HomeMy WebLinkAboutBldg Permit 00-0412 deck
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~/~/OO
N FE. 1</
;j;;joo
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS / 4- 0 +- h
BLV€,I3/RO
7EL
3. LEGAL DESCRIPTION
6
11 RPf...&, HI t."L,
4. OWNER (Name)
WAf/l- MIT(!,H
1. White File
2. Pink
3. Yellow
Permit No.
BUILDING
11 . SIZE OF STRU
(Height) (Width)
(Depth)
12. NO. OF STORIES
LOT
BLOCK
2- PID Z.5 - 3t1-3 - 0/7- 0
2ND /lOON.
13. TYPE OF CONSTRUCTION
(Address)
14. FLOOR AREA APPORTIONMENT USE
ADDITION
5. ARCHITECT
(Na e)
(Address)
6. BUILDER
(Name)
(Address)
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR
Sq.Ft.
Septic 0
Addition 0
Deck
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
ERTY DIMENSIONS
Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
tio 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
co truction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
just ause. Furth I hereby agree that the city ollicial or a designee may enter upon the property to perfonn needed inspections.
FOR ADMINISTRATIVE USE
License No.
t8
Back
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
,ees 11/1<..
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Plan Check Fee ............................. $
'5'/. 00
'35' to
.~
State Surcharge ............................. $
Penalty ....................................... $
~
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Pennit ...................... $
.................. $
Your Building penni~ert:J.iPi~
Date ..J .. '-lO '(!
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 ........................... $
Water Tap ........... ............. ........... $
Builder's Deposit ...... on................... $
Other ......................................... $
Total Due .............................. $
Paid q
Date
24 hour notice for all inspections (952) 447-9850
Special Conditions II any
00 -04'1 v
The Cenler of Ihe Like Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT tJ\ '\ \- c}. .Wl \t \
APPLICATION RECEIVED 5 JQ~ ) 0 0
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 'f ()Lf b :B~J .o-=rf-riJl N E
Accepted
Accepted With Corrections
x
,
Denied
Reviewed By: ~ -1'~t-; Date: $ /c!).(p /0 ()
Comments: ~o DGCf,L HMO~D<<.T ~D Al-c... TH~
JAfFe ~I a,J o,..J IHE AJOt:JfJ.4v'8JJ PL-it1J s: ,
"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."
ou ~O~/v
The Center of Ihe Lake Counlty
White ~ Building
Canary ~ Engineering
Pink ~ Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT t'\ \ t (h \\K\. \, \
APPLICATION RECEIVED 5 IQ.d J (I 0
/ I
Accepted
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ L/ (j'/ b BllJ.e...t)i r (1 -~ n I J N E
~
9 ,~. jnbJ
Accepted With Corrections
Denied
Reviewed By:
Date:
s-j ;?-s-jo ()
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to bea 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 /~ () 'I (p ~€131 Je,(J T~L-... ,J E ,
TYPE OF WORK JJe l<J DEU~
USE OF BUILDING ;e€:5 o/IZ-
PERMIT NO. O{)-04/2- DATE ISSUED 5/~~/o (j
BUILDER J!J ITeH uJAHL 952- ?tJ~- /Sly
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 ~, IS/~(,IBo
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING 1*.iQ\.. -ta ~ '5cl ~ rJ.~4t- I
I FINAL I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
~
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