HomeMy WebLinkAboutBuilding Permit 00-0522
DATE RECEIVED CITY OF PRIOR LAKE
/ ~JJrifl BUILDING PERMIT,
(0 I --. . v '-TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
1..:.
~t
;'~t\,
~ l';:
(J~522..
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
c:, ..J if -0.0
BUILDINGJNIIIIt')RMA TION
11. SIZE OF STR~RE
(Height) (Width) (Depth)
2. SITE ADPrESS a
,(' 7 tt,(
3. LEGAL D~S5-~PTION
LOT'~ BLOCK
~
C(()SS~V1t::ly"({ s +:
3 PID ~ S - ~~-o~-o
~ ~_. L[t11. ~
(Ad~eSS) J (Tel. No.)
<5 q It tf c Y'OSSc{~ It $ (}. 9'St ..If{.j(.) -$13(;
(Address) (Tel. No.)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER (Name)
~ pb r/. !l~;<)~ #",vl~k
5. ARCHITECT (Name)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER (Name). J (Address) I/. (Tel. No.)
Dt.V';J ~c-t,4,'~n C!>~S7'.. 2..1 7l b 1r-cYJt^LL~ Itv'e '1Sc<lfolf"32<z
t. cJr -c. V ; II t.- I vn 11. S ~5 c? if If .....-
Septic LJ Deck LJ Re-roofing LJ Porch I1r'
Addition LJ Finish Attic LJ Re-siding LJ Finish Basement LJ
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK
Fireplace LJ
Alterations LJ
New Construction LJ
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
17. COMPLETION DATE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
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 construe' will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revoke this pe~jus . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins~ons.
X ~_- - ~~ 3' 07 ''''/Lf-O
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
, PILING LOGS LJ PERCOLATION TESTS LJ
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION -# ltJooo f Do
~A-Jr-
PLANS & SPECS LJ
SURVEY LJ
PLOT PLAN LJ
SETS
COPIES
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV (!j)
OccupancyGroup A B E F HIM @ S U
Permit Fee ..........~~~~~..~...~..~.~... $ , L Zr, z.. 5
1". q/.
3,~
Amount Brought Forward ... .. .. .. ... .. .... $
Park Support Fee ........................... $
SAC ................. ................. ....... $
Collective Street Fee . ... .. .. .. .. . ... . .. .... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
City:
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 .............................. $L.e.8. Z I
Paid /e". z",. / Receipt o.~p.,J"J
Issued Date? /1';" /t; D By -~
This is to certify that the request in the above application and accompanying documents is in accordance with the City zon~"nance and may pr s requested. This document when
s~. the Cff{ Planner constitutes a j: ,. orary Certificate of Zoning compliance and allows c~truction to commence. Before occupa~ ~rtificate of Occupancy must be issued.
~~~~ft~___ y-,JA,.-UO~. .... (\'^_w~ ~~~~_
;- City Planner Date 'Special Conditions if any
Gas Fireplace Permit ....................... $
This ~cation ~eco~ Ypur Building Permit w~n "2rovej.
By ~ <f~ Date I Z-fOtJ
Certificate of Occupancy
24 hour notice for all inspections (952) 447-9850
(f) -Of}2-'Z-
Tht Ctnltr or lht Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT DQJr\d. S~weA(_Jn ~\-.
APPLICATION RECEIVED J, rA\) _ \ cq"Yh) ~OO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
6~~q ~
Accepted
Accepted With Corrections X
Denied
Reviewed By:
Comments: <2G,:tO
~
-:Jdp
Date: ~/Z2/{)O
,*~()-ow ~D
Il-fe- AHtlJd6tJ
ALL 'H~
?LMs,
~ ~~ ~ tb t:' '" -L-t
J N J::=i:J t2 111'-14 n O,J (:J,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."
.c
00,05bU
The Cenler of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT fJrk..N \ c-\ ~S vhw e,.t\ ()\\ ~~ \-.
APPLICATION RECEIVED :-J\ ~\L. \ ~+.h 1 ~C500
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
C".9 t:.-I a /"....c C r' '''''.ct ... "'.: j
-/! .. I L.rV....)i ~ \,..A, ,.,t' C\ --:>-. ~r-v )t'
Accepted
v
Accepted With Corrections
Denied J
Reviewed By: q~~
Comments:
3 ~ W~ +&:.-l~ ~k . t
a.. ;\'\IW~ .~~ Il) Fl . TV~ 0~~ ~ Uvte.,
t9~ ~~.1J~__ ~~~ G#~/
r:~c..lJJ~~ ~ \0 ~1Au~ ~IJ~ '"
Date:
a "~-c50
a
, ..~~~.~~
~TW/~ ~.W-~.
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to baa 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 Gancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
...,
INSPECTION RECORD
SITE ADDRESS 69'-/9 ~ xU-r
NATURE OF WORK fJ~ - '/~ 'X' ILl II ~1c.a,.J'i'
USE OF BUILDING REs, AI ~ .J
PER.MIT NO. 00 ~ OS Z z... DATE ISSUED (" ( z z. ( ()O
CONTRACTOR .J2A.~(O . ~C1HE"'Cl{ Ct>rJ~l' ~NF""'jSZ-~(<,G)-322'-.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF -....
BUILDING AND INSPECTION
FOOTING
INSPECJPR
~
DATE
7ft!",
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS_
~,
?/Uln
I g;,P
. fl!P/#/J
I .'
FRAMING
INSULATION
ELEC L
.t
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
( 7J;~
\::7. , /'
?}.;G .(/G>
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all Inspections have beeli appr.oved. On buildings .and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
SCHEDULED
tl:~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
2:60
ADDRESS
54 44 Ceco-~tvi:>1tA
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6::> ..5 L2-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
l8-FINALp~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
.
r?J~ ~ (~ ; V\. r;~ tJcJ-Q
J.--
tJ.c. I
P WORK SATISFACTORY, PROCEED
')!.. CORRECT ACTION AND PROCEED
o C~' CALL FOR REINSPECTION BEFORE COVERING
Insp ctor: / Owner/Contr:
C ~ -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTJ