HomeMy WebLinkAboutBuilding Permit 00-0530
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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12. NO. OF STORIES
PID --ElE - 00<1..- QtS-O _-1
jOf- '1"'" OF CONSTRUCTION
(Tel. ~~.) 14. FLOOR AREA APPORTIONMENT USE
9D -~~-~
(Tel. No.)
qO-~-f\37'
(Tel. No.)
DATE REqEIVED
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I 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
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Permit No.
1. White File
2. Pink.
3. y.-.,,1irr.:..t
ooj5?J)
BUILDING INF_TlON
11. SIZE OF STRUCTU1W':\'
(Height) (Width) (Depth)
LOT
ADDITION
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5. ARCHITECT (Name)
"....' (Name)
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NeY/~onmi'uctlOn rI Alterations (:J
Chimney (:J Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
(Address)
~;.
(Address)
(~i-tw
(AddreSS)'" - ,
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Deck W-'
Finish Attic (:J
---
Re-roofing (:J Porch (:J
Re-siding (:J Finish Basement (:J
SEATS
16. PROJECT COSTNALUE
Septic (:J
Addition (:J
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes
17. COMPLETION DATE
No
I hereby certify that I have furnished informati 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 mentio roperty and that all ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 evoke is permit for' cause. Furthermore, I ~erebY agree that the city official or a designee may enter upon the property to perfob~. ~"'~' ',~."pecti, 'ens. f
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,ff " License No. ti;;"'.\: '." ls"
FOR ADMINISTRATIVE USE
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee .... ................. ...... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
P.kl Tqq. ;.~.. ...........~:~... $ 3 71-1 ) "3.
Issued ~~
D~e ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni 0 nee and may proceed requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifica of Occupancy must be issued.
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING ~ A--jK
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee..... .............................. $
Plan Check Fee ......................... .... $
State Surcharge ............................. $
Sq, '70
~8.l.oB
.45
Penalty....................................... $
Plumbing Permit Fee .. .... .. ... ... .. . .. .... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ..... ,................ $
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Certlfica:e of ~pancy ~ { .
City Planner
Date
. 24 hour notice for all inspections (952) 447-9850 .
Special Conditions if any
Side
City:
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14~
=-
Side
MATERIAL FILED WITH APPLICATION r
SOIL TESTS (:J ENERGY DATA (:J
f 4 OC)'. -
PILING LOGS (:J
PLANS & SPECS c:J
SURVEY (:J
PLOT PLAN (:J
PERCOLATION TESTS (:J
SETS
COPIES
Amount Brought Forward ... . .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC ......... ........ ..... ............ ....... $
Collective Street Fee .. .. . .. . .. .. . .. .. ... ... $
Sewer Tap ................................... $
$
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Thr Crntrr of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .s.c.o.t\- I\nck..r ~
APPLICATION RECEIVED .~ \.J\\l..., a <0 1 R f) ( ) 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/-4106
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Accepted
Accepted With Corrections
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Reviewed By:
f!- JL:rC-ffl,v~
(<.EA.fJ DFr !L-
Date:
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Denied
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. II
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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS l t \ D(p C~9A,~ WC\:>O C f~c..l.k N- E.
TYPE OF WORK OF r \~ .
USE OF BUILDING RE:~ A/,<- / I
PERMIT NO. OtJ -l)sYJ DATE ISSUED (,,(21 (00
BUILDER S~, A1\lD~ON.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
TI-J.E p.ERMlr IS BY SEPARATE DOCUMENT
IN~jCTOR DATE
FOOTING f7:i-. Iff ?tJ/ ~()
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
FINAL ttf:r . f!lbl"n
Call between 8:00 and 9:00 A.M. for all Inspections' I
FOR ALL INSPECTIONS 447-9850
.. ....
ADDRESS
tLl/Ofn
. _ fATE/ _ TIME
SCHEDULED !J(O~ q:~
G J)1iA- ,~, 00t1.. ell-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o - 5"'So
o FOOTING
o FOUNDATION
o FRAMING @)
o INSULA liON
VFINAL
Jf:i SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI