HomeMy WebLinkAboutBuilding Permit #00-0075
DATE ~ECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
FEB 2 3 (Don
Permit No.
00-0075
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" L::'",O
b 7 7 ~ #A?1'~'/f'J'l~
1. DATE
~- 'K~_:f ,. t7f>
C/4?'~
cY. PUSp
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT I BLOCK
tlARJ30~
I
4-1"'"
12. NO. OF STORIES
PID
:;)~-2.3B- 001-Q
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
PA#P?
5. ARCHITECT
(Name)
/fA-9/"
(Name)
6.?H
/)~d~SS)
rrA-/f',~A"I/~e-~ c,rl
(Address)
(Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
~(7~-'IJ'~.
(Tel. No.)
6. BUILDER (Name) (Address)
:Pe::.o/~~e- t:4?~~j'~?%,~ .z-/C,
6Fp~ ~A-/ke~ "J"-/f'~/;' ~,,~
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0
New Construction 0 Alterations)( Addition 0 Finish Attic 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
I#'.~ _j? y;!.o.~~ ~;(
~.~a-1 ~g - /,,/~<<
. ~~,?"...,/d-. ,:r~(7F'
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 local laws and will proceed in accordance with submitted plans. I am aware that the
building official ca~ r~7~~rmore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X --;-r p:" , Rnp7- PPb"F '-~.I_ (7&/'
- ~ Signature -::J""A-Y J#A-~t?r . License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION .~. O~
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
,
USEOFBUILDING ~ AIR-
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . . . . . . . . . . . .. . . . .. . . . . . . .. . . .. . . . . . .. .. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 3 4
7'1. Ie;-
Permit Fee................................... $
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ....................................... $
f. ~O
, .L
~&~.' '~~~GO
'1 1./
J
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due.............................. $
Paid ? t, . z...S
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Date
Issued
By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin ce and may procee s requested. This document when
sign by the' nner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
~"m~er:>
IDS C
C anner ate peclal ondltlons if any
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
Tht ("tnttr of tht L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DECiJR-A JIl! 6 ~ONSI r<- ·
2/23/00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(p 550 J-/fi ef30R- V f 6w ~/!<. ~G6
Accepted Y-
Accepted With Corrections
De n i ed ........... /
Reviewed By: jO ~f\..
I'
Date: :2 -2 c{ - 20 DO
Comments:
_I. l)~ S~~ ~\er~ ~u& ou~
"2. Ac.c1!S4$ Ie:;. J:dt" S~~ ~
o
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
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
// E, ( C ;(.' /~ ~ I I V c
2-/~/ C/O
, I
, ,~_........._.. --/'-" -f'-.-/
i ( " ~
,. i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;---.- I \, ,."-. I
I ,. l' , I. /; l. . ,I. i f t/ I J- i,. \ ,r I j' I
" ___-" __...1 L,. .. I I ' f'...... . t..- . V , '. ./' . I
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~~
Comments:
Date:
i l-.
~_.r \....-.
~~ v~,vB)
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. II,
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS L,S-SO 1-10." ~\ll'~ Cr-
NATURE OF WORK AkicJ,~
USE OF BUILDING Sf}?
PERMIT NO. 00 ..ocn6 DATE ISSUED z.-2-c(-Zooo
CONTRACTOR ~(,rU-:t ll~'-U. ()~c.J\lZrt
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
(1 Jh /6rJ
j;Jl .
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
)
BUILDING
ELECTRICAL
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical ser\lice 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
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
...O)NSULATION A_
l2f"RNAL rr
o SITE INSPECTION
SCHEDULED
~2\
~
ro:b
-.
~550 Har-bf.lr Cr
CONTR.
PERMIT NO.
0-75
o PLUMBING RI
~ECH RI
~~ ~::: i i.;:~~~
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o CORRECT A
Inspector
CTION BEFORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\
COD REQUIREMENT. ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI