HomeMy WebLinkAboutBuilding Permit 00-0378
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Q4TC RC(";CI\fC.o.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
roNt"'\~ 2WJ
Permit No. f1() - () 3 7 'i(
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUEO (Please Print or Type and sign at bottom)
12.SITEADDRESS53foO BOUN71! 5T. 5E
3. LEGAL DESCRIPTION
't/J~~
RI
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigtlt) (Width) (Depth)
12. NO. OF STORIES
LOT
7 BLOCK .3
13;eoo;c-SVILU-:... H/LL5
PID 25-1f37-/)3~-O
t?/H
13. TYPE OF CONSTRUCTION
ADDITION
14. OWNER
Qau;J t
15. ARCHITECT
6. BUILDER
(Name)
RO"Q
(Name)
1-1 UP}. ~
(Address)
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address) ~ \
[MVIO (N
(Address) ~ '"
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
\)a VtJ " 1\0''''\ t-{u<!.("-.
7. TYPE OF WORK Fireplace (J Septic (] Deck (] Re-roofing (J Porch 0
New Construction 0 Alterations a AddItion" Finish Attic 0 Re-sldlng (J Finish Basement ('J
Chlmn.y" Misc. h-"lR'AG6 (A~tfeD)
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. WIdth Depth Yes No
I hereby certify that I have furnished infonnation 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 submlned plans. I am aware that the
:Uilding offle1;:.n revo'J;f~or just cause. Furthermore, I hereby agree that the city offlclal or a designee may enter upon the property to perfol;?~ ~r~
~ Signa~ -- License No. ---... - Date r
SEATS
18. PROJECT COSTNALUE
17. COMPLETION OATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Fron'
....
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS " ENERGY DATA "
PILING LOGS " PERCOLATION TESTS "
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
R.F:S AI/<:
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION J.IJ ()'O. CJf';
PLANS & SPECS LI
SURVEY "
PLOT PLAN LI
SETS
COPIES
TYPE OF CONSTIlUCTION: I II III IV (SJ
OccupancyGroup A B E F HIM R S (I)
Divlsion" 2 3 4 d
P.rmit Fe. ................................... $ I". 7!3
Plan Check Fe. ............................. $---lJ ':J'.~
b.5fJ
City:
AmountBroughtForward .................. $
Park Support Fee ........................... $
SAC .........................................!I:
Collective Street Fee ........................It
Sewer Tap ................................... ~
.
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn ................................... .It
Water Meter ................................. CI:
Sewer & Water Connection Fee ........... ~
Sewer & Water Permn ...................... $
Issued
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ It
Other ......................................... $
TolalOu. ...p;q.................... $Q Of 3. lfC1
Paid .Q'i3. Receipt No. 7t.1t...O
Date .'=i It cv/~ By (
This is to certify that the request In the above application and ........._......<-..,109 documents Is In accordance with the City Zoning d-dlnance and may proceed
s~~ c;.='utes. lamporetyCertiflcate. of 205 CO"1>lianceSlows construction to commence~~!..eEL4>8ncy, a rtlflcate
_ ~ .&J~-QJ ,\.vJ..~~~ .
ity Planner' Date Speciel Conditions it 1.ny
:::a/Jf2,l.~:::;~I~~.;.:II~i~~
BY~ late - .
Certificate of OCCUpancy
24 hour notice for all inspecbons 447-9850
~~
DD 037C/
Th~ ('.,ntpr of lh.. L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Wt_",6.c\ ~ ~Ll ~~lLf)
APPLICATION RECEIVED f'J\fllj' I d +1) ) 8 rm--o
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
03'0 Arnrn~ 5,~j. SE.
Accepted
Accepted With Corrections
/'
Denied
,
Reviewed By: ~ -:{.~f-J Date: 5/(~/oo
Comments: /(e4::J:J ALL- r!f1Y Irl FT:J (J.ftI.A:r{~,J aN
At:,iJ/UV6b . PL~S.
, .
THG"
"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."
00-037 f(
Thr- Cr-nlu of Ih.. uk.. enunlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r}~,,j A ~ f~ n /1(1 ~~ (-' h II
APPLICATION RECEIVED f'J'\ (\..\' J I J. .. /) ,:::;.. n () ()
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5.
-7 {\ r . ,- , _
. ~'(') ;-'-,m! y] h.l1 . '1 J ,- ,..c-/- ~,{:;.
cJ
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: ~_ ~ Date: $-/~ o.9t..:)
....to..
Comments:
k~ ~~ Aw~ r~t'. <:.' ?- 'f (~ 2 '-/ r.
"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADI;>RESS 530:,0 eourJ/'f. 577cEE/
NATURE OF WORK /177AC/-IFT) 6)7;eAGE:::
USE OF BUILDING J;ZES H//2- /
PERMIT NO. on - () 37PJ i DATE ISSUED 5)9/00
CONTRACTQR H () F.H /IJ DA V / r) . /
NOTE: THIS IS NOT A PERMlf FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTO_R
DATE
I FOOTING V1;(vI" 1,'!:,(r1I";,
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.
~
~trldO'
1,2~~/o t/
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOT-ICE
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
-5J~ tJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
. 0 SITE INSPECTION
COMMENTS:
DATE nilE
SCHEDULED ~~
Avftk ~
CONTR. /
PERMIT NO. t:)() -p?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
&-:::JP
o Ell1GRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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/!.-/as-e /7 rto ~... /
~WORKSAT~OIl..PREl_""D --------../
/O\:ORRECT ACTION AND PROCEED
o CORRECT ~>~OR REINSPECTION BEFORE COVERING
Inspector. / ~_ Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH" SAFETY/
INSNOTl