HomeMy WebLinkAboutBuilding Permit #00-0125
6. BUILDER (Name) (Address) (Tel. No.)
"1~ I /935 N rV4Yi!--h/,tf et-VD.
/1c~/,e.o /#r?Vo//'1/7/'-/ ~ON6P t..-/1.e-e; ( 5535(0
7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ Re-roofing 0 Porch 0
New Construction 0 Alt~tions 0 Addition 0 Finish Att(O'" Re-siding 0 Finish Basement 0
ChimneyO Misc. frU7l/lee .:5'-S67ll"OAJ PO~f)
8. PROPERTY AREA OR AC~ES 9. PROPERTY DIMENSIONS "1;. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 official can revoke this permit for just, cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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Signature . License No. Date
3 7~';o
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
59:5 7
3. LEGAL DESCRIPTION
J2-
t!rlKO/tVrlL-
oeoSSflN O,e/7
56
1. DATE
.3 /e (00
PU.5{)
57
LOT
BLOCK
3
K-ID6'C
PID 2l5,32.2- ()2()-O
4-7JI Al;;ON.
ADDITION
4. OWNER
~I e-H
5. ARCHITECT
(Address)
loe8oetq
(Address) I
(Tel. No.)
(Tel. No.)
(N9me)
f O(;;~
(Name)
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION '3 : C!IC(). C ~
USE OF BUILDING
,e&.5- rJ / K:-
/
TYPE OF CONSTRUCTION: I " III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
O-OJz5
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
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Plan Check Fee............................. $
l'-l.ls-
'iB.~
I. SO
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 ........................... $
Water Tap ................................... $
Builder's Deposit............................ $
Other ......................................... $
Total Due .............................. $ /2-4-. f!;~
Paid /2..tf... e4-. Receip. 3 '7 1.36
I~ued dh,l,nJ .
Date 1..f:IjY V 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 procee s requested, This document when
sig . anner constitutes a temporary Certificate of Zoning comPlia~and allows cons ctionto commence. Before occupancy. a Certificate of Occupancy must be i~ued.
, ~ -[ \{."d.? ~ ~~ k &-t//(..).
City Planner Date ~ Special Conditions if any .
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
n t:/{ 0
\ ~\ j~1P
'p"
Mechanical Permit Fee ..................... $
Sewer & Water Permit...................... $
:~{1~:~:.JJ.;:;~i:.~~:~~Proved
By ~i ~ Date _'f" ~-~O
Certificate of Occupaj
24 hour notice for all inspections 447-9850
~
DO - 0 'L(
Tht' Ct'ntt'r of tht' Lakt' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'1~/ ~O /-In/\/OVH/lN
~/B/OO /
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5C/5/ C~OSS/9/VO~ ~ /
56
Accepte0--
Accepted With Corrections
Denied I')
Reviewed BY:~ ~
/
Comments:
I. W. .(. ~_ ~k I-f.-.j. ~_ k---
Date: 3-9-2COeJ
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 lhe Lake Counlry
7)) / -:/} I; ~~.:---
C..... \oj i..../ I C _..I
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/",//;::'7'7.,.)/' ,/,1) /: /'. ".' ;1 ) L.//, III Ii &oj' /'\ J
I L..../ J 1'." 1..., ." ~ - ',,/ T I' '"
;
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/-- -,/7 /- ----, ' , .
~_jJ " / __~' / I J.., (j ;~ ,/ /i [./ ~:.:r7
/
--
c>
Accepted ~
Accepted With Corrections
Denied
Reviewed By: ~~
v
Comments:
~ W J-t{fp( {'-II ~ ;(~MOY/~b
Date:
_~ '"I t.-( - ex::>
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."
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS MS7 0 "'()Sa.c;~Ct S~ .
TYPE OF WORK 'i::Pr k:..
USE OF BUILDING S Ft)
PERMIT NO. OO-OILS. DATEISSUED s-9-20CJO
BUILDER ~"h-o I~_ ~ ~ ~
NOTE: THIS IS NOT A tpERMrf FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING INSPE~ -t' Jr' Ilf DATE
i
PLACE NO CONCRETE UNTIL ABOV~ t/lAS BEENJlSIGNED
~ v
FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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59.57 ~$A-AJ DR-A. Sf-:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA..IlON ~
~ FINAL ~J)etjL. (f9
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(~~
DATE TIME
/ :3"
o - OlL-S
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
--- .--====--'"- "'::::::::::t..
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'--- -'
)'ilWORK SATISFACTORY, PROCEED
/ ~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
I
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~
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INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl