HomeMy WebLinkAboutBuilding Permit 99-0983
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
permitNo.~-qE13
,
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
2. SITE ADDRESS
tA2-V\
BW~tM~L
3. LEGAL DESCRIPTION
S'
I!J
(Depth)
12. NO. OF STORIES
7
t-hu.- ~lJ
fJ,A&;{ ~d~
PID 2.."')-3.~..()5D -0
LOT
. BLOCK
KNb-B
II J (Name) J /
iN 1/11 /JiA/tlDIJ 'f/:tJ.MA!!;
5. ARCHITECT (Name) Y
13. TYPE OF CONSTRUCTION
ADDITION
JJ _ . --L I (Tel. 110.) . JI/.:,...... 14. FLOOR AREA APPORTIONMENT USE
~fJ1'~,
(Tel. No.)
4. OWNER
(Address)
(Name)
(Address)
(Tel. No.)
6. BUILDER
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK ~10'\~ ~~ire~ce ~. i-- F..~~tf.9 Deck 0
New Construction 0 .fi;lterations ~ Addition ~ Fi~
Chimney 0 Misc. ,J,UI- --.B:MinO,J/tt., -S.
8, PROPERTY AREA OR ACRES 9. PROPERT-Y DIMENSIONS.
Sq. Ft. Width Depth
Re-roofing 0 Porch 0
Re-siding 0 Finis~semen~
Z4-~ ~
10. CULVERT SIZE
16. PROJ!~TNALUE
17. COMPLETI9N D."} A E
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I here certify th have " , ~ :. .:~... .~:: _., n this application which is to the best of my knowledge true and correct. I also certify that I an/the o-$ner or 'authorized agent for
the abov ention and t at all co ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I a1 i~re that the
:uilding offic n re ke this p if' cause. Furthermore. I hereby agree that the city official or a des~e4;enter upon the property to perform ~./qqtions.
- :.~t~ License No. ' ~e "
Yes
No
I J
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~....rv'\. <!)O
,
~6S 4/..e...
/
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
Division 1 2 3 4
7'l.7S-
Permit Fee ................................... $
Plan Check Fee ............................. $
l,SO
Slate Surcharge ............................. $
~~
Penalty......... ........ ...................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Plumbing Permit Fee ....................... !t,
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
GaS~ir a ep~, .~1fr.1f!.J..... $ 40.00
This cautl mes uilding perm'!!~rrl2.Pl!j~'
By 'h V. V Date
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $ ,
Total Due .............................. $ / /" ~
Paid / /, . l-- J Receipt No. .3'-z.- "" ,;--
Date .,. h- l,,//1I11J By
bove application and accompanying documents is in accordance with the City Zoning Ordinan~e 'n"may proceed equested. This document when
empqr certifi<g 'f fttir(~t4fPliance and allows construction to commence. Before occupancy, a Certfficate of Occupancy must be issued.
, ~ Special Conditions ff any
Issued
v
24 hour notice for all inspections 447-9850
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Thr ernlrr or Ihe L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APP~ICATION DEPARTM~NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Reviewed By:
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Accepted With Corrections
Accepted
Denied
Date:
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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."
Cf9 - ~83
Th~ Crntrr of the- Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tY/NOWOOO HOMES
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/422-Cf 8c-U60/~O
.
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Accepted
~
Accepted With Corrections
Denied
Reviewed By:
p.,~.
Date:
$~jy
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."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1'12 2.., -g{V~.~'t-~ 1t-.
NATURE OF WORK -,Ehu'c; ~ h..~; IV ~14A.- ~u-d
USE OF BUILDING St="D
PERMIT NO. 9!J- UJ? DATE ISSUED 9-/9
CONTRACTOR ~,~l. u~~tf& 1fw.-1-I.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
-THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
I
I I _ /
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI~~
ROUGH - INS .(l~
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850