HomeMy WebLinkAboutBldg Permit 00-0607
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CITY OF PRIOR LAKE tB 1'1.
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. SITE ADDRESS
5;1
3. LEGAL DESCRIPTION
LOT /0 - /Z- BLOCK
ADDITION I1hP{.;~ Plttel<- 6f/O/2P'-~
4. OWNER
"""30 ~n <i-
S. ARCHITECT
6~UILDER (Name)
to<.ho bnc.l"~t{.vf'5 .-- jl'}c.
7. TYPE OF WORK Fireplace (J
New construction)l Alterations (J
Chimney (J Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
1. DATE
I {}.. I {;), () 0
Ie/SD .
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth, )
01 3'
12. NO. OF STORIES
PID
z5,o38-0D3-0
13. TYPE t CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Address)
5";; '" ;J. 0 S /- 20 ;"J-
(Address)
(Tel. No.)q~t,...
if'. -t7f7-,;)0) ~/'11
(Tel. No.)
Front
Back
Side
.:2 I ~3
Septic (J
Addition (J
(Address)
viet- I ? AJ. W
Heating (J Plumbing (J
Finish Attic (J Residing (J
(Tel. No.)
&51-&3/- 1100
Reroofing (J Porch (J
Finish Basement (J
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
n J. ()f)
17. COMPLETION DATE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offici n revoke' . for just cau Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ~ed ~ections.
.' //,;71a 1:2 If) V
Ucense No. ' Date
FOR ADMINISTRATIVE USE
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING R.E:.S AI J€.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
MATERIAL FILED WITH APPLICATION
SOIL TESTS (J ENERGY DATA (J
Side
PILING LOGS (J
PLANS & SPECS (J
SURVEY (J
PLOT PLAN (J
PERCOLATION TESTS (J
SETS
COPIES
City:
~~
\ 'V' 11
Check if
Deferred
our Building Permit When Approved.
Date/:;l.-lB -~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A BEl H R M
DIvIslon1234
Permit Fee ................................... $ ~t.l. 0
Plan Checking Fee ......................... $ t ~g . S '7
State Surcharge ............................. $ q. ~-n
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Subtotal ............................... $
Issued
Amount Brought Forward .. .. .. .. .. .... .... $
Park Support Fee ........................... $
SAC .........................................$
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
(J Sewer & Water Connection Fee ........... $
(J Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid
24 Hour notice for all inspections 447.42309:00 a.m. .10:00 a.m.
. ."'........
;~
The Ceoler of lhe Lake Couolry
to;."'"
(J. (;07
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Accepted
Denied
~
Accepted With Corrections
Reviewed. By:
I-t-L-
Date:
/2/27/tJ!J
, ,
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construe.dto. 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."
'"
1~"f ~"".
.,.
O-(P(t7
The Cenler of the Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
pm-to 6N6L(J5UR.b-c; ~6)
/2- /3-00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5242 FROST PO/Nt (!,/ rcet-r=;-
Accepted
Accepted With Corrections ~
Denied
Reviewed ~ r)-
7
Comments:
Date: 12..-1Pl- ~
np&~ ~W\OkA. t.1cL~ .t."'~,~ au~ ~ ~M~ ,_
~ t<lllooo-e~ SOIU~S.
J'1~iV\kiV\ '~J'~ItTV\ QdVlhal UV\ tiLL{ot"~ ., s e~.(.~la ~r~ci
"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."
.;
The Cenler nr lhe Lake Cnunlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PJ-tT/ () Ejv'tL6.sUk[,~~
/2- /3- (10
( Vlq:-)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5242 FA-'()0! P()/N'; CI/':C~c
Accepted With Corrections
v-
Accepted
Denied
Reviewed By: ~ ~~
Date: t J.- /?- ? ~
~ ~A. CAw~~~_ vev)lY~v
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. II
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..' . . . . are not' conslc!ered 1'0. be: !mperv!~us). ;' , ,
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P R I 0 R LA KE r .' DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /i:JLlt:) Fias~~iVtJ (Jr.
NATURE OF WORK Ale uJ $J,.,U,./.,l-1Y1
USE OF BUILDING . SF'D
PERMIT NO. OO/QCP07 DATE ISSUED I L ... ~ -~
CONTRACTOR ~~'h PJN'ks,w~ PHONE GS/-u3/-llacJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEE
ROUGH - INS
DATE
r-- ---
~ - -
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOT"CE ~
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until an inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850