
Reviewed By:
Comments: 'R.e- A.. 0
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
RECORD
SITE ADDRESS 65~ tJU6"-' LaalL..... C2/e(!.LE
TYPE OF WORK Al5tLJ' :D~/<:""
USE OF BUILDING I<E5, A / f2-
PERMIT NO. OO-O~fJ DATE ISSUED 1o/IZ(oo
, ..
BUILDER -'- E lit/tUG, :;M ~/Z - o/~l-S~~ /'
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 br. t.(a--tlci)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL 6r I ?/?l ~
Call' between 8:00 and 9:00 A.M. for alllnspectlO,(S I
FOR ALL INSPECTIONS 447-9850
'. '" .
~E TIME
CITY OF PRIOR LAKE <6' ~ ~ Il:~
INSPECTION NOTICE SCHEDULED
~
ADDRESS S5Co'L DV(A,-A~J..( Fh- : UG'-
OWNER CONTR.
PHONE NO. PERMIT NO. 0... 488
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
,~INSULATION @ o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ck r Jc
~~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl