HomeMy WebLinkAboutBldg Permit 00-0605
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
7-Jl.00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SIT A .~~ ~S-\-r
3. LEGAL DESCRIPTION
LOT 7
ADDITION
4. OWNER
(Name)
(Address)
5. ARCHITECT
(Name)
(Address)
6. BUILDER
(Name)
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.ffi.rx:aoo
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Deck 0
Finish Attic 0
7-'~t.fb
Re-roofing 0 Porch 0
Re-siding 0 Finish Basemen
17. COMPLETION DATE
,\L~-A ,'~-\
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
5
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
buildin fficl e . e . or' st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ ('-"1~f)
ignature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Back
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~/_. 06'
USE OF BUILDING
ecss {-)(!~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Permit Fee ................................... $
71./. 7~
~
1.60
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~
1.1
4o.ab
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
This
By
r Building perm~hen'roved.
Date ... r ~ 2t:Jt:J(J'
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 ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid d S
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdinance and may proceed a requ ed. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate 0 Occu ancy must be issued.
City Planner
Date
24 hour notice for all inspections (952) 447-9850
Special Conditions ~ any
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
Date: 7.1 j" 00
Building Permit # pm- A Zoning: f2./1
Site Address 449B CI~~ r:;;;nL .
Legal: L -, B Z- Subdivision: ~ ~4-1L
Existing structur~ NO
I CONFORMS TO ZONING
. ORDINANCE
YES
NO
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
NO
Is the property located within the flood plain?
Refer to Planning
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
Does the alteration include any additional kitchens?
Refer to Planning
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to Planning
~
i
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO \.
I!
MAINTAIN A RECORD OF THE REVIEW. ,1J
L:\TEMPLA TE\AL TCHCK.DOC
00 'O(PO(
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(; , IC. j?/j-J0/7?1 Oq 0
7- If · DO
(7-/7' 00)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-4-'16 e#bSTNVT L-N.
NAME OF APPLICANT
APPLICATION RECEIVED
Accepted X
Accepted With Corrections
Denied ~
Reviewed By: ~
Date:
/-I?-~
Comments:
(2~ ~~ ~..0- IrJ 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."
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~ _.._...~ .. :..~.....,.._..~....._.._..-'.,,~<w.,..__..;.. ~-'-<'-
.~_ _.._ .,,~.,. ... .0__ .' ,... -'" -.-"-
.
P RIO R LAKE DEPARTMENT OF
· BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Lltt'
NATURE OF WORK
USE OF BUILDING
PERMIT NO. oc;e()~O~_ DATE ISSUED 7-(?-eoo,"
CONTRACTOR C. ..{. ,,k-~ !I-...J, ",,,,It <(<(7-/8 '-It · ·
NOTE: THIS IS NOT A PERMIT FbR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRET NTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re
Ii Z dl)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
_ FI~ALS [ I
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shat!~e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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