HomeMy WebLinkAboutBuilding Permit #00-0067
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
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
r 1 Z'O --rc(c;WV Av
3. LEGAL DESCRIPTION
1. DATE
2-10-OQ
1(./
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT I
ADDITION WOO
4. OWNER (Address) (Tel. No.)
~ 4'(0- S~
5. ARCHITECT (Address) (Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.)
~t41V1 L
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace
Alterations 0
Septic 0
Addition 0
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Deck 0
Finish Attic 0
SEATS
16. PROJECT COSTNALUE
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement;('
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 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
buildi 9 officia can rev e this p rmit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed i~ns.
X 2 -/0 -
ature License No. Date
SETBACKS: Required
Actual
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
Front
Ie 6S f1j~
FOR ADMINISTRATIVE USE
Back
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 4,000.00
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ..... .. .. . .. . .. . .. . .... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
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 ........................... $
8'1.2S-
2,.0(5
'10. ad
f/fJ.. () cJ
Issued
roved.
Date 2. - I - 2.~l)
24 hour notice for all inspections 447-9850
(J7)- ()b{p 1
The Cenle. of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JAeeo L-/1N9 HOFt=
2//0/00
I /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J7262- 7VR.ONTV AVE; 56
,
Accepted
~
Accepted With Corrections ~
Denied
Reviewed By: ~gll
Comments:
ic1~ rH--t 't~~
v
Date: ~- ) l-20eJO
"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."
00'00&1
The C..nl..r of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
, 7>-'"1 I~/ E L)
I ,~,.} /'\. ("':}': /~'I' "r," C ,-
t--,.- I I j \' '--' I r-
,
APPLICATION RECEIVED
i
:.2:. ;/ ;' {,' '. / '
- - . (
I /
//
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;/ -.'/'/:/ t:-.) I,.,....:"'...?.- . /" ,'/'-7) /L\,' \, C', J--
I ':." ,/'.......... C,: \; Vi'\. I
_...,) ~
.. -
Accepted ~
Accepted With Corrections
Date:
z - { {" -{9(]
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a perm'it 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 I ~ -:2 8~ -r-)h'tv\ ~ CJ J{U--Q.
NATURE OF WORK &s:~- 1--~(7~
USE OF BUILDING SF LJ
PERMIT NO. 00 . CCfo 7 DATE ISSUED ~II- 'ZCJ OC)
CONTRACTOR L~IA"U-- .
NOTE: THIS IS NO 'A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
GRADING (Prior to Sodding)
BUILDING L 31'30 OD
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 have beEm 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS l12.8 2.
SCHEDULED
TV-r cJrJ/-v
DATE
r;~
TIME
"'fen:>
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~ULATION//\
NAL r-;
SITE INSPECTION
~~~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
dlu
O-~7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~cJ%
olt~/
Inspector:
OR REINSPECTION BEFORE COVERING
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI