HomeMy WebLinkAboutBuilding Permit 00-0502
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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b-/ S- -00
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DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BE:FqFU~ ~E~MIT IS ISSUED (Please Print or Type and sign at bottom)
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3. LEGAL DESCRIPTION
LOT:<' BLOCK / PID ZO"'Z'ltl--tJ5'1-o
ADDITION Wood."......age.- eS~ d.~ addh
-~ (N,me) 1 h (Address)
~""', ILl ,~ :/0 ()S~ Slime..,
5. ARCHITECT (Name) (Address)
.....'......'If1.'.........:...I.~..y.\:.
, '. ..,., ..... . . (Name)
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().!e~ NO; J. V c:;~
(Tel. No.)
A Cf Lf - .32.00
(Tel. No.)
(Address)
Dec~
Finish Attic 0
Septic a
Addition 0
Fireplace a
Alterations 0
Re-roofing a Porch a
Re-siding a Finish Basement 0
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
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Permit No. 00,..,50z,.
..
BUILDING INFOIMATION
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
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 0 r can r~voke this it for just cause. urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins~ons.
X License No. __
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 .............................. $J 03. -/ I
Paid / O.:s 71 Receipt No. ~ 7 (" 9/1
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Date ,I B-, f-JI v By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City zoning6rdinance and may proceed a uested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate f upancy must be issued.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REa.
USE OF BUILDING
Kes It/ JZ..
SPACES ON PLAN
PERMIT VALUATION
IUJOo,o'tJ
TYPE OF CONSTRUCTION: I II III IV M.
Occupancy Group A B E F HIM liD S U
Division 1 2 ~ 4 ~
Permit Fee..... ................. ..... ........ $ '" Z ·
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City:
Plan Check Fee ............................. $
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State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee .. ... .. .. .. .. .. .. .. .... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~tion BSlCOm5 ~Ot~Uilding Permit W}~ Ap,pj>ved.
By ...."" ., ..".. 'I-- Date -!i!lz.tJ,00
Certificate of Occupancy
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS a
SURVEY a
PLOT PLAN a
SETS
COPIES
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The Center of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPl1leATt9ft.OEpARTMENT CHECKLIST
NAME OF APPLICANT
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:
j'. "/.";;/ 4 ,---
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Reviewed By:
Accepted With Corrections
~
Date:
Accepted
Denied
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 bevalid.u
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Thr Crnlrr of lhr Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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:
/72-45 /(),€()/V/()
Accepted
Accepted With Corrections
1W6
X
Denied
Reviewed By:
Comments: ((EJ'O
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~eCIL HAkJO- O&,\.T
I ~ F=O(L "^"" TI Q.J o~ IH 6 A.pPi!..tJ" eD
Date:
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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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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~4{ 5 I 0 (2.0 ~ I () ~J'€.
TYPE OF WORK NE"IA.J :Db~"-
USE OF BUILDING ret::~# AI t<..
PERMIT NO. (J/J "(JSV~ DATE ISSUED to/ za/o (J
BUILDER J'u.I, E ~eU-tJ~~~ ~ 2Z~ - 24SS · w. ..sa e=t4.f - 32.00
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
,/1 INSPECTOR I , DATE
FOOTING f'A' ~ r/{,/8tJ
PLACE NO CONCRETE UNTIL ABOVE HAS BE'EN ~IG~ED
~ FRAMING R J-/ 7/Z1 /a:>
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FINAL ~,. b'/ehf/tf/
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
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DATE TIME
ADDRESS
s.z';' oj .ittT.
/72~ IU,e/}N/D A1/'G.
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o O. OS o?
D FOOTING D PLUMBING RI
o FOUNDATIO~D MECH RI
o FRAMING WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
FINAL D6 D PLUMBING FINAL
~ SITE INSPECTIO D MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
D
COMMENTS:
....
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liOJvoRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. Pr-I Owner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTl