HomeMy WebLinkAboutBuilding Permit #00-0699
DATE RECByED
8.Q.00
CITY OF PRIOR LAKE ~ ~ _~~
BUILDING PERMIT,
TEMPORARY CERTlRCATE OF
ZONING COMPUANCE
AND UTILITY CONNECTION PERMIT
1. While
2. PiDk
3. Yellow
Pile
CiIy
Appticut
Permit No. OO",aP99
IRECllONS
S ACES NUMBERED 1 THRU 17 MUST BE ALLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. 5 ADDRESS ~
1. DATE
3. LEGAL DESCRIPTION
I
BlOCK /
W/1~F~N/
(Name)
BUILDING INFORMA nON
IZE OF smUCTURE
) (WidIh) (OepCh)
LOT
PlD ?f5- Zq(p- 00/- 0
ADDITION
4. OWNER
(Address)
(Tel. No.)
13. TYPE OF CONSTRUCTION
\<- ~
14. FLOOR AREA APPORTlONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
\ e-t::J c.
17. COMPLETION DATE
\:j - ~\:) - \:) \:J
Rnish Attic 0
Re-siding 0
I hereby certify that I have furnished infonnation 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 that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
buildi 9 lCial can r ke' nnit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
~\::)~~ ~,,-\C\-t\~
Ucense No. Dale
FOR ADMINISTRATIVE USE
SETBACKS: ~equired
Actual
J:ront
BUILDING DEPARTMENT VAlUA T10N
Back
Side
Side
MATERIAL RLED WITH APPUCA TlON
SOIL TESTS 0 ENERGY DATA 0
PIUNG LOGS 0 PERCOLA nON TESTS 0
USE OF BUILDING
lie!."
I
hie
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PlANS & SPECS a
SURVEY a
SETS
COPIES
PERMIT VALUATION
PLOT PLAN
o
TYPE OF CONSTRUCTlON: I II 11/ IV V
Occupancy Group A B E F H IRS U
Division 1 2 3 ..
City:
~.
Permit Fee ................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other......................................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
By
Other.................................. ....... $
Total Due .............................. $ "Z.. 43
Paid ~ Z .1;:3 Rece~t oq /
Issued Date ~ _/ 0 . nO By
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 s requested. ThIS document when
signed by the City P\annef' constitutes a tef11>OrarY Certificate of Zoning compliance and alows construction to commence. Before OCCl4)ancy, a CertifICate of OcaJpancy must be issued.
CertifICate of Occupancy
City Planner
Dale
Special Conditions i/ any
cJ
24 hour notice for an Inspections 447-4230
~ ~~~ \S> ~~~~ ~~<LX~<\<L ~~~ ~~ \ \.)~'C\~ '''- ~~ ~~
The Center of the take Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j The Building, Engineering, and Planning Departments have reviewed the building permit
/ application for construction activity which is proposed at:
53130 C1tfon (JJo~ ~
Accepted ~
Accepted With Corrections
Denied G ~
Reviewed By. I~. ...".d{
~
Comments:
I. (} g, u ~C .[:'u..cJ.. I '^- SPQ.C.Lb-1l\ I
~vt +k. Si+e
Date: B - -z.,.. 2000
Q~h-~r:: M.0st ~
liThe 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."
The Cenler of Ihe Lake Country
c;t~ - qlJi~
- anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c- ..-,. 1""', r) /\, . J-J
" ) .. ': r) ( C'~') +-1 ('] tiLt) () (":xl J'---+-'d_~
Accepted ,,-,,,,,/
Accepted With Corrections
-,..
Denied '-',_ :
Reviewed BY:~ cV/ // ~- ~ -
1/
Comments:
1"'
\. U 0 Ll 'f~) \ ~; ,--^-,(>,-"Q\ l/\. r-~__ p~c \ t' CJv '-
Date: f3 - 7 ~ 2000
~
Qd J}['r~r]r MUS\ \~_
(j 1/\ +t \-0 S t'.\- (-'
...
liThe 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."
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Date
Invoice PO t' Description
AmoUnt
Discount
, Net
-----------~--~~---------------------~-~-~--~-~~-~--~~-~~~~~~-~~~~-----~~-~---
8-03-00 02-11192,
02-11192 - PBRMIT
62,,'43
.00
.62.43
, .
-~---~~~-~~~~-~~~~~~~~~~~~~~~~~~~~----~----------------------------------~~--~.
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8-03-00
500814
. :, . 62 ~ 43
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
53~()
Ct:>7To N
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL;V
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FI~
Jt. MECH FINAL(1/
COMMENTS: ~ P'~~
$; NIL I'~
DATE TIME
9/~5J,i) II): aO
r
W60D
~ 0--(;;<:73
(J - 7o~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~
/. N~ ~. r/~ -OO-~3
(;~~roNC &~7 /~#3
c.e-u.- k>/Z- - "l..4Z- - /082-
ItwORK SATISFACTORY, PROCEED
o CORRECT ACTION AND ROCEED
o CORRECT WOR~ FOR REINSPECTION BEFORE COVERING
Inspector: ~ ) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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