HomeMy WebLinkAboutBldg Permit 00-0507
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. ---1')0.,05'07
1. DATE
t - It. - c200D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) I (Depth), t9 "
{)'~., :2!>'~' 11.4
12. NO. OF STORIES ~lItl /)EGIC
/3" Ib' ID'
13. TYPE OF CONSTRUCTIO~ I I
'TESSII,{E <<,u".f.u1.. ~
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
"32-s/(" 7
(Tel. No.)
LOT
BLOCK
:2-
a.ddil/ol1
PID ~S- i3C:d- Q;l\:1L
;!DMW/.JJ,JEi!- Ed d,t.:/Ee
J~3"3 IJlueJ/~d';: .d.
Dec~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Septic 0
Addition 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. III {'{'5"
10. CULVERT SIZE
9. PROPERTY DIMENSIONS
Width/O;Z'7" Depth /9R'77"
Yes No
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~33 -S'1(,7
x
SEATS
16. PROJECT COSTNALUE
,to/So 0
17. COMPLETION DATE
dIJt. 7nI
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 official can revoke this permit for jus cause. Furth rmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 'duJ . C. -I' -.;1DOO
License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ ,ODO
USE OF BUILDING e...l.lJ
*
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 a; 4
Permit Fee ................................... $
R S U
City:
87,Z5
5~.71
2, t) 0
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ABBlication ~ecom~YoUf Building Permit When Appr9ved.
By ~ 7~~ Date "/Lf/tJ(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
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 ............................ $
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdinance and may proce
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certifica
City Planner
Date
24 hour notice for all inspections 447-9850
Special Conditions ~ any
00 -0507
The Cenler of the Like Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ Ji.uj, (\ \)J cJ-k l'
APPLICATION RECEIVED :JL)(\JL ~ \ C\:*^c\ J QJJlJQ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/-4o~6 'd3Jue/biNJA TffiJ LtJE:
Accepted Accepted With Corrections )(
Denied
Reviewed By:
Comments: REJ4,J:)
J.JR>(l.W\..A.TlorJ
:DecA~
~9~~
Date:
c'/Z/ /DO
.
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HMD-Ou:r
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SuPPol2-T
OF
E~ rrzA
'Be \-L'
WE;~~1' ,
o.e,
"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 / '-1303 DLU. e 31/2,0 7I2.A./I-
TYPE OF WORK (d-.) N6~ d) ECJC-S
USE OF BUILDING . K'6S~ A/I!-
PERMIT NO. (JO ~oso 7 DATE ISSUED 10/2.-1 /00
BUILDER Et) uJA.LTEfC. i:f:, ~33- 51 b7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~'NSI'ECTOR DAIE
I FOOTING I _" I 7/r~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
i C ~ FRAMING I I
. Re-~u \ 14E 0 P (Z..;olL ~ P!AC1 t..J~ DeG-l'-- ""6of\R.DS
I FINAL I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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