HomeMy WebLinkAboutBuilding Permit 00-0499
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVI;Q
. 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 .
1'16~'-I La-ndCU/ LOJ\1. N~~
3. LEGAL DESCRIPTION
1. White
2. Pink
3. Yellow
FIle
City
Applicant
Permit No.
09 -04-'1!j
1. DATE
b!/ Lj /0-0
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
BLOCK
r,r.>Arrl ~ .
(Name)
7i,.". L",A/~If't:J
(Name)
PID ~S - 3J 4.-03C?-o
.l/ ffi Af~ ')
(Tel. No.)
tol2.. illOO\L(
LOT
3
s
t\1l~
ADDITION
4. OWNER
~Address)
1'1 (I i if UcrJOJre-.. UJ,
5. ARCHITECT
(Address)
6. BUILDER
(Name)
(Address)
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
5cLP
.. "
Deck)(
Finish Attic 0
ClS2- WtJ ~ 7 d 2-
SEATS
16. PROJECT COSTNALUE
Re,-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
7. TYPE OF WORK
New Construction 0
Septic 0
Addition 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have fumished 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
buildin~ial ca~oke this p~it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X .~ c.--- A 6 -I ~-- ;boo
Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Jr: otal Due .............................. $ --'/):3. 7 I
Paid I Q.3. I J Receipt No.3 8'06
Issued ~
Date n... a/i) By (
Th~ is to certify lhatlha request in lhe abolla application and accompanying documants ~ ~ accordance wilh the City zoti:,/;'r<Jnanc and may proceed a r
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING V]
SJL-~
tv: ,z.
,
:12.000
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM dO S U
Permit Fee ..........~~~~i~~..:...~~.~... $ ~ l.. 25
J/{).L(ip
1.00
City:
Plan Check Fee ............................. $
State Surcharge............................. $
I~
~~
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit...................... $
Gas Fireplace Permit ....................... $
This Xtion Becom. es YOJ:!r Building Permit 1JI9l~ Approved.
By ~ '::I4J.JJ,I- Date "f ZC/IJO
Certificate of Occupancy
City Planner
Dale
24 hour notice for all inspElctions (952) 447-9850
Special Conditions if any
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN 0
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 ...................... ..... $
OO'041~
White - Building
Canary - Engineering
Pink - Planning
Tht Ctnltr of lht Lakt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\ ~\ m l,Lmrd
-.J~JT\L . LJi4\ 1 8 000
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Lj~ ~Lf L:x_^~) Lf'AAU. Nc
Accepted
Accepted With Corrections X
Denied
Reviewed By:
Comments: ~~o
ALL TIt c
~ PLJ4ctJ~ ,
,.
~_Y'-~:. Y'.L49l-1 Date: to,/Z()/~D
THE J)~~ t\-~~o-ou..T MO
I tJ Fo It.. 11^...A; ,IoN o~ · , t' E A:pfR-O J e:f:>
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."
00- otfAi~
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATI()N DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\ \ ()\ (- tJY\ r (} (>,1
-::- \ L1 t h.,.
,...) \ rf\. Q _ I 1
() C}
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
I Lj b X" t!j L. f\{ ({ .~ ;' L: c f\I. i\j f
Accepted
Accepted With Corrections
Denied
~) '>
o ft
\'-
Date:
Reviewed By:
Comments:
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
\
\
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS / '-/ltJg 'f LA ~.DAu '- AN (; N. E f
TYPE OF WORK ~Bu DEr-'~,
USE OF BUILDING f!.s<i. Ale...
PERMIT NO. O~.. 0 4qq DATE ISSUED ~Jzo/(Jo
BUILDER .. I i"^-. ~Q..AO ( .. lei Z - Sl7 - 00' t.f "
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO,~sp~!NT ,DATE
FOOTING · ro ., 1 \ ,G
PLACE NO CONCRETE UNTIL ABOV\)AS BEE~ S~NED
DEPARTMENT OF
BUILDING AND INSPECTION
FINAL . ~ q !f'l ftt
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I <I b?)I
OWNER
PHONE NO.
o FOOTING
o FRAMING (B
o INSULATION ,. A )
V FINAL ~)
,tJ'" FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
1)17c..~
DA TE TIME
SCHEDULED 1/.L.2jJO 1/,' 00
LI?,A,) 0 AL( LN,
CONTR:.
PERMllr NO.
u -Y9 9
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTAlIL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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-'L. I II
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR l'JERSONAL HEALTH & SAFETYI