HomeMy WebLinkAboutBldg Permit 00-0271 Deck
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
..111
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
S"7
S.E,
LOT
ADDITION
4. OWNER
~
PID ~S "~Cfq.. O~ -tJ
ljt;.
1. White
2. Pink
3. Yellow
Permit No.
1. DATE
-11-00
BUILDING INfin1l1t"1~TION
11. SIZE OF STRUCTUR
(Heigh~1 (W~dth)
o t:f
12. NO. OF STORIES
I
13. TYPE OF CONSTRUCTION
~L
14. FLOOR AREA APPORTIONMENT USE
v J .."c-t R.
(Tel. No.) 7~7-
'Jr. if~o- /"7'1
(Tel. No.)
(Address)
5. ARCHITECT
(Address)
6. BUILDER
(Name)
(Address)
(V\c.....\,.,{),
7. TYPE OF WORK
New Construction 0
t~~('v.....+:lYI
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck ~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. 11;.1... Dl 0
9. PROPERTY DIMENSIONS
~'1\
Width '7V Depth 14.J
10. CULVERT SIZE
Yes No
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
.. 16. PROJECJ.90STNALUE
....."JOO --
17. COMPLETION DATE
4~ ;;;).'-00
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and c rrect. 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 proce ccordance with submitted plans. I am aware that the
~Uilding official n revoke this permit for ~ust cause. Furthermore. I hereby agree that the city official or a designee may ente n the property to perform needed inspections.
(;at /h1;;....)l$ ) f-/ r ~ C)
~ature Ucense No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING
SPACES ON PLAN
PERMIT VALUATION
{IS~O.DO
TYPE OF CONSTRUCTION: I " III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
48,tf;O
3/. 53
~1:5
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~~
A\'VV\
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This A~tion Bef?me~o~r Building Permit When Aw>roved.
By ~~i..dl- Date 4-QI,/ -~D()t:J
Certnicate of Occupancy
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
COPIES
o
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$';:'
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other.......................................... $
Total Due .............................. $
Paid
Date
in the above application and accompanying documents is in accordance with the City Zonin Ordi nce and may proceed
~~ry Certifi e of Zo i g ompliance and allows construction to commence. Before occupancy. a Certifical
Special Conditions ff any
24 hour notice for all inspections 447-9850
(50 -o~ 1 )
The Center or the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (Y\o.l\Cff\e:1 C QJ'f) s -h\ t LA-l CJY1
APPLICATION RECEIVED Arn \ \1) acTIJO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5'1 CJ] C au ('J\ f\(A \_1L\ (1. ~e ~ \ llA'-i' S E
Accepted Accepted With Corrections /"
Denied
Reviewed By:
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,"
(U--o~l J
The Center of the LIke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT n\
APPLICATION RECEIVED
',- Y'\,.\ flee> \ I (
. I
\ , , j : <~'l
!'f')\ i \
- \., ,', I ~
, ':'<\ <', I Y 11 (
.\-,rrf)
I \ ~ .
'"'"\ ,~; ."1 ()
\(''] {'of t) .
j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
$"'7 (i 1 (Ci-.J (J \ {"CA. \ K lC\ ~fC.."T I 0 \ I S l:;:
Accepted
/'
Accepted With Corrections
r
Denied 7J
Reviewed By: ~tJ;. JV1JQ.AJ Date: 1- .;ii-GO
Comments: ~aLJG() ~ cJL.
~l~ to .yt1n Q~ 3ii:1~
"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."
,
I
PRIOR LAKE
>
INSPECTION
RECORD
SITE ADDRESS ~79'7 CMiJIMA-L ~()(!,G- MAIL SE,
TYPE OF WORK --L1{E{)J J)E~/L
USE OF BUILDINg ~ Md/ t?s.r>'-4de/
PERMIT NO. ~I ( DATE ISSUED ~- 2/ - 2ao()
BUILDER ---J!i Ei / N.~ E_7 I. E L~
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
I FOOTING tJ!e I /~, I 5/(1 !t) 1J
.
CE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FI NAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
, .