HomeMy WebLinkAboutBuilding Permit 00-0614
~~f~ D ~/A H~CE/'VED~ C~~ci.:~I~:R~~:'E
.. ( U U TEMPORARY CERTIFICATE OF
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 D
) (., z''t~ tJO~)\)v..oOcO ~ . N.w.
1. DATE
3. LEGAL DESCRIPTION
7-s -00
P~IOJC. L~kc,/ MN.
PID ~~- \~l- O~
~'1 BLOCK
ADDITION )J()RI'W~
4. OWNER ,.(tJame) n 10 t ((Address) (Tel. No.)
,\}t~~ i:-~A~MzA ~ A-~ ..~c-'" 4 9S2 -Lf<.40-S70B
5t~~ACr:~q~ ~~~+i LkV1... qsX:'1:IJ-~9s-
6. BUILDER (Name) (Address) (Tel. No.)
LOT
~F
7. TYPE OF WORK Fireplace 0 Sept.ic 0 Dec~
New Construction 0 (;) Alterations 0 AdditionJi ,,~iSh Attic 0
Chimney 0 Misc. be ~"... ~~Cl_ ~ r...t:-
8. PROPERTY AREA OR ACRES 9. PROPafry' DIMENSIONS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
10. CULVERT SIZE
Sq.Ft.
Width
YI3S
No
Depth
1. White
2. Pink
3. Yellow
File
Gty
Applicant
Permit No.
00.0& {If-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
~, gw$) t~th)
12. NO. OF STORIES
,-
~;~O~7lfec~
14. FLOOR AREA APPORTIONMENT USE
f't.W' ,;.y N ir' lth.J t"\ .J..
W-L..-J-..u f /'J'Y 1Am'D"/
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS -A-
SEATS -Ii)-
1YFJJC>>6~ALUE
17. COMPLETION DATE
I hereby certify that I have furnished info ation 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 prope a d II construction will conform to all existin tate and local laws and will proceed in accordance with submitted plans. I am aware that the
:lding officia~.e I . ~r i/l:z.useI7.iV. here yaqre 1 al!he city official ora designee may enter upon Ihe property to pertO"" <7h~~ons.
:%/~C/~ S~ License No. I
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~. 00
USEOFBUILDIN~~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
7~
'f!J.~'
!.~6
Amount Brought Forward .. .. . .. . .. .. .. .... $
Park Support Fee ........................... $
SAC .. . .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
R S U
City:
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
i ill~jJ
r.~OO
l' ,
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter................................. i
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ...................... ~..... $
Other......................................... $
Total Due .............................. $ 124. M
Paid tz-4-. ~ ~ Receipt No. 3 Yl)U (p
Issued ~ ' I!:::.
Date 1-=-J!I- (IV' By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed 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.
24 hour notice for all inspections (952) 447-9850
Special Conditions if any
City Planner
Date
)0 · 0 ~ I tr
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ne.aj~ c..O"".c\\~('_f)
APPLICATION RECEIVED . J \) 'I \ \ ) Q () n n
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I C:>Q1j~1) N oY+h WtrrXi t6J CAOI N IIJ
Accepted
Accepted With Corrections X
Denied /~fJ (;) I
Reviewed By~ (L)J"" )\
Comments:
Date: I ~I 1-2000
,. 1?e.9\M:.e.~\- ~~ ~~ .t..k-e ~M~ ~ ~ +-L...._
j,Lv Sa.-e. k>>,.\.'bv\. ~s .f.t.e ~,'d 'd- peel"
,
I~
2. ?~ ~ ~k \AtA.M.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."
OJ'O~ l tP
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT N E'>.cd ~ f"- C l \ .'- (_ n
APPLICATION RECEIVED . II \) \ Y \ \ \ ;) () 0 ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j i~J -, f ^ 'IN
,,~. ,.-. I' . (' ,I " I
:. i( _ J,-, c. l..... C .
/
'{- h
ACC~ _ _ Accepted With Corrections
Denied /()
Reviewed By: (j~ ·
Date:
Comments:
liThe issuance or granting of a permit lOr 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."
./'
,- .
.. ~.'
PRIOR LAKE
INSPECTION
RECORD
~
I<'~ ?e' ~\'-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS j1aL)C\ ~Ot"^woo&
TYPE OF WORK i(p ~lQ.~ ex,-c,~:~
USE OF BUILDING SFD ,.)
PERMIT NO. 00. 010/4- DATE ISSUED 1-1'1-~d
BUILDER (\At\\~h. -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN.fPECTOR DATE
FOOTING ~ 7/ %1 tf1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
FINAL
. .
~d-~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
/I
Ijrx,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \ <<0 Z. 45 rJ 0 .,...~ lMX:d fd
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 Pl.UMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~D WATERHOOKUP
o INSULATION 0 SEWER HOOKUP
;, FINAL d..e... . 0 PLUMBING FINAL
/[j SITE INSPECTIO 0 MECH FINAL
COMMENTS:
DATE TIME
,
~z.~ ~ \0".30
"
0- "/4
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~tr
c(fC:-~s.~ .... ~
J1 -
,/
-~
~ORK SATISFACTORY, PROCE:ED
/ 0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!