HomeMy WebLinkAboutBuilding Permit #00-0325
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
1. White File
2. Pink City
3. Yell~~PPlicant .
Permit No. a6' ~3
I I
BUILDI~FOR:::ON
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
MAY 8 2000
1. DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
5'~'3-6D
2. SITE ADDRESS
7/ H ~
3. LE~AL DE~IPTION~
LOT J 0 BLOCK ~
ADDITION -Wo l"'\ct .\ ~.# E.~ \ (~
, 4. OWNER (Name)
'J"l m Llnvq
5. ARCHITECT (Name) ,
12. NO. OF STORIES
PI.D ~~-~q4- 0/6-6
<9J~1 A-tt)N
13. TYPt)eC~N~CTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
~'I (/ -- 30;){)
(Tel. No.)
(Address)
/7/rJ / IInl' J~ t":'N'1
(Address)
(Tel. No.)
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
6. BUILDER
l\.
II
t \
SEATS
16. PROJECT COSTNALUE
Deck)(
Finish Attic 0
Re-roofing 0 Porch 0
Re-sidling 0 Finish Basement 0
Septic 0
Addition 0
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace 0
Alterations 0
17. COMPLETION DATE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Y,es No
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
bUilding;Pffi ial can revoke t~is p~"DitJ,or just ca~e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed insp~tions.
X ~~/1 IT ~,.f/ S.J~
, Signature r License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDINl3n - A1.
t(J0~ f< ~
SURVEY
PLOT PLAN
o COPIES
o
SPACES ON PLAN
PERMIT VALUATION
~ Zat) tJ, [)?J
TYPE OF CONSTRUCTION: I II III IV (Sj)
Occupancy Group A B E F HIM €) S U
Division 1 2 (!) 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. . .. . .. .. .. .. .. . .. .. .. . .. . .. .. . .. .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
t,Z.2S
L./(J. '16
I . eo
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
Gas Fireplace Permit ....................... $ Water Tap ................................... $
This Awication peco3~r Building permit'S-leJoved. Builder's Deposit ............................ $
By ..{;JL" ~ ,.,. J Iw Date ( (J 0 Other ......................................... $
eert_te of Occupancy Pa" TIm) "':;'1"" ........ ~~~~~;~o$if~.gJ
Issued Date ~ ~ By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce and may proceed a r uested. This document when
sig the C~ Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate 0 cupancy must be issued.
,-<,""S.;a:> ~ ~~MJ" ~~-'~e~'~ ~~~,.oI\'~~ U4bt-LR:,c--.~
Date Special Conditions if any ()I\ ~ ~~ ~ · I
24 hour notice for all inspections 447-9850
OC-O?J2-S
Tht Ctnttr of tht Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ji fY\ - ChJ-d.
APPLICATION RECEIVED '" o..J.f 0 3 ) 8 0 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\,r \ )( \-,-1) (' \ LQY"\ ~ 1 ra.j .
Accepted
Accepted With Corrections
~
Denied
LIJPVa..~(,lj~
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~ect(.... *' A-rJ D -~ AJ.J" A ~ L
~ I\J rife ,4y:Jp IUJ tJ et:J I' /ct..A.-S
Date:
S/rJ/OtJ
, ,
Reviewed By:
Comments: ~~
Tift?
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
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D [ '-Qj)U('?3 2 r;
The ('enter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~-r, (y\ ' C.,.} (l
I
rJ\(J_\J t,)3) aooo
I
APPLICATION RECEIVED
~ The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\~ \ ~
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: t ."
; ...~...'
\ z:...CYf\
\
, "...... ~ :
I' c1. '\
.~~'
Accepted
Accepted With Corrections ,/'
Denied
Reviewed BY:~~
Date: s-- ~-~
Comments:
~~ &.---~'-'< Pev--rl.4.Ll 1<;:' <:;#~'t, <iD ~
~~ Odlt f~ ~ ~~ ,/<)ft~~
. ~(.,\M.t 1 \ e.c ~ t.~.P'{ "'" A.v1Nl,; 't ~ Lu~~ 8V\ .
A~~./~ 4lAoU lA>6IP ~~k pr~
UW. ~1Pcv\~1 ~..~.~ ~vt<Pr~r') I~\
rev ~\~ \0 v.w~~ lO~ ~ ~"<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
//~"
..,....._.J. -....~,A...,
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /7/ r / Hat2-/2.0N Yll-At '-
TYPE OF WORK IV 5 W J:) e--cJ::-
USE OF BUILDING Re::. ~~ ,~l'
PERMIT NO. 00 -0325 DATE ISSUED 518/~tJ
- , .
BUILDER ~/~ LIC)l.fti
NOTE: THIS IS NOT A PEJ(MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC MENT
FOOTING INS R ~~ II
PLACE NO CONCRETE UNTIL ABOV I\AS BEE:~~~D
\J
/"7
FINAL ~. PI 2,,2/~
)
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DEPARTMENT OF
BUILDING AND INSPECTION
..:.' ~.-r,""~:"",,".~""'''''-7'''.'''
\
I
,
\
\
DATE TIME
SCHEDULED '6/~aJr; A r
H-a!' ., 7" r1'<'\ T ro.l \
(1,/r"JA.U':;&.~ ()4; ~
,q 1\ -~ _. (- '- I I
Uo {~ 6~'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS \ '1 \ ~ ,
CONTR.
OWNER
PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @
SULA TION
INAL bE~
~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~~
oo~ O~~S-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
xiWORK SATISFACTORY, PROCEED
I~ CORRECT ACTION AND PROCEED
o CORRECT WO~L FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ I Qwner/Contr:
/
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE' FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI