HomeMy WebLinkAboutBuilding Permit 00-0254
DATE nile
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
SZU7
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OWNER
CONTR.
PHONE NO.
00- ~Sr
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULA TIO~ 1/
~INAL f/'fe,<.
[] SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFllllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
[]
COMMENTS:
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!WORK SATISFACTORY. PROCEED
[] CORRECT ACTION AND PROCEED
C CORRECT ~7 FOR RElNSPECTION BEFORE COVERING
I~L~ FOR THE NEXT == 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR. YOUR PERSONAL HEALTH & SAFETY!
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r,:-~~ R~,IY~h__~,:).. CITY OF PRIOR LAKE
0,' ! ~, '(. r-., fi S I
I ! ~~-- , "-~ j' BUILDING PERMIT,
[ .'1. TEMPORARY CERTIFICATE OF
: ZONING COMPLIANCE
AND/UTILITY CONNECTION PERMIT
1. White
2. Pink.
3. Yellow
File
City
A ...;n" '.1
!i," ,.'......,
Permit No. 0 (J~lJz-54-
"'I";~~~~:
BUILDIN~~MATION
11. SIZE OF STRucTuRE
(Height) (Width) (Depth)
r'l-1.tf"
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
iJ
1. DATE
. ,~ . .... ~;r.:t.1~ ;!l;
54/ 7 /1n~6NOOD O/e. A/G
,Je/
3. LEGAL DESCRIPTION
5
12. NO. OF STORIES
Z PID z5-34O- a 13-0
-m A/{)e / H ..5HOe8 ()~J::S
(Tel. No.) \? Lf
95,),-;),,33- J (J 7 1
(Tel. No.)
LOT
BLOCK
?7rI ~N.
13. TYPE OF CONSTRUCTION
ADDITION
(Name)
&#GS/ I:;::,k;.-
(Name)
(Address)
/'1 HTi/CI71
(Address)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Address)
(Name)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
~ .' , .' 'j .:;~'.
:~ ~,
Dec'S)(
Finish Attic 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
~'~
Chimney (:J Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
17. COMPLETION DATE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
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 mentiWoned rope and that all strucJLon will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am a.ware that the
building o~ is pe 't r . us . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed lns.~s.
X 1;7/4 "--/2- .,O-U
License No. _...
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS (:J ENERGY DATA a
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY a COPIES
PLOT PLAN a
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
,l!6.s Ale...
USE OF BUILDING
#, tJtJtJ . () t)
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 ................................... $--.3 LJ. 7 S
Plan Check Fee ............................. $ ZZ,!!:,
State Surcharge ............................. $ I 50
Penalty ....................................... $
Plumbing Permit Fee ..... .. .. .. .. .. .. .. .... $
Mechanical Permit Fee ..................... $
Amount Brought Forward ... .. .. .. ... ... ... $
Park Support Fee ........................... $
SAC ..... ................... ......... ........ $
Collective Street Fee .. .. .. ... ... . .. .. .. .... $
Sewer Tap ................................... $
$
City:
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
~~
Sewer & Water Pennlt ...................... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 07 e+-
Paid b 7. & i' Receipt No. ~
Date ~ -ur ~ By (l.Dlf
~is is . that the req~in the above application a. nd a.ccompan. y. ing documents is in accordance with the City Zoning Ordinanc.) and may proceed as requested. This document when
. by C~er' mporary Certifirte Of!anQ..comPliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
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(/ city Planner Date Special Conditions if any
24 hour notice for all inspections 447-9850
Gas Fireplace Pennit ....................... $
This ~ti~~ YpuJ !3uilding Permit When Approved.
By -?'~ Date ~-IJD
Certificate of Occupancy
Issued
(fI) -0 U- 4"
Thr Crntrr of thr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C ~ ~~ If
APPLICATION RECEIVED Arri \
mcd.\!~
\a) 2-0() 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SL fl A-rnYj~)nnd ~r_ N5
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments: ~'A:C
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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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'rheBuUding, Enginee.ril'lg,.afld,Planning . Departments have reviewed the building permit
applicatiol1'forconstru~tlon' activity: which .is . proposed at:
f5Li1 g Ar1'\tJ.e..woa:4 Dr .f:4E
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Denied/J/ '.j .... .'
Reviewed By: /J. 0/0, .~ Date: '-111'/00
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Accepted' With Corrections
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
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 5,,-/ /7 IhttLSGC;-wooo D/L. N, C,
TYPE OF WORK ME, lAJ DEGJ~
USE OF BUILDING l!-es 4//2--
PERMIT NO. (YO -0 254- DATE ISSUED '-/-IP'-()O
BUILDER f){A)tJG<.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
FOOTING /k. 5/12/ ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SiGNED
FINAL ZI1 ~. 11- 5:'-()t.- I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850