HomeMy WebLinkAboutBldg Permit 00-0332
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
MAY 2-
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.~ ~
I.{bO'S Pc>r"-wo
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
o~, ;J(j332-
1.t)ATE
~- 1-00
BUILDIN FORMATION
11. SIZE OF ST CTURE
(Height) idth) (Depth)
12. NO. OF STORIES
LOT
ADDITION
blS- - '3 )1 - O\S-C
~V1
(Address)
L/ OS
(Address)
(Tel. No.)
p.... , k .......J 0<:) .J..
(Tel. No.)
6.
(Name)
(Address)
L~hre....r ~ A-S-SDll'().~~ .l-vtC
75f;6 /67H. frE
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
2,ODO
17. COMP ETION DATE
(, l'SIOl)
81'8-$76 d
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
'1'.;, '.' '~.'~'
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
I hereby certify that I have fumished 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
buildin fficial can revok thi permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 2.0 \ "378"Z-.c.j S-- I -Oc>
,~, l!. 13?e'~57U() License No. -'.'
FOR ADMINISTRATIVE USE
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proc as requested. This document when
sign the ity Planner const~utes a temporary Certificate of Zoning compliance and allows construction to co mence. Before occupancy, a Certificate of Occupancy must be issued.
,J'WJ'tfiIIO . ~. JtY\
City Planner Date Special Conditions n any
24 hour notice for all inspections 447-9850
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
'2 ()fX) . t:)"
USE OF BUILDING
~GS
A/ /2-
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 Cl' 4
Permit Fee ................................... $
(!JS U
42, z5
"la, ~
/ ,DO
City:
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~o
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Perm~ ....................... $
This ApBlfation B~come~ou{ Building Permit When A~o/ed.
By ~_,.. "<.., :i-~ Date 5/ #0
Certificate of Occupancy
Issued
Side
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
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ..................... .............. $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
00 ~033Z-
The Center or the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L e J1r-cr ~ ~~d ~~ \ f\C~.
APPLICATION RECEIVED _N\o.l..f eC\Ql) :;] <'Jl'rD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lj b () S- ~ CU" YL (Alo-o-d
Accepted
Accepted With Corrections
~~
/'
Denied
Reviewed By: ~ 1J;-; Date: ~/5/~
Comments: ~I(t) 1)fECt'L- IIItNO'- Ot<Jr ANa A.LL Trle
IN F0 ,e /vUFi1l),J 6 f\J II-! C API' IUJ tit-&> '?L/f1.J,
"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."
(fD-{)33~
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
.,\, \,. \. \ I
1'1 "
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. ~ (\ ~<~\c\( I C\ \-t \') \ i\ (' "'.
ri'-. \,\..,.../..1 .., ..'" -'
t" J . /"')
'- '< \ < " J
NAME OF APPLICANT L( hf(/\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ i' (';..,,_
""./ ! ~.'."""
. t-~..... . .. . \
,.. "'-...- .- ......,1
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Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~~ Dale: 5- to -&0
Comments:
~~ ~J~'~ ~~ &.wv- :)J~
~~ $JV'~tt=nr \0 ~~ ~~ ,
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."
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 4Coo~ -::P~kWO()D Sf:
TYPE OF WORK N E lJ-) D ECJL...
USE OF BUILDING ~ES. A./R-,
PERMIT NO. QO..O~~ DATE ISSUED 5/5/G>O
BUILDER LEH f2...67e-. ~ A.ss cC 1~\e.S. , t-JC.
f
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
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-... I I
I FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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