The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 00-0501 DATE R!;QEIVED {,j/6/00 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White 2. Pink 3. Yellow File City Applicant Permit No. DO:ffio DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2.SlTfi:AODRI$$. 17/ S ( Jto fL., ~DN A 'fA:, L- 't-~')-~ ~0t-t-r~~~ (~"r:- 3. LEGAL DESCRIPTION LOT 3 BLOCK I rlOO()V(~W I!> f 4. OWNER (Name) ~~S-~. 5. ARCHITECT (Name) 1. DATE (O--/s--oo 12. /.>c{) BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES PID Z5::/t!J6I- 003-0 13. TYPE OF CONSTRUCTION ADDITION (Address) l~ 5u~~ (Address) Gt' (Tel. No.) q47-7~~<6 (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE ~t:. ~~ Co~~ (Address) L/~) G~~~~C,. (Tel. No.) 4'10'" ~ I e>~ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New Construction r:J Chimney r:J Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. Fireplace (] Alterations (] Septic (] Addition (] Deck (] Finish Attic (] Re-roofing (] Porch (] Re-sicling (] I FiP-ish ~.s seerment~ iL-O ~-\-h, SEATS 16. PROJECT COSTNALUE 9. PROPERTY DIMENSIONS Width Depth 1 D. CULVERT SIZE Yes No 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 bove mentioned property and that all construction will conform to all existing state 8lnd local laws and will proceed in accordance with submitted plans. I am aware that the bu go I 'aJ can~e th~e, Furthennore, I hereby agree that the city officlaJ or a designee may entar upon the proparty to pe(;', ~e1f"'~' SlQOature license No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS (] ENERGY DATA (] PILING LOGS (] PERCOLATION TESTS (] BUILDING DEPARTMENT VALUATION USE OF BUILDING /'Ge5 ~/~ , OFF STREET PARKING SPACES REO. SPACES ON PLAN ~ PERMIT VALUATION '2000. C)"l) I PLANS & SPECS (] SURVEY (] PLOT PLAN (] SETS COPIES 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 ................................... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ "z,. ~S Plan Check Fee ............................. $ - L.\J ~~ ~\~ Pressure Reducer .......................... $ Meter Horn... ............. .... ............... $ State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ 1.00 Mechanical Permit Fee ..................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $-fp 3.. Z5' Paid ,,~ . z6 Receipt No. .37 t1 ~ Issued I I ' Date (,IZ-I /00 BY.AA4 ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~ Ordin'an~e and may proceed a~his 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. Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This ~tion Becomes Your ~i1ding Permit When Appro~ed. By tor .: .::f'..fU,jfJ I- Date ~ I zo! b 0 Certificate of Occupancy City Planner Date Special Conditions if any 24 hour notice for all inspections (952) 447-9850 O~. OSO I Tht' Ct'ntt'r of tht' takt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED Cl45FJ IV' 0 V,L-, u 0 /-." rJ ro/ /~ J (/0 I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted 172.30 5()/V!2f}l/ / Accepted With Corrections K ell!- · Denied Reviewed By: Comments: 1(E"~O ~ -:f~ 1-' Date: h~,st\ &;/ UJ/ao H~~~4 CA..T Af'PfGoaJE:fj A:NO fLMlS, D~SE M..E'iV'T A.LL \t-\ ~ I ~Ft>(2..~Tl otJ ON THE 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 DO ~o~()1 The Center of the t.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATI10N DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / I / : . l:'.';' ! ,/ 'Ii I .' f! ,"- If /. ( .' '''-' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;- / t~..,".. ......r.~. f~ '-. l f \..-l .I I / " . '".,,' :' /~. . Accepted / Accepted With Corrections Denied Reviewed By: ~Q.~~ Date: ~(1) Comments: 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." P R I 0 R LA KE IDEPARTMENT OF . .BUILDING AND INSPECTION INSPECTION RECORD ''1 ( 5 \ 0\-\0 we-., ~ N ~....( &- SITE ADDRESS ~~.~ ~U-tJ~.' {'.~"c'~~ t NATURE OF WORK PA:r'TI AL -:F;I\S€l"eNT H~'~H (z.. ~o~) USE OF BUILDING RES~ A./Y2- PERMIT NO. ()()-- 0501 DATE ISSUED 10 I UJ 100 CONTRACTOR cJ6 ~~ c."s- A~UA ~f\J'!.7 · PW>~ ~ Lf 0 - 5/e.6 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS )~P, CAtJ 'Sf:: PON~ THE:' S~r= Tf I\\.E" t: 7/,?/dt> ?/,'( ~ 7/?b / 'I /3::r . ?/7/0-0 I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED BUILDING ECTRICAL FINALS (If) 7,'j).qJ V) EATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED 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 s~all.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 ~ 3:J) ADDRESS \ '11 (71 \~ ~ ()h Tr(U l CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION '\(if FINAL A /rr SITE INSPECTION o PLUMBINGi RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ()T~I -(-...'-.......() I o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~\ f\ n f fl ( _ ~.It LI \( _IJ ;tUA ~ I ~---- ~J . I I ~/11 X ~ ~ I "'Y II (", ~~~ -- -- ~- ~ ~ // /' / / ~~K SATIS , ~RECT AC o CORRECT WO ,."..- --- -:;;..---- /' EINSPECTIION BEFORE COVERING Inspector: Owner/Contr: CA~ 447-9850 FOR TH~ NEXT INSPE.CTION 24 HOURS IN ADVANCE. CdoE REQUL/EMENTS RE FOR YOuJ,r PERSONAL HEALTH & SAFETY! INSNOTI ~