HomeMy WebLinkAboutBuilding Permit 00-0560
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~JR;7do
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE,P.ERMIT-1SlSSUED (Please Print or Type and sign at bottom)
2.~~ADDRESS ) ^
-\t,36l~' V\~TDf2-\A ~\Jt2-Vt SE
3. LEGAL DESCRIPTION
I BLOCK 3
QA(G~\NAL \<\~€.E
..4:. ..'oWN~_~~ (Name)
C ~'""n--" f'\ \ C. U
5. ARCHITECT (Name)
LOT
ADDITION
6. BUILDER (Name)
....._..... D" '" ,I 1) () w'I J
____~~..- ftHU::f J)l) '1'1
( !.:2:.~E OF ""ORK
nstruction LJ
Chimney LJ Misc.
B. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace LJ
Alterations LJ
1. DATE
0(, a \ J Do
PfI,D
PID
zS-3/~- 02.7-0
1. White
2. Pink
3. Yellow
File
City
Applicant
(Address)
~oo TH-
(Address)
(Tel. No.) a .,
t4o"'~}. 4"'1'1- 5-, 0
(wOll2.k\ a~".. (,,0 O~
(Tel. No.)
Permit No. of).()~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
<H~ht) 1ilft <to
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
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~
e~ R;/E-
~ddreSS) (Tel. No.yqSl)
/t30IVICTOfL/fr (b(2\Jt 5 t. tll/1--S101-
Septic LJ
Additio~
Deck LJ
Finish Attic LJ
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
9. PROPERTY DIMENSIONS
Width Depth
1 o. CULVERT SIZE
Yas No
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~.oo
Division 1 2 3 4
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Permit Fee................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA CJ
PILING LOGS LJ
PLANS & SPECS LJ
PERCOLATION TESTS LJ
SETS
SURVEY 0
COPIES
PLOT PLAN
LJ
81. a.s-
5~..'71
2.00
Amount Brought Forward .. .. .. .. .. .. . .. ... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
'I',:
;,,:, ,~.
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
4 ".' V ~
~6\)
1 ~
Th'
By
uilding Pennit Y"~.,('Pproved.
Date j,t. J.1 - ~~
Water Tower Fee .. .. .. . ... .. . .. .. .. .. .. .... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $~_ qr,
Paid /4 S- ~ ~ Receipt No. 1 f(~
Issued .
Date ~ 11\'2 Jrm By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~d :Sy proceed as
s~ner constitutes a temporary Certificate of Zoning comPlian~n~~w~~on to commence. Before occ~ncy, a Cjrtificate 0
_ .I#_~ 7r:J -t.PO ,~. r1A~~ K..~ ~ r:..
City Planner Date Special Conditions iI any
24 hour notice for all inspections 447-9850
00 ,()~ 0
Th. C.nl.r of Ih. Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
800ml 12 / eH If/eo
(,/2 z/~o
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~3o I VI ('.-, Oe..! A ~U~Vb.
Accepted ~
Accepted With Corrections
Denied f~/1n
Reviewed BY:~.....
Comments:
M o.\,^-~(~ tid~\~ ~\~
Date: -' ~? .. 2000
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.1I
~
DO
WIlIte... ..
Canary< ..... ..,'. .,
Plnk.e .<0
~.~, !.,~+;)1?';;,:~i,1~<<P~;~i;'
BUIIJ)JNGPERMIT APPLIC~TlON:DEPARTMENT. Cl:lECKI.JSI
NAME OF APPLICANT
APPLICATION RECEIVED
8ocTH1 K lCr/rJKO
~/2.2 /~O
f. I
The Building, Engineering, and Planning Departments have reviewed. the building permit
application for construction activity which is proposed at:
I & 30 I // (I lOt:' /1-1 C U ;2 V f:::.,,-
Accepted
Accepted With Corrections
~
Date:
?-3~
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."_
/'
-...
00 ~oS'k6
Th~ ('~ntt't of the L8kt Country
White . - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPllCATION DEPARTMENT CHECKLIST
, NAME OF APPLICANT
APPLICATION .RECEIVED
8 (/ c:} 77-1, I,) / C !-II-) 1<: 0
&Izi/()o
I :,{,
The Building, Engineering, and Planning Departments have, reviewed the building permit
application for construction activity which is proposed at:
. /iv 30 / / / t/7J K/ f". (! U K V 6 '\
Accepted /
, Accepted With Corrections
. See altaeftr,ent<t>: I. I'l...../ Cr../~. 7itrul/,,,, .z;;~k_
~~ En51*,-., ~fh,1 ;Jf~~/(/W 3.. ErlJfJD~ ~I-n/ I%H
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
"fI/
INSPECTION RECORD
DEPARTMENT OF - of-
BUILDING AND INSPECTION
SITE ADDRESS \ ~ 30) VI' CtO ~ weu~
NATURE OF WORK G,~ AM\.L\ .
USE OF BUILDING S~D
PERMIT NO. 00 ..O~ (pO DATE ISSUEOti, <<t'l7 ""'61 W, aN.-c.~ta
CONTRACTOR ~~. tHole'" G,..~1-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
n INSPECTOR DATE
FOOTING P;;r.l 7(~ //PJ
FOUNDATION (Prior to Backfill) ~.q~. ~. <.b/~"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
~,
. I"
71M /~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
FINALS
BUILDING
(~
1. t~ .OV
DO NOT 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 been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 ant! 9:QO A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ t 30(
V, 'C-I-orl G
Ctuvc
OWNER
PHONE NO.
CONTR.
PERMIT NO.
--'1Jr1- 5"~ 0
~~ILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
A-II- CJf...
J
J/
.>
()t(.WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
'nspector.d~L ~ OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE I ~
INSPECTION NOTICE SCHEDULED 7 I a ~
I
ADDRESS __'-' ~() \ \{; t'k-rrr'. Of ~ ,
q: on
PHONE NO.
CONTR.
PERMIT NO. -Lln -O~6 ()
OWNER
D FOOTING D PLUMBING RI
D FOUNDATION D MECH RI
D FRAMING D WATER HOOKUP
D INSULAr=TN D SEWER HOOKUP
X~INAL D PLUMBING FINAL
D SITE INSPECTION 1 ]I.. MECH FINAL
COMMENTS: IV <:) ~~('V~..
~~(S
,
D EXIGRADIFILLlNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
('(~
R WORK SA TISF T R . PROCEED
D CORRECT A I N 'A ) PROCEED
D CORRECT l FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl