HomeMy WebLinkAboutBuilding Permit #00-0126
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DATE I3ECEIVEQ.
3 j;tJ I~o
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. (JO - 0/2&
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2>~ AODRESS
/ ;f~C;- <f';/- 812.. I p j.iE /(. t (.J 6-1! 7'/1 IJ. I L At I~
3. LEGAL'DESCRIPTION
/5
5-/tJ-@v
K./SO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
BLOCK /
MRRIfi~ II/L-LS
(Address) Jz" 11.. (LI. I L}
)..(' P 1,( I ~~r /En..s 141/ t!tI 7 - ;"6~dj/ tJrd ~/t/4"N ;?/(
(Address) I I (Tel. No.)
PID 25-ZfXo-O/5-Q
LOT
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER (Name)
lVIL~. J- I~ J.-t N;Z4
5. ARCHITECT (Name)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Addres;j (Tel. No.)
INVce.. GlLO '{: 1fTS,5.5o/1 6/1-
.9NO J~O,p Jt- c-- I^,~ //(3,? A-~~P'" eWd;l~ ~...r:;-J,5td"
Fireplace 0 Septic 0 De~ Re-roofing 0 Porch 0
Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
(Name)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
r 1/ 4/.J/U-<
7. TYPE OfWOAK
New Construction 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
17. COMPlt: IIUN DATE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
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 ~n revoke this pe~t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X rr /l~J~". / ;;r- .. 4' V-- Y v'-? 5 - }o - 0 Z>
... IT . SIGhature./ License No. Dale
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION "'3 ,COO. 0 ~
R.es R/~
,
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
14 .1)"
<t B . ~4
,. ~D
Permit Fee........................... ........ $
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn........................ ........... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
~~
Mechanical Permit Fee ..................... $
~ewer & Water Pennit ...................... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit............................ $
Other ......................................... $ _
Total Due .............................. $JZ-4: (:P9-
,
Paid J 24-. ~ Receipt t)Jfj. ... -Z 0/78
Date 3~/7/{f7) By 1
certify that the request in the above application and accompanying documents is in accordance with the City Zoni~~ir!alce and may proceed s requested. This document when
,the C' P nner constitutes a temporary Certificate .of,loning compliance and all?1\con~~ioA to commEWce. Before occupancy, a Certificat of Occupancy must be issued.
3-1'1-tX) ~<v\:~.('~_'n\'\'~ ~('~~M
Planner Date \pecial Conditions if any
\:~Fi .a tiI~~.~~l~i~~.~.e:itWhenApproved.
VI'{ ~- Date ~-~-2~
I -
'cate of Occupancy
24 hour notice for all inspections 447-9850
The Cenler of Ihe Lake Counlry
~j' O~llo
J White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ ~ .1911/0 L2tJoe C!J_
APPLICATION RECEIVED' 3/ /0 /(JO
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/45P4-
Beloe-6 ~/OG6 /12- Ale
,
Accepted
Accepted With Corrections
~/
Denied r'''')A/
Reviewed? ~j)a.
,~
I
Date: ..3 ~ /3- 2000
Comments:
I, .~ ~_ ~. (4~o-~
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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v
The {'enter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"~71/f /,jC'(:&,- ///l/~ /~(){;J..::..' a;
'"2/'// 1(.' /
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l I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..-
,/! 4.::7FL!- L~~~i:_:>/ //( C", / u 6/ E.: /I{.... /1,,.,/ e..
,
Accepted V'
Accepted With Corrections
Denied
Reviewed By: r !l~~ Date: ~ ~/L-{-&()
Comments:
A~N'eJ ~ ~ ~ c%1/ I
.
I'
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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 ElC;-R L/ Etic!(.Q. ~~ Tr-.
TYPE OF WORK Dec.fc..
USE OF BUILDING. :S~D
PERMIT NO. 00 - Of z0 DATE ISSUED s- 1:$-2000
BUILDER ~G? Do~k. tt- :w~- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO MENT
It SP T R \ DATE
FOOTING \ / . 3 ~ljt
PLACE NO CONCRETE UNTIL ABO" HAS BEEN SIGNED
~
FINAL
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th-l
,
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL .'NS'pECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \AS t8 4
~-&1 0'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING (J)
~NSULATION
INAL
o SITE INSPECT ON
COMMENTS: duJc-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1;-, a 1
./'1 ,....--.....,
lei.. .. . . 7: L. / l..cJ* ~
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y~~?~
"-- ".",,,_.,, "." ".
fp
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TIME
At
6~ '2(,.,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)f WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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 & SAFETYl