HomeMy WebLinkAboutBldg Permit 00-0574
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.~:gU
;i~er;70D
1. White
2. Pink
3, Yellow
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
~..,'" ADOFlE
173b3 S
BUILDING IN.....ATION
11. SIZE OF STRUCT
(Height) (Width) (Depth)
'"* {O r Lc,,-K.
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT 3 "1 BLOCK I
" ~~ JI I J L
ADDITION (~d. V l....~ _ 8slI:1 ~
R f
PID
13. TYPE OF CONSTRUCTION
\50."
14. FLOOR AREA APPORTIONMENT USE
<<_t.OER
K,ckwJS~~e1$O~ 173"3S~~:t"Tr~.sW #Q7-g5-62..
7. TYPE OF WORK Fireplace tN)8dSeptic 0 Deck 0
New Construction 0 Alterations 0 Additio~ Finish Attic 0
Chimney 0 Misc.
(Address)
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-rooling 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
Yes No
17. COMPLETION DATE
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 prope and that all const tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:Uil' ffi i can r 's p rmit for just ca . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perf~ leded i7pections.
License No. s~;,~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING ~ M12-
SPACES ON PLAN
PERMIT VALUATION
If, 00-0, {)f)
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 (J 4
Permit Fee ................................... $
Plan Check Fee ............................. $
~S U
//2.'&5
72-. 9 "
3.bo
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
.A-
f~~
~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
lfO ~ 0 7J
Thi~com:;v~~Building permitW~~roved.
By ~A- Date ~ ~ D
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
PLOT PLAN 0
SETS
COPIES
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 .............................. $ 2ZS.2. I
~ .37~'
Date
the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proc as requested. This document when
lanner constitutes a temporary Cert~te of Z, onJ!!9~ompliance a'JP allows constru 'on to commence. Before occupan . a 'ficate of Occupan~ must be issued.
'/~ Jo#'e:cJ ~ ~ ~ "',
rty Planner Date Special Conditions ~ any
24 hour notice for all inspections 447-9850
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.... . CITY OF PRIOR LAKE
...lm pervious Surface Calculations
.' . (To be Submitted With Building Permit Application). .
. ". .... .'Por All Properties Located in theShorelandDistrict (SD). '
..C'.... .... .'. . ....ITh. eM.. aximumlmp.erviOlis surfaceCovera. ge Permitted in 30 Percent.
---.2)C~ \~,^e\Sc)h... '. ...._ .'. ........ . .'. '.' '.' .
. PropertyAddress~ ~t.--b.. C:S~~"-e"T'"L ",,",-"'~l...- .
. .
. " . .
. - . .
. - - .
. . . .
LotArea ..\3,"$\'. . '. Sq. Feet. x 30%. = .............. L\ \ ,9 .'
*********~**~******.******************.*******************..*.*********.
. '.
LENGTH
WIDTH.
SQ. FEET
=
=
TOTAL.PRINCIPLE STRUCTURE................;..... ...14COO
x
.:::
l,~cr' .
.' ......, , ..
. eway-paved or not)
~arking Areas) ..~...
=
~.
x
\3'2.. .
.TOTAL P.A VED ~-AS............,..............t.............
. . ....' . ' . .
B'2.1
. pATIOSIPORCI-tm1/DECKS
x
'x
=
x
=
TOT,At" DE GKS.. ..',...,.... ..~.... ....~:.... .............................
-....l~.~Jiiffllf~'''f'q~. ..~<"'. .h'" '. ci..
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.T.~.~............~...............u......................... ~':O"(.p . .... . '.
TOT ALIlVipERVIQUS SURFACE
~OYER................ ..........
.... l'reparedBY/~~..."", . ..
. . .... .., ..... .... ............... \ ........
. CQtr1pan)1~p..)\~ s:.tt,,~ \'8 Co., n. Phone # 1.\~1 ~Z.5' 0
. ":t""
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OO'057~..
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.., .
. ",
NAME OF APPLICANT ~\ C'.I~.o_rd SO JY\l) (' \~()Y\
APPLICATION RECEIVED ..:J\ )f\~~ ."0() +'h)..... .aooo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at . , .
. \'1S~5
,V
~lA\
Accepted
Accepted With Corrections
. Denied
Reviewed By: Gra.n.tCflr/$~IL: .'
Comments: .. S<:e .. fhel"rl.forttta.+iorl. oK '
Date:~/d2
1J,e.l""el/e/'5e 5. ;c1e .
s~~ Qr'keJ;,('"h-.' /. . ... .Fi"~q/ Gy~ult!.:tA?t!t:-h~~.Mk~,"~,L,4" ~ ' G-()J/~'l (011//(11
fJ1fdfl/rl'j.... J E,pf/pn ....(:~h/./lJ1 ..
liThe issuance or granting of a permit or approval of plans,. specifications and
computations shall not be construed to beapermitfor, or an approval of, any violation of
any of the provisions of this code or of any other ordinance ofthe jurisdiction. Permits
presuming to give authority to violate orcclncelthe provisions of this, code or other ,
ordinances of the jurisdiction shall not be valid."
~
III.
00' oS14-
The Center of the Lake Counfry
White -. Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~'\C~d ~() MU~\~On
APPLICATION RECEIVED :r\.)f\~..30 i4\ , d 000
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\'3~OSlJ1Ut.lLTfra..i \ ~W
Accepted ~
Accepted With Corrections
Denied
Reviewed ay: ~ ~
Date:
7-(;"'~
Comments:
~.. 4~.-,.~ ..~ (~difbIe IV\. ~I
.'f',Cd24 "" ~f4 {A)l~ ~~4 ~2:'~~
Dt. (#'~e.J~~ ~I ~~ ~-~~
"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."
00-0514--
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~\c~d ~O mU e ~~())\
APPLICATION RECEIVED :T\.)(\-e_ 00't'h) a 000
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\1~(o'5 ~~ T~~ \ ~lA.'\
Accepted
Accepted With Corrections
>>
,
Denied
~?~
,e E1tO ALL {1-f E
ApfR./)J6'D p~S .
Date:
7/~~
Reviewed By:
Comments:
7 N ;::::;, Ie. ~ 0 N
cJ
THe
"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
DEPARTMENT OF -...
BUILDING AND INSPECTION
SITE ADDRESS --17..'3t, g S~cT
NATURE OF WORK \1.: )C I · , ~ ,.) t\'Se-~
USE OF BUILDING E'" ,
PERMIT NO. . 12 0- 0 5~ DATE ISSUED :3' () 0
CONTRACTOR ~\Ct'\~b ~\..lE'L...~6~ 'PHo~e~ ~- S5{qZ,.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
DATE
fJtJ
FOUNDATION (Prior to Backfill) b ~
PLACE NO CONCRETE UNT A OVE HAS BEEN SIGNED
ROUGH - INS
EATING (if required) ~.&
FIREPLACE
GAS LINE AiR TEST (IF ~bEO)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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 shall-be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850