HomeMy WebLinkAboutBuilding Permit 00-0322
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED ~Z~
~L;..A.- \t-
O
CONTR.
TIME
ADDRESS eft:; ~ Uu..
-' ,
OWNER
PHONE NO.
PERMIT NO.
(PO ,. 03:t."J-
o FOOTING
o FOUNDATION
o FRAMING
D~ULATION
A FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREVfjK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
CALL 44 -98~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
/NSNOTl
00 -Q3Z2-
The Center of the- Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C~hfl r-l c ~ (( f\1)c.A) NrJ'r+lTYl
APPLICATION RECEIVED tJ\Ov'1.O? l"cl d<J7rQ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4'05,3 H7!mmiC'Jb'rrF I rY.u I
Accepted
Accepted With Corrections
\/
Denied ~ /J/J (I
Reviewed By:(k.(/ ~/2--
--L- /'
Date:
~ - ~ --2Po:::--'
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."
00..0322-
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
.~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANT C~rt~~. (ChUti~'~~
APPLICATION RECEIVED Mt\.\.J.Q nd @(J a.o
- I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4000 Hf)mm;~ird~;1
Accepted V Accepted With Corrections
Denied
,
Reviewed BY:~U.~
Date: ,-S-. 8-~
Comments:
~ 6sw- ~/~ M.J-f'IILtr9n.
~ ~ ~..~. ~ ~~/(~ej)~
C;:'~~N~ ~JI,~ \~~r- ~~al ' ." ., . .
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"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 notbevalid."
QATE RI;CEIVEQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
2 2.(D) ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
6'~&C/Ii~am70UcA' 2..><Ti1ti:;~$ IZ.~~ ?8,w~~?'.f${':~
Ch ~"k 611) f2 TP}oJ /?; g .:fvo;t/.. IJR ~kA (i; t!f::.2 9112 )
7. ~.\llIOAt( Fireplace 0 Septic 0 DeclQl... Re-roofing 0 ...... v,v'lI"\(.
New Construction 0 Alterations 0 Additio~ Finish Attic 0 Re-siding 0 Finish Basement 0
ChimneyO Misc. ~ S~A.s,o).J f/tJlE!c-I-I ClI- D€'L;.I( W,7-/.. 5TL.~.s
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished 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 loeallaws and will proceed in accordance with submitted plans. I am aware that the
:'Id'09""",, "7~~~'~m I h,reby .g- ""fu, "-;;0 ti.{i?':'""'POO '" p"",", 10 po,,""__
FOR ADMINISTRATIVE USE
MAY
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
;.;88U);:::;::"8;;
3. LEGAL DESCRIPTION
LI!J T 3 BLOCK c::t-..
ADDITION X J~fJ t$ LiLlI S f( ()
~rh~s iPkJ./+JfilAl f;&~~Ai
5. ARCHITECT (Name) (Address)
LOT
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
1. White
2. Pink
3. Yellow
PermitNo.~-Q ,
- /
//1/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H6't) ~y (~Z~ 17 "
12. NO. OF STORIES
J
13. W lITON,;rE,CTION
'J J (Tel. No.)t.3J- tPJ.'" 14. FLOOR AREA APPOjlJlONMENT YSE
~3nlJry1/f1JIM.I3Je.f) 19;1 ttJ f'~~CI-f
~p. .ttJ [)'CIC
. U)"''TE
~-;z- t!JO
-7?
PID '25- !4{3- 0 d J-b
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Side
USE OF BUILD~ -.
1+/ fL
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $~B . Z I
Paid /~~ 374-1.3
Date .5'//0 /Ifl} By _
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin! Ordinlnce and may proce as requested. This document when
signed by the . Planner constitutes a temporary Certi~e of Zoning compliance and allows construction to commence. Before occupancy, ace. rtif' ate of ~upan5>' must be ~ued.
::>~tb.oI>O ~W_ <;~..u lt~ ~~_.
City Planner Date Special Conditions n any
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 ................................... $
" ? . '25
7?9l.
~ .00
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
:(f'6s reo iff;)' 7~~.~..~~~.:~~;I~i~~.~.e:it ~ ~r~ed.
By t7 Date ~ ~~.. {.~O
. . -
Certifieate of Occupancy
Issued
(pt:d).oC::J
SURVEY
PLOT PLAN
o COPIES
o
City:
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 ........................... $
24 hour notice for all inspections 447-9850
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ UUIMUAi~bl'tcO
NATURE OF WORK ~~.&- ~c;.~C:
USE OF BUILDING SoFt;)
PERMIT NO. -LJ 0-032? DATE ISSUED 5=-S--200c> .
CONTRACTOR ~o,,~ / S~et",- 7D()cH
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
J}oo~ I I?:t/ 51/fp/oo I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
FRAMING
INSULATION
ELECTRICAL
&f+,
h-
2ht//?/b
I ~.?# cr1J
) ,)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
C-
OO NOT OCCUpy UNTIL ABOVE HAS
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 placad near main entrance.
.1
I
BEEN SIGNED
-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
C{q -(J I~) L(
~.""mm.. ..'''~.~==~~~ ':~N~""~-'" .. ., '~ORWAY '''H~MES '" . ...".. ..'
~ IJ/1If ROBE PLANNERS and LAND SURVEYORS PROJECT NO. 8905.00
~NGINEEAING BOOK 2$t?
COMPANY, INC. PAGE '64
1000 EAST 1"6th SlHEET, BURNSVlUE. MINNESOTA 55337 1;1
CERTIFICATE OF SURVEY
Legal Description: LOT 3. BLOCK 2. KNOB HILL 3RD ADDITION
SCOTT COUNTY. MINNESOTA.
G.l"G il DENOTES EXISTING ELEVATION
&~ 3, t5) DENOTES PROPOSED ELEVATION
-c INDICATES DIRECTION OF SURFACE DRAINAGE
:.o1h4, t7 = FINISHED GARAGE FLOOR ELEVATION
1!7~, (;70 = BASEMENT FLOOR ELEVATION
&11,4-. ';0 ~ TOP OF FOUNDATION ELEVATION
"/VoTe: ;110 S/q,A.//rIC,1A1TIi4c> t',u w~ t:.d T
APPROVED
ENG\NEER\NG DEPT
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APPROVED
PLANNING OEPT I~~ ,r) ')0.
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Signed ~ ~ . Date. , ,
lake does not guarantee the
City of PrIor this document. All
accuca~Y ~.... be verified in the field.
dimeOSlons IIIU~
DRAINAGE AND
UTIUlY EASEMENT
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I hereby certify that this is a true and carrect. representation of a tract as shown and described
hereon. As prepdl'"ed by me this Z31!1J day of T/2v~ . I 191f.
/fNv;<1.pllP t. (fk..-wR,,- 'viinn. Reg. No.I,/Og6