HomeMy WebLinkAboutBldg Permit 00-0194
DATE RECEIVED
..3/30/00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. $1
LOT
ADDITION
BLOCK
6/1/'10
~ l.lrR--
(Name)
Sf.
I
PtJ//\/T
"'~"-
1. White I;_
2. Pink .,~
3. Yellow,,#h\pp\icant
'/'.,
Permit No.
O(?-()/q4-
1. DATE
BUlL INFORMATION
11. SIZE OF S UCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID 2-5- 2/5 - 002-0
4'711
13. TYPE OF CONSTRUCTION
(Address)
14. FLOOR AREA APPORTIONMENT USE
Back
Side
(Address)
(Address)
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have fumishe 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
that all nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
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SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
,ee:.s ,4/ Je-
t
FOR ADMINISTRATIVE USE
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~:txt). ~
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 ................................... $
Plan Check Fee ............................. $
State Surcharge........ ..................... $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
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I ding Permit 0n lProved.
Date - l-~
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
SETS
COPIES
PLOT PLAN
o
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 ........................... $
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce as requested. This document when
s' the C' P nner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
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C. Planner Date Special Conditions H any
24 hour notice for all inspections 447-9850
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The (~enler of Ihe Lake Counlry
~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
7K ~ 5C lILE Ie:.
, / I
P7 /:: f~'(- ( i
- ) -- \_- , ,.' '-"
I I
~TVOD
~ The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54 rs ,_,: EZ)//k.l V( Cl.J ::3/.
Accepted V
Accepted With Corrections
Denied
Reviewed By: ~ ~ Date: l{ '.5 -80
Comments:
f<<v~ f,9v(J~ ~ev~T"
"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."
White - Building
Canary - Engineering
Pink - Planning
The ('t"nfer of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;,e~~~Htffel
~~ 'SO) 0
TODD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54BB ~6DIJI2VVO(){) 51
Accepted
~
Accepted With Corrections
Denied
Reviewed BY:~
Comments:
,. f!.~ -J.t4. ~c(c. ~
Date: 3''3(.~lUC,,)
"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 54-88 e6ol1,e W(JOD sr:
TYPE OF WORK D6C,K, . -
USE OF BUILDING ~C5S lil;:z
PERMIT NO. CD - O/q4- DA1-E ISSUED
BUILDER 7Je.~/ e;-/Lt-:.-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
tHE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
4/6/()O
/ I
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,_ lUG I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
.. ". #