HomeMy WebLinkAboutBuilding Permit 00-0418
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
1-21
TIME
ADDRESS , 5" 815
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(;) CJ - l.{7e
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE7ldO , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
\ 2 '!.tJDU AND UTILITY CONNECTION PERMIT
Permit No.
3. LEGAL DESCRIPTION
LOT ~~I L~ BLOCK PID .z.5-13fo- OO~
ADDITION.:IY1P 115 ,eN1 az:z pia 5....MO I tJf= sw 1/4-
4. OWNER (Name) (Address) (Tel. No.)
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
5, ARCHITECT
(Name)
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
00 .Ok/?;
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14, FLOOR AREA APPORTIONMENT USE
(Tel. No,)
"19 ~ -784-. e'lb 1-
6. BUILDER (Name) (Address) (Tel. No,)
jJAf'(),.J~l Avrctt011t.. ~,.~~~ l~'Z.. ~~T" LJJ ut Bl~ULJt:. 6~4-+9
7, TYPE OF WORK Fireplace CJ Septic CJ Heating CJ Plumbing CJ Reroofing CJ Porch CJ
New Construction 0 ~ Alterations 0 Addition p Finish Attic 0 Residing 0 Finish Basement 0
Chimney CJ Misc. ,.. ",-2'- P9ct~t. oJo.J
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
10. CULVERT SIZE
Yes No
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
j SEATS _
~6. ESTIMAT~lbVALUE)
'3l2.!>.
I 17. COMPLcllUN 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 ab~::i:~tiOned 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
~uildin~ ~s permit for just cause. Furthermore, I hereby agree that the city Offim~gnee may enter upon the property to pe~m...nl'~ iOpections,
/ \ Signature UcenS8 No, Date
\.. \
SETBACKS: Req~
Actual
FOR ADMINISTRATIVE USE
PERMIT VALUATION 3,~. (!) C!>
AQO (\S)~P..tJ~ WMI7~ty:
~lq) Gftl~\l~~5
7'1. 75-
'-IR.S1
I . SO
CJ Sewer & Water Connection Fee ........... $
CJ Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit............................ $
Other ......................................... $ _
Total Due .............................. $ I~~. ~4--
Paid /z1. B4- ReceiPtp?i;I37~2..0
Date r;/2./00 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 a/. requested. This document when
signed By the City Planner cws a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner Date Special Conditions if any .
24 Hour notice for all inspections 447.42309:00 a.m.. 10:00 a.m.
Front
Back
Side
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET ~
USE OF BUILDING I / (!.;
,
~
A~
I
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A BEl H R M
Division 1 2 3 4
Permit Fee................................... $
Plan Checking Fee ...... ......... .... ...... $
\~\~
.~A.o-\. ~ -:,/0
1v- O~
(j'J'
Check if
State Surcharge............................. $
Penalty ....................................... $
Septic,System ............................... $
Other......................................... $
Deferred
Subtotal ............................... $
~o
By
. ding Permit When Approved.
Date r2~-~c>
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA
Ll
PILING LOGS
CJ
PERCOLATION TESTS Ll
SETS
COPIES
PLANS & SPECS CJ
SURVEY
PLOT PLAN
CJ
CJ
Amount Brought Forward .. .. .. .. . .. . .. . ... $
Park Support Fee........................... $
SAC . .. .. . . . . . . . . .. . .. .. . . . . . . .. .. . . . . . .. . ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Ucense Check Fee ......................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter................................. $
AUTOMATIC SPRINKLER CO.
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1612 94th Lane N.E. · Blaine, Minnesota 55449 · (763) 784-8902 · Fax (763) 784-5787
LETTER OF TRANSMITTAL
Date: June 1, 2000
To: CITY OF PRIOR LAKE
16200 EAGLE CREEK AVENUE
PRIOR LAKE, MN
Re: NORTHGATE EARLY
PLEASE BE ADVISED WE ARE SENDING YOU THE FOLLOWING, ENCLOSED HEREWITH:
DESCRIPTION
(1) PERMIT CHECK IN THE AMOUNT OF $124.84 FOR THE ABOVE
REFERENCED PROJECT.
SIGNED: Q~<!-Y\Y\a ~'\L~
DEANNA RESHETAR
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LETTER OF TRANSMITTAL
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DATE:O!J"\ '-60
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JOB NO.:t1c.\'J27
1612 94th Lane N.E. . Blaine, Minnesota 55449 . (612) 784-8902
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RE:
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TO ~f2~Dtl ~b · IJSf~-ho..J ~T'
ADDRESS: \b2.00 ~l,G ~ A"I:
CITY: fll,of lrlb,..,tJ . ~~372
ATTENTION: ~AuL '6Au,.A '/4-{)~~
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PLEASE BE ADVISED:
/ WE ARE SENDING YDU J( ATTACHED
o PRINTS 0 PLANS
o UNDER SEPARATE COVER VIA
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THE FOllOWING:
o ARTWORK
o PROOFS
o SHOP DRAWINGS
o PHOTOGRAPHS
o SAMPLES
o COpy OF LETTER
o SPECIFICATIONS
o CHANGE ORDER
o
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NO,
DATE
COPIES
DESCRIPTION
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4
5
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THESE ARE BEING TRANSMITTED AS INDICATED BELOW:
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o AS REQUESTED
~OR APPROVAL
o FOR YOUR USE
o APPROVED AS IS
o APPROVED WITH CORRECTIONS
o RETURNED WITH CORRECTIONS
o SUBMIT
o RETURN
COPIES FOR DISTRIBUTION
CORRECTED
o RETURNED AFTER lOAN TO US
o FOR YOUR COMMENTS 0 RESUBMIT
COPIES FOR APPROVAL 0
o FOR BID(S) DUE
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COMMENTS:
WHITE - ADDRESSEE
YELLOW - FILE
SIGNE~.~ L' '6F-\lSo~
PINK - ORIGINATOR
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c.iTHO IN USA
00 - O~/0
Tht' Ct'ntt'r of tht' Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT No..\-~~ A\Jto~'c SP"~\..Q.r-
APPLICATION RECEIVED S-l'Z.-2eoo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
168'5 Fr-a."~\i,^ It-~,. \ - ~,,"~~Owt""'" ~l~ Qk,l~ ~
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Accepted
Accepted With Corrections .x...
Denied
Reviewed By:
(4
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Date:
s: 2G,-7I!rJr)
Comments:
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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.1I
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White - Building
Canary - Engineering
Pink - Planning
The eenler of Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT N \ \
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:
Ii' 6\ t"
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Accepted
Accepted With Corrections
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, Denied
Reviewed By:
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Date:
(~- 7,y*')(
Comments:
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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 jurisdicti<:?!J. 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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