HomeMy WebLinkAboutBldg Permit 00-0819
DATE R~
f; . 7 . 00
97-(,/B
CITY OF PRIOR LAKE
BUILDING PERMIT,
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
l&1egZ
3. LEGAL DESCRIPTION
4-
LOT
BLOCK
~
I
ADDITION
4. OWNER
5. ARCHITECT
^. (Na~~)\
J.JC{ VI ,<-
(Name)
;\to R Il2
6. BUILDER
(Name)
/ . '
~~...:.I, v l. J/cJ'v1
-Jh" .';t Vt
#1 u...-O W rI 00 0
1. DATE
6 1m / trJ
12/
/ PID 2.5-32(,- 004-0
PON06 3R..n
(Address) . . (Tel. ~CJ) I
IbtJ2 ~; 'I~~v"'c~(r Sw '1 Vo ~~7() I
(Address) ( ) (Tel. No.)
W 9S~ 1Z-/.8S3'1
(Address) (Tel. No.)
~'d.ylC\ .
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Septic 0 Deck)l7 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
E)('gJN~ Frqs
9. PROPERTY DIMENSIO~S 10. CULVERT SIZE
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Width
Depth
Yes
No
/
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
OO-{)Slq
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
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
~Uilding ~r'J~e~ermit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perfoZ!~7:Zpections.
Signature License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
e.Es 1bz-
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................................... $,
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2~ C
City:
<..:::>,? ~
40, tiC-
'.00'
~11'OO
q.
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
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 .............................. $ /03.7 /
Paid /0.3.7 / ReceiPlW9-3a4-Z0
- ./
Date f(./3. oc) 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 procee 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.
Issued
City Planner
Date
24 hour notice for all inspections (952) 447-9850
Special Conditions IT any
OO.05lQ
The Cenler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M O~I I r J DA N
t
e-/" ()O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/b03Z
W, L.-L ON WOOD
Reviewed By:
Date:
CJ-12-;?ooci>
Comments:
"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
SITE ADDRESS I~()Q W,.\tct..~~c)~
TYPE OF WORK Dr."-
USE OF BUILDING SFf')
PERMIT NO. o().osA
BUILDER ~\'.d MAJ.?
~ -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED t:j'-l~ - 200
, ,
P'0"01iNG cxlsh"~ I b. I 1/lif/tnJ
PLACE NO CON&RETE UNTIL ABOVE HAS BEEN'SIGNED
J~ I I
INSPECTOR
DATE
t FINAL.
./J
I/VVI
,
\l--/1'iAJ
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I
.0X'"?"2
l{;,/IUvt-vvvd L ,v'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 0 f[
po1=lNAL ~t./
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
1/-(s'U
00- y! q
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: ______
~
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I / I () c...1'
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-----
-------
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/
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----
r I
j-r (b
/~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO" ;.A~ REINSPECTION BEFORE COVERING
Inspector: 1/ JI r--- Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!