HomeMy WebLinkAboutBldg Permit 00-0777 LL
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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
7()
3. LEGAL DESCRIPTION
LOT 5 BLOCK
≪eel rI~G
DATE RECEIVED CITY OF PRIOR LAKE
a Z8 00 BUILDING PERMIT,
o . . TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
LIf/
,4/6
g- Z8rOO
,Ael
ADDITION
5. ARCHITECT
6. BUILDER
~
/flur
PID 25-31+- 0"'-0
4-771
~e)
OM EI5M/t
(Name)
l211d
(Address)
(Tel. No.)
15;;- ':J~ ]Y7
(Tel. No.)
L-'1P DAlI
(Name)
(Address)
7. TYPE OF WORK
New Construction 0
~1:> 1> fi>E/.A55
Fireplace 0
Alterations 0
Septic 0
Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 00-D711
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
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 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 offjPi~~ his e it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~I ~CJIS53)1 ~.~8-oo
Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
Front
Back
Side
Side
)!!&6 'i ~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
If, 000 .
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
S U
City:
B'? "2.S-
Plan Check Fee ............................. $
"2,..00
State Surcharge ............................. $
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
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Penalty ....................................... $
4-0.00
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water ermit ...................... $
. .......... .......... $~O. 0 D
Issued
mes Y r Building Permit '""2tPrOved.
Date t!:;r. -~
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 proce as requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cartilic te of Occupancy must be issued.
24 hour notice for all inspections (952) 447-9850
Special Conditions ~ any
City Planner
Date
Sent By: FIRESIDE CORNER;
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00' 0111
The Cenler of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P,e6tJ5S: IVOf)
. J
8 . 26 .00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4702- L-ANOI1U uJ N6
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
tJJ
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: 8-Z.1-~
Building Permit # Pill:
Site Address Jeft"J02.- L,,~ ..
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
L
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? K.
Is the property located within the flood plain? Refer to Planning X.
Does the alteration include any additional kitchens? Refer to Planning X.
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? )(
Is the proposed use of the finished space or Refer to Planning ~
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ryO'? ~~tp.t t LtA...
NATURE OF WORK ~~\M.eMk ':H4.''''::.'-.....
USE OF BUILDING ~ ~
PERMIT NO. 00.0777 DATE ISSUED 8~2"i-Zooo
CONTRACTOR -:T:odM) ?4?(1~~ Gmts( . (.1'2. - ":l.c{2..- "t. 7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
....-- --- ---
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
"
rJ.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-- I I
FINALS
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 hav!: been approved. On buildings and additions
where no service cabinet is available, card shall b-e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850