HomeMy WebLinkAboutBuilding Permit 00-0523
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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1. White File
2. Pink City
3. Yel1ow.>!l';~plicant
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Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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3. LEGAL DESCRIPTION
\ C:> BLOCK ~
\01; \d~ .f:J"p~ ?rJY\Qll QNJl ~ ,,~
.W HM~J 1&7J/~;~L~ 5E rz7J-"f'.Jj;'
5. ARCHITECT (Name) (Address) (Tel. No.) W ~
&ff;'~wk~~;J".)
r faSt-liiftl-1'''S
"A'~ LA.itJ I NVi S')OIC(
Re-roofing a Porch a
Re-siding a Finish Basement a
~C'<'':",\-,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) ~~ (~ '
12. NO. OF STORIES
~E
PID a$"- ~-O~-o
LOT
13. TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT USE
ktUl[JMru..' 'j
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
~2~)+
De~
Finish Attic a
7~
SEATS
Septic a
Addition CJ
16. PR44;;~A~
17. COMPLETION DATE
1 (-I-DO
ished 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
rty and that II conJtAtCti~on'lI form to ,ai, I existing state, a, nd local laws and will proceed in accordance with submitted Plans., ',am a, w"are that the
ka this po' ~. F h ora, Ihareby a9'" !.(;Cre~e' ~~ may anta, upon tho proparty to porfonn~",~,~, ,,',,' actions.
V License No. ~' ..' f
FOR ADMINISTRATIVE USE
New ons
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
1 O. CULVERT SIZE
No
Depth
Yes
Width
x
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS a PERCOLATION TESTS a
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
PLANS & SPECS a
SURVEY a
PLOT PLAN a
SETS
COPIES
Le~~
USE OF BUILDING
SPACES ON PLAN
PERMIT VALUATION
cis; '()(J, ~O
TYPE OF CONSTRUCTION: I II III IV CW
Occupancy Group A B E F HIM ([) S U
Permn Fee ..........~~.~~~...1...~.~~... $ qq. 7S
Plan Check Fee ............................. $ ~ · i' ~
State Surcharge ............................. $ ~, 51J
Penalty ....................................... $
Plumbing Permn Fee ....................... $
Mechanical Permit Fee ..................... $
Amount Brought Forward .... .. .. .. ... .. ... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. .. .. .. .. .. .. .. .., $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
City:
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Sewer & Water Permit ...................... $
Water Tower Fee . .. .. .. .. .. .. .. .. .. ... .. ... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ............. ..................... ....... $
Total Due ...(i~..................... $
Paid I h 7 Receipt No.
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. .. . . . . . . . ~ate. ~ 1rj1lD By
ThIS IS to certify that the request In the above application and accompanYing documents IS In accordance with the City Zomng rdlnance and may proceed as
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of
Gas Fireplace Permit ....................... $
This :z:,tion a,com~You! Building Permit WJI{~'I/Ved.
By .. i'" ~ 7..:JJ I- Date"~ "0
Certificate of Occupancy
Special Conditions if any
Date
City Planner
24 hour notice for all inspections (952) 447-9850
DOv osz 3
Th~ C~nt~r of th~ L.k~ Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HANS'orJ
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~73 / YV//V050e L/lA/0'
Accepted
Accepted With Corrections ,/
Denied
Reviewed By: &..-:c.- ":}~j... Date: to/~ /IHJ
Comments: e~D XJ6CIt- !JfIr./VtJ -0 u, IcIJ 0 ALL I t1~
J 1J ~(l.,rA..A1If)1J ON I Me Af'p(U),jE(J f=JU\Js,
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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Thr Crnln of thr, Lakr Counlry
WtHte'-BuUcting
'(:8Jlary '~Englneering
Pink' -Planning
NAME OF APPLiCANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLJST
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the' building permit
application for construction activity which is proposed'at:
/" (> '7 -~5' / ':: C k i- /'//\./c.,
Accepted
Accepted With Corrections
Denied
Reviewed By:
?g
Date:
."
Comments:
"The 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 Co 7 3 , W ( N P>SO (L LANE: S, E I
TYPE OF WORK NcLAJ I)EC..K-
USE OF BUILDING ~"::) , AI1!!-
PERMIT NO. 00 - osZ3 DATE ISSUED Cok?~/o-(J
BUILDER \ l 1M-. ~kNsoeJ .... &'51 - t.t8L/ - 7 'lIPs '
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
1'7 INSPECTOR DATE
FOOTING /.4 ,~on
PLACE NO CONCRETE UNTI ~ f.BO"VE HAS BEEN SIGNED
-'V
FINAL , 6. It> /~/otJ
" I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
ADDRESS
/1,7&1.
DATE TIME
SC~'EDULED /0"5-01 .L:.J S-
l
&//A/d$O r uJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O-~O-~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA~~' J SEWER HOOKUP
)(FINAL J PLUMBING FINAL
o SITE IN PECTIO 0 MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:=:CT~A: FOR REINS=::EFORE COVEmNG
CALL 447-9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl