HomeMy WebLinkAboutBuilding Permit 00-0174
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5~~
DAT~ Rl=rEJYEQ.
.lS alll
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
/q.Ot;J3 BI!-l/5.t5I#€..O
3. LEGAL DESCRIPTION
1.CATE
3/2-5/00
tvC; el
.ne
LOT
ADDITION
(p
PID
2tJD
25-3<1-3- {)()(n-O
AVnM _
J
HIL.L
BLOCK
nAPL-E:
14. OWNER (Name)
\<':-,A,,>:o.. ~
15. ARCHITECT (N~e)
6. BUtLOER (Name)
(),~ c....
(Address)
~... ~~ ~u.
(Address)
(Address)
(Tel. No.)
J..\tf3 - 7'\ '2- <-
(Tel. No.)
7. lYPE OF WORK
New Construction 0
\\.O""V-''e.-~ ('0..,: \oJ, l-\<:.IM.e,\
Fireplace ~ Septic 0 Deck)(
Alterations 0 Addition 0 Finish Attit"O '
(Tel. No.)
~
D~\l.'e" ('o.,~6.~~~
~ ,,\.~
Re-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No. /)() -01]4-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certl 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 ntioned 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 . ial ca~ revF'is penr just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform 3ei~ ~S~i~.
I -----.) ~ License No. I [)Me; I ~
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
"oJ<
Side
Side
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USEOFBUILDING J6!': A/.i2.-..
OFF STREET PARKING PILING LOGS D PERCOLATION TESTS D
SPACES REO. PLANS & SPECS D SETS
SPACES ON PLAN SURVEY D COPIES
PERMIT VALUATION --3,,0tV'). ('t') /"", PLOT PLAN D
BUILDING DEPARTMENT VALUATION
lYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM R S U
Chi"
Division 1 2 3 4
Permit Fee ................................... $
7'/. ,c....-
'IA.59
I.~r)
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~
Sewer & Water Permit ...................... $
Gas Fireplace Pennit ....................... $
Th;s ~f f::mes YYi:B~ud;ng Perm;t When Approved.
By _ . .._ Date <-<I')-;>~
Certificate of Occup4-
Amount Brought Forward .................. 0;:
Park Support Fee ........................... 0;:
SAC .........................................0;:
Collective Street Fee ....................... $
Sewer Tap ...................................0;:
.
Pressure Reducer .......................... 0;:
Meter Horn ................................... $
Water Meter ................................. of.
Sewer & Water Connection Fee ........... 0;:
WaterTowerFee ........................... $
Water Tap ................................... cI::
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $-17---+. f?4::.-
Pa;d /74. e f- Rece;pt No. 31/;>><2>
Issued - - ..
Date ~/U7.J By ~
This is to certify that request in the above application and accompanying documents is in accordance with the City zoni' o~ance and may proceedL requested. This document when
Si~ t~ C!!f ner consmutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
.AA..t p~AtV'\ ~~t1, ~'1l?O
, - C Pi~l1ner Date Special Conditions if any
24 hour notice for all inspections 447.9850
~~.
6D -0114-
Thr ernlr. of thr L.k. ("ounlry
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
&e6GOe, J::'Rf?lIG
3/~BIo()
I
I
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-0 t,..:3 .6L- u eEl ,eo '"7K:..
N6
Accepted
Accepted With Corrections X
Comments:
Denied ) 1____
Reviewed By(J!j}fL..._ ~ -
-:t 7
eOool u...o. i:)or.~ 4~ ~ j-
Date: s-3D-7~
"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."
..l..~~X PR/Ocr" ...J
f::: ~
urn.. :_. '..
White - Building
Canary - Engineering
Pink - Planning
Thf' ("..nIO" of th..l.ak.. Country
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/:";:: . /_. "..- (. .
. ,./. 1/ ,-- i "I.' ~/
\.._ 1'-. ,-._ <./ '._ f::". f
3/'..;.> C.j'/"..
/_r_-, I". t.
I
/~^'r_/ 16
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i _<1/ / ';;;>
/~'(,.':(~0
/,7/ //'<:::///.. j
./ '_ L' '0/ ,. ,1-:--1..-/
7k
/vC
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ ~
Comments:
l~{~~~ ~ f}.p..-A. ~V\Mt""~
Date:
3-3DrCO
"The issuance or granting of a perllJIt 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."
L
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED 5-PJ-~f'k:9r5'
I FINAL
I JYt~/~
; , .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
/h,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I ~O("3
~h,v-A.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMINGw
\go INSULATIO to.
FINAL t"
SITE INSP C N
COMMENTS: ~Pl't
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAf,
_ IJ t.Le-
~j$
TIME
to:sn
0-1/4
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLiNE AIR TST
o
di6.
(~~
r-
~
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-- " ., ~~
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J
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I OWner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI