HomeMy WebLinkAboutBuilding Permit 00-0687
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~ ~9~-/"7
DATE RECEIVED
8 . ~.OcJ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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3. Yellow . ,b."licant
Permit No.
OJ/O (p~ 1
.I
1. DATE
8.1-()o
~I
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.SITE4,gSq" Pd~ HI/All' (J,T AJ ~
9. PROPERTY DIMENSIONS
Width Depth
3. LEGAL DESCRIPTION
LOT
~
BLOCK
ADDITION ~~
~i~l.l?;)~V (Name)~.
...............~ ~
~I~T (Name)
6. BUILDER
(Name)
Fireplace CI
Alterations CJ
Septic CI
Addition CJ
7. TYPE OF WORK
New Construction CJ
Chimney CI Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
BUILDING INPOIIIMA TION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
+-
#/~
PID -.2S'.300 - 011- 0
3..co
13. TYPE OF CONSTRUCTION
(Address)
"
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.) ~
9s-a- .Y'/;J- ,~S-
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address)
DeckJ(
Finish Attic CJ
190m!.
SEATS
16. PROJECT COSTNALUE
Re-roofing CI Porch CI
Re-siding CJ Finish Basement CJ
IIJ B,XISIJ tJ~
1 O. CULVERT SI~
Yes No
17. COMPLETION DATE
I hereby certify that I have furnished infonnation 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 pro~rtY and that all constructio will co to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building oIfIcial can rev is permit f r' t ca 'l.""e I hereby agree that tha city officieJ or e designee may enter upon the property to perl.. o,nn.~....n.e.:~ J Insnsm. ,'S.
License No. ........~ .~"
;.1.'. '1rl'::'kC;~ ,t,',.... . ,iff!
';l!?' J
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Pennit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty....................................... $
Plumbing Pennit Fee ....................... $
Mechanical Pennit Fee ..................... $
Sewer & Water Pennit ...................... $
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS CI ENERGY DATA CI
PILING LOGS CI PERCOLATION TESTS CI
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION -1JOO, tr)
PLANS & SPECS CJ
SURVEY a
PLOT PLAN CI
SETS
COPIES
City:
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 .. .. .. .. . .. .. . .. .. .. .. .. ... $
3t}.so
a'.~
... 50
ioo
~:1
Water Tap ... ................................ $
Builder's Deposit ............................ $
Other......................................... $ .
Total Due .............................. $~. ~
Paid , 1... "" 7 Receipt No. m.r ~
Issued . /:;.
Date ff. 8. (JLI By
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 requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
ing Pennit When Approved.
Date
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
~
00 · 0&/01
Thr Crnlrr of lhr L.kr Country
White . Building
Canary - Engineering
Pink - Planning
B.U.U-DING PERMIT APPLICATION D~RTMI;NTCHECKLISI
NAME OF APPLICANT
APPLICATION RECEIVED
WJe/qHI LAWf<6NCA:/
J
8.4-.00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
439b FoX HtJlJ I (!,,/" N6
Accepted
-:>Z
Accepted With Corrections
Denied (JJ(:J Q
Reviewed By: ~~
Comments: /
Date: B -l( -zP-,..
!k1 ~ d&-c(Q
- -
~
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."
v(.
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 4:<R ~ 1....,., tIv.Jr. c. f-
TYPE OF WORK I)ec- k:_ <9 ' A' ( ~ '
USE OF BUILDING ~ J=D
PERMIT NO. IJO · D(bE;7 DATE ISSUED S -l{-c,oo
BUILDER lJHl{~ ' 812-J{)~
NOTE: THIS is flOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING 1\JOR i' /2;7 If
PLACE NO CONCRETE UNTIL ABoI'* HAS BEEN Sld~ED
~ V
DEPARTMENT OF
BUILDING AND INSPECTION
-~
FINAL
A, ,/~ /~
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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
INSPECnON NOTICE
SCHEDULED
ADDRESS 43'1~ m ~ ex-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @) 0 WATER f:lOOKUP
.. ~ INSULATION 0 SEWER HOOKUP
\5 FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ck&....
~
DA"E
~fo ~as
TIME
'1;7.0'
~7
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
\11WORK SATISFACTORY, PROCEED
r; CORRECT ACTION AND PROCEED
o CORRECT ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: -q . Owner/Contr:
9ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl