HomeMy WebLinkAboutBldg Permit 00-0796
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
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Permit No.
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DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEF9Rf.: PER,MIT IS ISSUED (Please Print or Type and sign at bottom)
2. 7~ V I YI 0 II V : cJ ~ t)V: V .(> V; 0 Y (A
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1. DATE
9.5 . oD
BUILDING III.lIIIORMATION
11 . SIZE OF STRU E
(Height) (W' (Depth)
t I'?A/ .s~77"2.
3. LEGAL DESCRIPTION
LOT 2- BLOCK
jV tlR,77/lVCJ(JO
12. NO. OF STOlWES
ADDITION
PID 2S -3W . tJ02- ()
Is-r
13. TYPE OF CONSTRUCTION
(Name)
i c. (?q""h ~ ~ J
5. ARCHITECT (Name)
(Address)
j"vJ
(Address)
(Tel. No.)
.s 2 _ 1...7...6 - /776
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
f\;~R
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
S' A f'1 4>
7. TYPE OF WORK
New Construction 0
f).J
,bov.o
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck
Finish Attic
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
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 fumished 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 . iar a revoke thi rmi or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to p$liorm needed inspections.
X ".. '~.'.'~. -.' 9-.s: f> V
.~No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division1234 h-
Permit Fee ................................... $ g't.2.S
Plan Check Fee ............................. $ ~(D, 7 J
State Surcharge ............................. $ 2 , (!) 0
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................$
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
.........$
.. rm~ ~n ~oved.
Date - -~(!")~
Issued
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed
signed by the C~ Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate
City Planner
Date
Special Conditions n any
24 hour notice for all inspections (952) 447-9850
.. , .. "
/'
/,,- .
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS .:30" I KNd/;// III ~eJ 7)12 ,
TYPE OF WORK Nf!}U 'D~" (FCtC./ru.tL& Po ~)
USE OF BUILDING R~. J'f/JL.
PERMIT NO. 00 - 67:r~ DATE ISSUED ?/s/n
BUILDER ~/~rl 13_/G 95'Z-~:;}'-1311,.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I ~SPEr:rOR I 1/7;: I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ ~ I th. ~/I~ldv I
I FINAL I I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
FROM : MANLEY BROTHERS CONSTRUCTION
0"e.14 "39 4:59
PHONE NO.
6514549371
Dec. 14 1999 01:04PM P2
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lII.ndota Height.. Mill 55120
(851) 811-1914 'AX:e,1-Q488
E-moil: P10NEERoP~E$SEN1E~.CO~
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Blaine, MN ~64J4
(812) 783-1810 FAX:78J-1813
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Certificate of Survey for: MANLEY BROTHERS CONST.
I(NOLLRIDGE OAI\t(
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ORIV[WA'l' AREA ...650 SQ. .-r.-.l
CCvrs:tAGE. _1 e.2~ Gl r!- ORlVE
& KNOLLRIDGI:..:
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TOP OF PIPE
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Non::, MCPOEiED CiORIltlEli 'HQV\l'l PO:C ~A(JDoI~ t!'..AN QV,
NOli:: !lIJLCINI1 DIMOISlONS $1010.",.. ..1l'E: FOR HQlltlZOIlllAl, /\NO vElUICAL LOCATION
0' $l'ItucTURES OHl't. SEE ARCWITECTUAI. P~"NS FOR ~u'l.OING.AND
roIJI.lOAnON C~(lIiiIONS:.
NO'tE: NO spr'OlJtlC BOI~S r dE:!;T1CAlION "'AS IlI:r.N ~Q"'PlE't" !'IN Tl-U! lOT BY T~;
,wRVEY~. 'Jl.IE $1.JIUtlll'TV OF'SOILS T(' SUI>PCl~T "'>t[ 3r;':IfIl:: .l..)l)'SE
PRCP,OSED IS IIIOT THE RESPOW'3lBILlrr ~ 'Il4l! SU-vt"OR.
PRQPOSEQ HOU~E ELEVATION
LOWEST FLOOR. ELEVATION: -1i.L...2-.
TO", OF SLOC:K ELEVAnON: "I.3~, ~
GARAGi; S!..AB ELEVATION: ~ 3."1 , 2:
TaB c, .lGvt':OUT ELEVAll~:
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WE ~~EBY CERTIFY TO MANLEY BROTHERS CONS1.
SURVEY OF 'THE 'BOUNDAM:S or:
): oOtJ.etJ CENO'7!S EXI$l1NG 1L1:\I'tlllc;r.;': . ".,..'
( J?PP'Oo,>' ~~Oft~ _ J!AeJ!~~.n.E'J~rJetJ ,,: :.... '" . "
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~..~:~:"g:::;:~~~~;~Q\(~I!ii~l1,~;. .' .'.:' j ..;.:::>".:..j
THAT THIS IS A Tl'iVE AN.DC:O~~EC'f 'RtPRSSEI!iITATtON. OF A . ..
Non:; ~I!' ~T1F1C...n:: POES NOT I"URPQA1 1'0 ~ow EAS~E:N'lS OTflER 'rt.{At.I
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: :NQ!t!' eEAIl'lNOS iloli;lWN:':O:~i9"s.ED:6NAN .ASSUME:D DATUM
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LOT 2, BLOCK 1" NORTHWOOD OAKS ESTATES FIRST ADDITION'
. SCOTT C()UNTY.k4i~~(SOT" . . . '.
11' DOESNOTPI.;lRPORTro SHOW IMPROVEM(NTS OR f::NCHROACHMENTS. EXC~?T" OWN. AS SUFlVEYED BY ME OR
. VNO[~ MIfOIREcr' SUPERVISION THI$ 29 DAY OF' NOVt:MB(~;.:Hil99: .
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