HomeMy WebLinkAboutBuilding Permit 00-0591
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DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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1. White File
2. ~ Ilt;. City
3. Ye~",t; Applicant
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Permit No.
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LOT
13. TYPE OF CONSTRUCTION
~.... (Name)
,,;,-V~/'INI"c(' j)oJ+ ~
Fireplace 0 Septic 0
. tlon 0 Alterations OQ A~ion7
Chimney 0 MiSC.~ L:IJ. ~ fC'O
8. PROPERTY AREA OR <u.RES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
1 O. 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
building official can rev~ us '"' it for just cause. Furthermore, I hereby agree that ~ city of!;..;al ~' fdesignee may enter upon the property to perfF ne~ insP!PtiR~'
X ~ \.... _ .:xJJC (4 II" \0" IE:::; 0 \..J
~ ---- -. l - (". l License No. Date
'-' FOR ADMINISTRATIV~SE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 'O,~ .OCJ
\
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
USE OF BUILDIN~ ~
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $ if, '2 · ~ S
Plan Check Fee ............................. $
City:
Amount Brought Forward . .. ... .. ... .. . .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. .. .. .. .. .. .. .. .. .... $
Sewer Tap ................................... $
$
State Su rcharge ............................. $
Penalty .............. ......................... $
Plumbing Permit Fee .. ... .. .. .. .. .. .. .. .... $
S.oc:.J
Mechanical Permit Fee ..................... $
}~O
1.1~
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee .. .. .. .. .. .. .. . .. .. .. .. .... $
Sewer & Water Permit ...................... $
Issued
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $~-J. -zs-
Paid / t... 7. ;2;-> Receipt No. 3~S-
Date '7 j1.:J,.fJJL1 By ~"N
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 s uested. This document when
~~ cons1Itu1Bs a \en1lOl8IY Certificate 01 Zoning co..,lanca ~'::.I:.OO. struction to commence. Before occupancy, ~rtiflcate pan must be issyed.
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City Planner Dale - T ---:c Special Conditions if any
24 hour notice for all inspections (952) 447-9850
our Building Permit When ~
Date ?..?-
Certificate of Occupancy
,./
1 th,
..TheBuilding, . Engineering; and . Planning Departmentshavereview~d. the building permit
application... for construction . activity which."is" proposed.. at:
5~9' ~.r('L,(\(d ~ TraJI SE
Accepted Accepted.With Corrections t/'
Denied
~J~
Date: ? -t{ -/90
Reviewed By:
~. '""~,,,,,~.~,,,.qomments: .
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liThe issuance or granting of a permit or approval of plans, specifications and ""\...-l"
computations shall not be construed to be a permit for, or an approval of, any violation of . <!t)C)
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 shaH not be valid."
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Th~ ~~ntl-r of tht Lak~ Cou~try
. White ,DtJihiiR!J .', " ..
C:CaDiirv .. EnalneerinO
"Pink ... Pla.nning ., '
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. .
. " .. .' .
. .
. . .
. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
, .
NAME OF APPLICANT rp~r~.(').. YY\(U\(~ . 'PQ(\\. 1:. ~?O- .
APPLICATION RECEIVEDtJ0r'\~.~(,t~ ld()(JO
'. ."', . . , .
.' : The Buildh1g,Erigineering, and Planning Departments have reviewed the building perinit .
app;lication f<?r constr~ction a~tivity Vihicn is proposed at: .' , .
. .5'1> 9~ U,.;J.a naJZi.d.glhlrcul ~
, "Accepted
....H/. .
V",'"
'Accepted ,Wit,h. Corrections
Denied '
. '
. ,
Reviewed By: . Grfln.t ..Co.;-/SOIL .. Date: .. .JIt /~ . .
. ".. : " . ,'. ", ':. / ./
Comments:,' 5ee "-If,e:,: >Abl2!lill/~~, elf." ~~. i~~fi~rf~" sirJe . '
. '.
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, '''The issucuice'or granting ,of "a 'permit or approval of:' plans, : spe,cifications, and,
" ." cOI11Putations . shaH not be construed 'to bea permit for, 'or an. approval of , "any violation of
any 'of the provisions of this 'c6deor of: any other ordirianceof the" jurisdiction. Permits
presuming . to give authority to violate Of cancel the provisions. of this code or other
ordinances of the jurisdiction. shall not be va~id. II
.~..
DO-O,q (
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT llr ..\).1'1'1 YY\lU\.(, ~ 'P 00\ ? ~po. .
APPLICATION RECEIVED iJu\\~ ~()+h 1 ~ OO()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5S96 ~(\aJ ~J li'OJ'/ ~
Accepted .;>( Accepted With Corrections
Denied //}/Y1l
Reviewed By: ~~A
Comments: _
/3u:J- ~r ~~
Date: 7-/q -2t:?a:::>t:)
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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."
- ...
..
~. ;
PRIOR. LAKE
INSPECTION
RECORD
SITE ADDRESS _ " _ ~ CMlO,,JAL ~,I).~ .
TYPE OF WORK ~ G~u~ ~o l
USE OF BUILDING S ~t>
PERMIT NO. 00 ~ 05r /
BUILDER ~t.:..~.. G:>dOl~
NOTE: T,I:'IIS .15 NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING tfr INSPECTOR 7 / rJ/ i~
" I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1ft K"'.'G ~14.,C-.~,.. Cl\.."C j.~ ~- ":>0 ,.,-ec....J ~. 7/;.i.{!&tJ ,. f/to/I'
P.., w;+-l... ~t- opG-\. .t1a:;tc,
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
7-7- 2ooc:)
FINAL
- ~(
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Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Sgt~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING (tJ
o INSULATION ^
FINAL r
~ SITE INSPECTIO
COMMENTS:
<--P r:nrf
d
DATE TIME
SCHEDULED
It/;I/~
A, '/.
/
r
~~~Q TI2.
CONTR.
PERMIT NO.
/) - 59 I
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
&~~ .
)
~/O,.
,
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~FO{R REINSPECTION BEFORE COVERING
Inspector: r ~ Owner/Contr:
/
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY Of PRIOR LAKE
INSPECTION NonCE
SCHEDULED
DATE TIME
JI-17.o~
ADDRESS
S-SL~ Cctrd~~ ( t'cltC- 7d
CONTR.
OWNER
PHONE NO.
PERMIT NO.
C FOOTING
C FOUNDATION
[] FRAMING
rEt~~~~~TION
~L
[] SITE INSPECTION
o PLUMBING RI
[J MECH RI
o WATER HOOKUP
o SEWER HOOKUP
[J PLUMBING ANAL
o MECH FINAL
COMMENTS:
tlJi /Q '-
to(i) -<,5/
i~NG
D eoiiPLliRT
[] FIREPLACE RI
o FIREPLACE ANAL
o GASUNE AIR TST
[]
~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
I~~~ OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI