HomeMy WebLinkAboutBuilding Permit 00-0668
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
1. DATE
:s - Z I - 00
..3~
3. LEGAL DESCRIPTION
"7
LJ J L"j taZA/fE<\. 4\
st:>
IU Ill) l=1'LJ../iE
ADDITION
~
,t1oN~,
LOT
BLOCK
PID dS - 318- tJ29- ()
5. ARCHITECT
(Address)
1)
(Name)
IF
6. BUILDER
(Name)
(Address)
SArr1~
7. TYPE OF WORK Fireplace LJ
New Construction LJ Alterations LJ
. Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft. ;)'7 I ,
Septic LJ
Addition LJ
Deck LJ
Finish Attic LJ
Re-roofing LJ Porch Cl(
Re-siding LJ Finish Basement LJ
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yas No
1. White ,."
2. Pink ~
3. Yello'f'" ,Applicant
?IUiV. 11 9~/I;I- ll~"l<
Permit No. .;,~~:t.z.: c... '='8
11. SIZE,
(Height) }.,''!/i~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PRQJECT COSTNALUE
J} ClOO,-
17. COMPLETION DATE
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
buildi al can revoke 's permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X .s-dJ./-~"
License No, Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDIN.rOW ~
TYPE OF CONSTRUCTION: I " III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 -, 11
Permit Fee ................................... $ "'l. 1~
Plan Check Fee ............................. $~
State Surcharge............................. $ ,-. 5D
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS LJ
SURVEY LJ
PLOT PLAN LJ
SETS
COPIES
Amount Brought Forward .. .. .. .. .. .. . ..... $
Park Support Fee ........................... $
SAC .. . .. .. .. .. .. .. .. . .. .. .. .. . .. .. .. . .. .. ... $
Collective Street Fee . .. . .. ... .. ... ... .. .... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn. .. .. .. .. .. .. .. .. . .. . .. .. . .. . .. .... $
City:
Sewer & Water Permit ...................... $
c,AvveJJ
~ L , Ob
Issued
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
" the ~ner COI1SliIuK. ~ ea_ of Zoning ~anca and allows consbudion '" COITlIll8IlCO. BefcrellCCl.pllncy,. CaI1IfIcalB
4 L~~ -~ 7- gl"~
ity Planner Date Special Conditions if any
24 hour notice for all inspections 447-9850
Th~ C~nlrr of lh~ Lak~ Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -2)lIOy\' l \-to-Off'0D..n
APPLICATION RECEIVED ~ an -\1\ \ ~ Ci1)O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'~C\6~ ll) \ \~~~~ TrGJl ~E
Denied
Date: ?-?I-~n
Accepted
Accepted With Corrections
Reviewed By
Comments:
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
l'
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
",~>:,:1.~? ','::1 'if
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -2)\ 10. 1\. , \-h.,J f fY\Ck {\
APPLICATION RECEIVED JDh, Om 1\'\ I J lJ(Sn
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\(O~3~ ll) \\~.A.~ Tr6_' 1 ~E.
Accepted V Accepted With Corrections
).
Denied
Rev!ewedBy: ~ ~~ Date: ?-2_f3:rt9C>. ,/'-(;))
\ " .! ,~/ V
Comments: \/ " -
~.~ ;'1'1( /'1' r<)t}ytAt4t-l,~~ I
,...
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 01" 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
-, ...'
PRIOR LAKE
"
..
INSPECTION RECORD
DEPARTMENT OF - ... .
BUILDING AND INSPECTION
SITE ADDRESS }L,q 3' Wt\~r-~ ~.
NATURE OF WORK ?otc..~ c:>>&t~ 6a&- ~,.. (~
USE OF BUILDING SFD. ---0
PERMIT NO. DO'" (p(pS DATE ISSUED ? - "'5'-~
CONTRACTOR ~rf~-' ..~ PHONe- {j~O--(AIl.(,,? 1
NOTE: THIS IS NOTA PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING ; 11i-f I ~ I f/f?'/t7a
IL ABOVE HAS B~EN SIGNED
ROUGH - INS
r-- f'
~
FRAMING
~
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
)
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 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
CITY OF PRIOR LAKE >> I......, /_ .
INSPECTION NOTICE SCHEDULED 7~ j(J:go
ADDRESS JIIJ '1 ~" tJ:LfJ~ TR.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00 - , ~ ?
o FOOTING @
o FOUNDATION
o FRAMING
o INSULATION
)I!; FINAL
o SITE INSPECTIO
COMMENTS: ~
\
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINA
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
:'::~CT~ ~OR REINS:::::FORE COVE~NG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl