HomeMy WebLinkAboutBuilding Permit 00-0586
,- \ ~~~~ v\1[ ~ -~ITY OF PRIOR LAKE
:! [1 ~~~.:::l-:'~' _l2.='__'-_J__~ . r 'BUILDING PERMIT,
n II I..~IF'ORARY CERTIFICATE OF
""" ~ '4 I. .tONING COMPLIANCE
___~~."~__ AND l!"LITY CONNECTION PERMIT
I
!
DIRECTIONS
SPACES NUMBERED 1 T~HU 'i ~UST BE FILLED ih
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE AD59s 4 0 Or, 0 \ e.. ~) (A u:...
3. LEGAL DESCRIPTION
'1 BLOCK :J PID 6)5.. 3\ b- ()cQd-o
~OJ. N:U N?A.l Qt,d.a;- "'srd ~
4. ~R (N1aT. e) . r 1 _ 0 (Address) (Tel. No.) 3
\nWY\aS~He.a._TY\~r I'O~ 44,-(0 ~q
5. ARCHITECT (Name) (Address) (Tel. No.)
1. DATE
rrp/ID/OD
frior ~ 553-'~
(Tel. No.)
L\41-lP ~~3
2>lo~- Ja~4(WA
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
11. PROJECT COSTNALUE
0{1.30D
17. COMPLEJlON OATf
Of/3D/DO
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 O~~fa:t ~erebY agree that the city official or a designee may enter upon the property to perfo~7t~ i7~oons.
Signature License No. DlIJ,
LOT
ADDITION
6. BUILDER
(Name)
(Address)
\ V\1)VV\ d5
({o5COe.."
1. TYPE OF WORK Fireplace LJ
New Construction LJ Alterations LJ
Chimney q Misc.
8. PROPE!\TY AREA OR ACRES
Sq. Ft.
Dec~
Finish Attic LJ
Septic LJ
Addition LJ
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
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.............................. $
Paid / ()3. 7 I Receipt
Date 1-/3-00
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may p~ s requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Front
Back
Side
BUILDING DEPARTMENT VALUATION .4. ~,.,
USE OF BUILDING --.fl €c:;. f \ f'-<-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2~o
.
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.. ................................. $
City:
Plan Check Fee ............................. $
~.l. . ? c..:-
l#~
! · o.cJ
State Surcharge ............................. $
Penalty....................................... $
1 - M1/~
:?;/Ol
1-Iv
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
City Planner
Date
24 hour notice for all inspections (952) 447-9850
Special Conditions if any
Side
1. White File
2. Pink City
3. Yellow J~plicant
Permit No. JJJ:Jio5%
BUILDING INFOflMATION
11. SIZE OF STRUClUAt:
(Height) (Widll) (Depth)
12. NO. OF STOFWf
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ
PLANS & SPECS LJ
SURVEY LJ
PERCOLATION TESTS IJ
SETS
COPIES
PLOT PLAN
LJ
"-"'1' ,~'h
-- ~,' to.... .~. -- .."...~.~
White . Building
Canary - Engineering
Pink' . Planning
. The Center of the Lake Country
,ti4!~)*~tlRI.ti!~1t~I.::t~"
BUILDING PERMIT APP~TION DEfARTI\ENTCtlECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\ ht'~n ~ ~. \.\lQ. ~
~ \0) ~
2osr~~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5Q40 Ori 0..1..; ~af~
Reviewed By:
Accepted With Corrections
~/Y
Date:
Accepted
Denied
Comments:
4J
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."
00.05'bfR
Th~ C~nl~r of lh~ L.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
8UlLDING PERMIT APPLICATION DE.eARTM t: NT CHECKLIST
NAME OF APPLICANT \ \'lC)~f1~ ~ \-\~~ ~~
APPLICATION RECEIVED c..lU1.u-.. \ () \ QJJu 0
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5<\40 Ori olt-, ~
Accepted
Accepted With Corrections
L
Denied
jZ-
Date: -, - 1'2... ~C>
C~ts:
- ~- tkt:. ~. ~
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
/'
- ...
'<.f
PRIOR LAKE
INSPECTION
RECORD
~l.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5~ . Otb\R
TYPE Q.F WORK ~~
USE OF BUILDING SFD
PERMIT NO. /J (JO. 058&
BUILDER ~~c Q<-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED 7-1'2 -_Zo~
~ INSPECTOR , pATE
FOOTING . f();r ( . 0/1 /~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
FINAL m 0 ( 0'-( -or
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10-(
4 .'uo
ADDRESS
~q40 Orl()/~ PI
OWNER
CONTR.
PHONE NO.
PERMIT NO.
06- s-fG
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~ fl_ J
.. FINAL ....- 1A't1(
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/1r
~J
(~{o><-
qzl
r I LA...
'WORK SA TlSFACTORY~ PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT01lWORK CALL FOR REINSPECTION BEFORE COVERING
-ID,1-oL-
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIG1IOTI