HomeMy WebLinkAboutBldg Permit 00-0313
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
t:)(4/~ (1,rl~ ~1"!oB
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ(:;J - (' 1 ~
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
~ ~~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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COMMENTS:
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( I (I'l~O -UJ~'2 tt;
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)( WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRErzRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
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.CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
..
22000
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
QATF- RECEIVED
Permit No. f) ()~ " ~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
:'-.'. .. ....>.~('SUED (Please Print or Type and sign at bottom)
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
3. LEGAL DESCRIPTION
B
I
.PID ?5-Z-(4--{)~8-0
~. A tb~,,:~NDS/~%d~:;"
5. ARCHITECT (Name) (Address)
<:: /J ,IU' r
(Address)
LOT
BLOCK
13. TYPE OF CONSTRUCTION
(Tel. No.)
~~-/;/..p
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
_. .. ..... ......~r".
. . ?".,
(Name)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
S4~b
Fireplace 0
Alterations 0
Septic 0
Addition 0
Dec~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
-
. formation on this a #"~ which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
at all constructio ~nform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
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FOR ADMINISTRATIVE USE
x
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
SETBACKS: Required
Actual
USE OF BUILDING
,e.es /+/ ~
,
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
\'
PERMIT V ALUA TION IUtJO. (91) PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV &j)
Occupancy Group A B E F HIM (l) S U
Permit Fee ..........~~~~i~~..~...~..~.~... $ hZ, 2 S
Lf-tJ. 'iL
J, "0
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
State Surcharge............................. $
Sewer & Water Permit ...................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Gas Fireplace Permit ....................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ ,
Total Due .............................. $ { OS. 7 \
Paid 103. 'J \ Receipt No. '31. ~"'Z---
~ I'
. Date '7f ~ 100 BY/l6P (~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning O'rdinahce and may proceed ~uested. This document when
si th C' Planner constitutes a temporary Certi.',te of Zoning comPlia~=ow onstruction to commen . Before oc~"-.CCyy.. a a~ Certifi~~ must be issued.
_,c, -&~ .. . ~ <: · <lI.
City Planner Date peeial Conditions ~ any .
This ApPlf.ation ~ecome1JYp\lr j3~i1ding Permit When Apjlpved.
By ~ =r~ Date -5'l.S/()~
Certificate of Occupancy
24 hour notice for all inspections 447-9850
<~
White - Building
Canary - Engineering
Pink - Planning
00 - 3 (3
The Center of the Lake Country
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT :10 h n A~ Po, ~
APPLICATION RECEIVED tl\~1Ict ~ &tJO
<:::>17
The Building, Engineering, and Planning Departments have reviewed the builWermiL/ { ~
application for construction activity which is proposed at:
5f:fLf. (ft,da}fr!M~ Tfctj)
/
Accepted
Accepted With Corrections
Denied
Reviewed By: ~14~
Date: S-:~.~ t90
Comments:
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~~ ~.1IQv^~~ 14- tei=\ M.~~ ~~
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"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."
~ ...
00 -:3 {3
Th~ ('("nler of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Jr\ h n A_ P,^..o.r p Jc...
APPLICATION RECEIVED ~ ~ l\Cl) ,QJJ () 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
6 b LJ L C P ol..oA 11 1 x-meA "I rev I
Accepted
Accepted With Corrections
/
Denied
Reviewed By: ~ ~ Date: S-h/dtJ
Comments:;{J~ d, ",.Jz..., ~, JL.-az-J- cn-fL o.-d
~ ~-~~ ~
~
I
"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 5to if c:, (!E{)A-12- WlJqp 1/2-.
TYPE OF WORK Nc f.A.J Di:;t:..IL
USE OF BUILDING ;ee-~ A/IL
PERMIT NO. 00 -O'~13 . DATE ISSUED 5/S~()
BUILDER .:Toft,...; A, fJ~"?-6/L- '
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
FOOTING Ic-A. I 5/12/aa
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
. " .