HomeMy WebLinkAboutBldg Permit 00-0408 deck
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DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
MAY , 8 2000 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicant
1. White
2. Pink
3. Yellow
00.0400
Permit No.
1. DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE AD,..DRESS
@' <J:> (j
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
d t/.O#~ u)
~
'fro... A\\ \)~
12. NO. OF STORIES
2-
3. LEGAL DESCRIPTION
5
l~hM
J5, d~'i(- b\b-O
PID
BLOCK
\J \ e .N\J
13. TYPE OF CONSTRUCTION
LOT
ADDITION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
'f)'7t72~
(Tel. No.)
5. ARCHITECT
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Tel. No.)
(Address)
(Name)
6. BUILDER
J(11~;2 /
}{-. r ).J d -r-
SEATS
16. PROJECT COSTNALUE
Fireplace 0 Septic 0 Dec Re-roofing 0 Porch 0
Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
tZe:P L~c...e 'J)Ee...fC-
New Construction 0
Chimney 0 Misc.
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
9. PROPERTY DIMENSIONS
Width Depth
8. PROPERTY AREA OR ACRES
Sq.Ft.
I hereby certify that I have furnished 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 con truction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi official can revoke this pe . or' ause. F ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
~-It; 00
License No. ate
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
USEO'BUILDING _~ ~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 (J> 4
Permit Fee ................................... $
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
SETS
COPIES
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. .. .. .. .... ... .... ... $
Sewer Tap ................................... $
$
City:
S U
45, 75
d', 71
.70
L/ 5. 75
DOUBLe'
ptJ2.t1 (T
fE:6"
~Ift
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Pressure Reducer .......................... $
Meter Horn... ............ .................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ........... ........................ $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Applj,\;jtion Beq>mes~u::;i1ding Permit WIlllJ. App~~d.
By ~_."'--c.c. -..,... ,., Date .5/'2-!f;~a
Certificate of Occupancy
Issued
Date
\
24 hour notice for all inspections (952) 447-9850
DD .040e
White . Building
Canary - Engineering
Pink - Planning
The Center of the Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~ ()Y)
APPLICATION RECEIVED ~
\-h (lei t
\C\~ \ dODO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ fJo 0 / 5J a.n~ V ~ UA) }2d
Accepted
Accepted With Corrections
NIN
X
Denied
Reviewed By: ~ '::(~I- Date: sjZSjt;o
Comments: READ .:])ecJL HAND-Owl A~P AL-L THG
I NI=J re..-I1IlA 110,.) ON TIi c MfJ /u) 11 G1J P LAt.J 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."
00- o trot
White - Building
Canary - Engineering
Pink - Planning
The ('enter of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1''1\ (k,,('\ C)",{)
APPLICATION RECEIVED i\/\(\.-'-.}
I
\-i \ (\\ \ t-
-
\~Vn \, ,;)ODO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
Date:
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 /t,O()O /J'LAIJO. VIEl/J tfdl AI, W,
TYPE OF WORK DaK. ~ePL~AJ'
USE OF BUILDING Res-. rylL
PERMIT NO. 00 - 04tJi3 DATE ISSUED 5/25,/00
BUILDER . SrEII~ HIAlDi -::Ii- +', / - ~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
, FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.... I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850