HomeMy WebLinkAboutBuilding Permit 00-0567
DATE RECEIVED CITY OF PRIOR LAKE
~ BUILDING PERMIT,
/, I/o //'rn TEMPORARY CERTIFICATE OF
~ / ~ t.....t C/ v ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
/ft?OS7 /l!tJeQlW()tJO eo
/In!
LOT
3. LEGAL DESCRIPTION
1M-
AI ~ L771W()()L}
BLOCK
PID .zf5-/41- tJ70-0
12. NO. OF STORIES
ADDITION
,---~ ftN me),/
."J!'J!!lIrWt7"";",(: 'Lff i
5. ARCHITECT (Name)'
7. TYPE OF WORK
New Construction CJ
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
6. BUILDER
(Add~eSS)
~fX
11 (Address)
(Name)
(Address)
I. White
2. Pink
3. Yellow
File
City
Appn..t
Fireplace 0 "0 Deck 0
Alterations 0 AdditioC' Finish Attic 0
';7e1ClZl
Permit NO.--./)O :~7
.._~
.~"
':~':"1J
l~.~~EB~~Ls~:
,Ie/50
13. TYPE OF CONSTRUCTION
~ - -''ttJe c'~,....
~et.1.lo.) · . t4. FLOOR AREA APPORTIONMENT USE
(qS)..)'-J't..., - ~ 7 <0
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
~ 31,400
17. COMPLETION DATE
Re-roofing LJ Porch CJ
Re-siding CJ Finish Basement LJ
I 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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building oJIifiar;p." r oke this p. rmit f r just cause. Furthermore I hereb} agree that the city official or a designee may enter upon the property to perform. needed insPections, ,'.
X f/f.! , . '~~'L- ~~
I '" . "/7 License No. ~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
Side
MATERIAL FILED WITH APPUCATION
SOIL TESTS LJ ENERGY DATA 0
PILING LOGS LJ PERCOLATION TESTS 0
/G&S /f'/~
/
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 3(,. DnCJ .r.,p
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty. ...................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
City:
qo~" 7t::;
'2~~
,~
=--
q"j- '"I
~
11 tJ
PLANS & SPECS 0
SURVEY 0
PLOT PLAN
LJ
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 ................................... $
Builder's Deposit ............................ $
Other. .... ............................. ....... $
Total Due .............................. $ 7Z I. " q
Pakl. Reca~tff"
Date ~ (J By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordi"nce and may proceed requested. This document when
struction to commence. Before occupancy~r~i:Ued.
Special ditions if any
Sewer & Water Permit ...................... $
Issued
ullding Permit Wt;n ~ved.
Date . - "?d 00
24 hour notice for all inspections (952) 447-9850
00 .o~1
The Center of the L8ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .., \~ "" ~ 1\o..lV\. LL'\~
APPLICATION RECEIVED ~ l ~\ ~...::J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. fo1).'l i7 ~~\AJ07)Pt~\? v-o.ol
Accepted
Accepted With Corrections ~
Denied ?J,7
Reviewed By: ~~.i i...
Comments:
Up~lANpt.co~ rQJ- U~
Date: t.. ""'ll. ..-zc,ese
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
."(~'~~'
\ J.{
i,.:;;
'i
~", .(,
Oj~o~1
The Centft' of IheLake Counlry
'\IhIte' -.II,uI~
CIIn8ry.."........tllag
Pink .', '..... PlannIng
BUILDING . PERMIT AP~nON DEPARIMENT CHECl<:LIST
\
NAME OF APPLICANT 0"'\\'1\ ~
APPLJCATION RECEIVED ...:\ \. J~
\_._I_)+~
,
----
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ b...Q.':)' 7 _\JC^r~\AJ(J7J(:l_\? ~
Accepted Accepted With Corrections V
Date:
?.. S--6(:?
Comments:
J-L-{pr~ Id/~(,A)~ tr~~
j:y~ I~ 4 1 ~~lC),'-15~D cS\.r~~-
5r,M~W~~~c
At~ ~ I
rt~ 4-~ ~lMJ1 ~ b4~~
(3 ~ ~s I C ..-YlLYe..\e.. t9r DaveY t31t!XJ<~
~~ . C.1~ <:. ,<; Crv'a.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 jurisdictioR. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,lI
- Of-
oo.o~1
Thf ("fnlrr of .hf t.b Counlry,
White - Building
, ;,' Canary' . Engineering
Pink - Planning
. .... .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,,') Kh y\ ~.~ fU\ \ J_ )+7 - ..
APPLICATION RECEIVED .:\~\Cl,~) (..:J. ..
, "
, '
The Building, Engineering, and Planning Departments have reviewed the building permit,
application for construction activity which is proposed at: ..,
\ bD~ '7 ~CN-~\l,J(J7~1_ \?o-o..o~
Accept~d. ../
Accepted With Corrections
_s~. tLl:tll~&(&: I. &uJ' bnt~ .:L-'1S~~O't. ~,."t4h~
, .
DJ E/dS/4A ~/ 1Ih.uu-6 3. &pS/&1L ~ 6-,/ ff..ut.-
"The 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."
y.~
PRIOR LAKE" 'DEPARTMENT OF ......
BUILDING AND INSPECTION
~
INSPECTION RECORD
SITE ADDRESS ~ S '7 tJcr~l~cl. f?J.
NATURE OF WORK .AoU.'~
USE OF BUILDING SF'.r>
PERMIT NO. Of). QS!p1 DATE ISSUED Ct,.2G,..~ .
CONTRACTOR ~ '~7 . I ",ONI · Q.,\ $"':;. ') f~ - l/t/?-S;J?l."
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
;;~
FOUNDATION (Prior to Backfill) W(6' ~ !/;/t'/l>
PLAC~ NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
- 7/~/~
IC
FRAMING
INSULATION
ELECTRICAL
~
HEATING (if required)
E
~
C) /frl titJ ~/t
~ 1tJ,/~!f?b
~
/'J
b.. ~f
~J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
~.~~
tt ~.~ 00
, ,
HEATING
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 shalt be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
1)-:)-0)
J6Q5.1 &,fhw()l}r/ &I. (I-ure)
\... '
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
CONTR.
PERMIT NO.
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:
h"~- C) IL-
DATE
nME
(90 - S-~ 7
YEXlfiAA'-ILUNG
'[]'COill'tAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
l j
rV
'"
oIC(WORK SA TISFACTORYI PROCEED
o CORRECT ACT'ON AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
InSpectOr:#~ - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
ll:Z.P>' 00 3: Of')
ADDRESS
~5 / ~eltNOOD
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA liON
o FRAMING
o INSULA liON ~
XFINAL ~ptJ. 'fC:t/
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~vw, -'-~
On. 5107
I
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR 1ST
o
/ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE0"'!ALL FOR .u;INSPECTION BEFORE COVERING
Inspector: \.D..... ~ Owner/Contr:
CALL 447.9850 FOR THE NBXT INSPECnON 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!