HomeMy WebLinkAboutBuilding Permit #00-0329
QAIf RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
MAY ~ am
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
,..~~ _.TJf~ St~
3. LEGAL DESCRIPTION
LOT '1- D BLOCK L
ADDITION .M. '\ -\r _ t'1. t \ \ ? 0 vVlL
1. DATE
s#( Ux)O
PID ~ 5' -155- OOS- 0
4. ~ . &ame)
~t^;\l- O~ --t,~
5. ARCHITECT (Name)
~~ t..A t
(Tel. No,)
fS'L-~t/7-51o IY-
(Tel. No.)
(Address) l. \
f5IS~ ~-(.. .:>~-
~~~ress)
(Address)
(Tel. No.)
6. BUILDER
(Name)
>~~
7.W...W$RK
N.~Uon~
Chimney 0 Misc.
a,,--~ ~b (S\.l L
DeCI()l
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
9. PROPERTY DIMENSIONS
Width 1.5"2.::J::. Depth 7 '5 +
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00-03ZQ
.,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(l1eight~ I (Width). I'
(, -n JI-f
12. NO. OF STORIES
I
13. TYPE OF CON ST. RUClJON
N -u-) tJt)CXJI..
14. FLOOR AREA APPORTIONMENT ,~SE
/1 )(/1 = /1b Sl ff.
~D:fh) ,
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
ation 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
I construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe needed 'nspections.
z.eao
License No.
t
SETBACKS: Required-
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~J d () ()
USE OF BUILDING
(8
.Ay' ~
TYPE OF CONSTRUCTION: I II III IV 0
Occupancy Group A B E F HIM (61 S U
Division 1 2 (!) 4
Permit Fee ................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Plan Check Fee ............................. $
1o'l,15
i/O.~'
, /,()O
Amount Brought Forward . ... .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC .. . .. . .. .. .. .. .. . .. .. . . .. . .. .. .. .. . .. .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ /0.3. '7 I
Paid / ()3. "7 I ' 74/ it--
DateS- h ~ 4rv By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin!nce and may procee s requested. This document when
~ilYfla.n nnn4e~ constitutes a temporary Certificate of Zoning compliance ~~ction to comme~ce. ~~ OC~~icate of Occupancy must be issued.
~ -.;t.~... N~"SD ~. ·
City Planner - 'Dale - - Special Conditions if any
Mechanical Permit Fee ..................... $
~J
1'\
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~iO~~m~04r Building Permit S~PJoved.
By ~.4iJl1- Date "/'IJ 0
, ,
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
.......
,-
The eenler of Ihe L.ke Counlry
()6~()3ztt
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT :: ("~ Bai.es
APPLICATION RECEIVED ~CA.\f () ~ <3 0 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5\5:5 \-\.~ ~+~\
Accepted V Accepted With Corrections
Denied
Reviewed By: ~jl.~ Date: f). ~-&:;>
Comments:
~ _~ ~ t'f- ~~vMou 1 IS ~~ .10 /5Mvtetr
CJ- .. I'f\~~ ~~ ~(JI"1I4 h~2 p~ {.VIer 10
I ~s uAMLE-..
'"
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 Gancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid.1I
~
W~i~ ~~~
Canary - Engineering
Pink - Planning
Tht' Ct'nlt'r of Iht' Lakt' Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -::1CLr\ ~ ~n\l i ~ ~
- I -
APPLICATION RECEIVED M~'1 (\ L, ) a 000
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5\5~
~~ ~ \~e.;\-
/'
Accepted With Corrections
Accepted
Denied
Reviewed By:
Comments: f'e:7'tC
~
r
i~p
INr:olL ~T7t),J
Dale: 5/?~O
, ,
[J)ec,/(.. I/~Nf) "'~I AIIP AL'-.
()AJ THE APf'~tJetJ FA4N.s
TNG
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
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 5153 !-loPE sr-ICEl:~-'1
TYPE OF WORK NcIAJ I </ 'X/'l' J)EeK-
USE OF BUILDING ~cs, A/I(
PERMIT NO. 60 - 03Zq DATE ISSUED 5/ J'I () 0
BUILDER ~/2A.N/<' ZOVt. 6~' '
I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS' BELOW
THE PERMIT IS BY SEPARATE DO MENT
FOOTING _ IN~ T R r;,' itJ'iOe
~E NO CONCRETE UNTIL AB01HAS BEEN S\,IGNED '
(f' 1-'\ /
FINAL '0/ 10 ,UJ W .
Call between 8:00 and 9:00 A.M. for ~II inspections
FOR ALL INSPECTIONS 47-9850 \
DEPARTMENT OF
BUILDING AND INSPECTION
Io~ TIME
CITY OF PRIOR LAKE 4r
INSPECTION NOTICE SCHEDULED
ADDRESS 5/53 ~ope S,
.
OWNER CONTR.
PHONE NO. PERMIT NO. 0-3~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: duJ<- ~
~0lrA
~---- ---
/~ ~ICL ~\'"
~\ ~)
V-----.------- __.._~
r-=. I~ +~0
'" \c //)
',,--~ -~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
lJ SITE INSPECTION
-.OOb
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C"LL 447-985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~E REQUIJMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V INSNOTI