HomeMy WebLinkAboutBuilding Permit 00-0688
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
~ORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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3. LEGAL DESCRIPjN
LOT BLOCK
~ITION M/eR/ AfjE, #tLL S'
~~':R (Name) (Address) (Tel. No.)
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5. ARCHITECT (Name) (Address) (Tel. No.)
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(Name) (Address) (Tel. No.)
DATE RECEIVED
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6. BUILDER
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/
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K/SO
1. White
2. Pink
3. Yellow
Permit No.
(Depth)
12. NO. OF STORIES
PID 7&)-2..84--00/- 0
IS-r ~.
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing CJ Porch CJ
Re-siding CJ Finish Basement CJ
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK Fireplace CJ Septic CJ Deck CJ
New const~ JYterations LJ c AddIllo~ Attic LJ
Chimney CJ Misc. 1ft? ')C Z-.rJ ~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
1 O. CULVERT SIZE
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 c()rrect. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will confonn to all existing state and local laws and will proceedin accordance with submitted plans. I am aware that the
c!)ing OfficiF" ravoke ~nn: cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertonn needed inspections.
(.. X . M (;, -U" tJ 0
Signature License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~~ 19/~
. ,
TYPE OF CONSTRUCTION: I II III IV CO.
Occupancy Group A B E F HIM R
Division () 2 3 4
Pennit Fee................................... $
Plan Check Fee ................. ............ $
State Surcharge ............................. $
, Penalty....................................... $
Plumbing Pennit Fee .. ... .. .. . .. . .. .. .. .... $
Mechanical Pennit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Pennit ....................... $
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS CJ
SURVEY CJ
PLOT PLAN CJ
SETS
COPIES
#~O{)(), DO
j
stti)
lIZ, 25
'72, 9~
. ~, I)t)
City:
Water Tower Fee ..... .. .. .. .. .. .. .. ........ $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ /8fJ.Zr'
Paid 108.. -z.,/ Receip ~9?
Date ~. In, IJ1)
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr s requested. This document when
S~~the C' ner constitutes a temporary Certificate of Zoning comPlian~ a~s ~~ com&~-:ncy,~rtifica' ~~,~,:'
C .'. ..--.~- --B~'?-cA:) v~' ~
- C Planner Date Special Conditions if any
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This ~tion Becomes.1J>u~ Building Penn it When..AEp')lved.
By .~ 1..l .-;r~ Date -.10./'" f 81:>
- , ,
Certificate of Occupancy
Issued
\;
Amount Brought Forward . .. .. . .. .... ... ... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . ... .. .. . .. .. ... .. .. ... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
24 hour notice for all inspections (952) 447-9850
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D6' O~S~
Thr Crnlrr of Ihr Lakr Counlry
White - Building
Canary -Engineering
Pink - Planning
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BUILDING PERMIT APPLICATION 'DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,j 4'-7(c 4~ {?I.;;t:~/(/~(jV Ie I
I
Accepted With Corrections V
IV~ E- .
Accepted
Denied
Comments:
Reviewed By: r:4 ~ "'? v ~
L'Ch .~~!,~
. .'.:".~' .. ... .
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- .
Date: -.!l> ~ 7 - ~
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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. II
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White - Building
Canary - Engineering
Pink - Planning
The Cenler or Ihe Lab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
5fJUC6f::-1 vOb
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4'/04- elfeeRv C/
I
Accepted With Corrections /
N.c-.
Accepted
Denied
Reviewed By:
Comments: ~
IJFa~f)\AT(otJ
~ ::ja-J;~
QAre.-J4c.;6
ON TH e
Date: ~ /9 / ~o
HMD-oJ IWD A..LL Tlfe-
!rPPI<-oJe:v PU+Afs
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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u..rn
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Tb~ entla-.oIIM Lake CO..lry
White - Building
. Canary .i Engineering
Pink - Planning
BUILDING. PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.APPLICATION RECEIVED
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(pIG, /00.
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The Building, Engineering,~nd Planning Departments have reviewed the building. pellllit .
. application fot con~truction ~ctivity whic;:his proposed at: .
14" / (2; .."f' C/-Ifft!./< V C / .. . Nt;
I
Accepted?' Accepted With CQrrections
Denied
Reviewed By: Gna,.t C 4.,..( SOl\; . Date: .'i'o/IJJ
Comments: See .,V\.+()r~Q+\OW\. "n ~~ r""WO-~.... ~...~,..:'. ...
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ge(N~( I\J~ (rJ
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3. 1:: ro S ; on C 0 ~ . _.. r'o \ t4 -e4..~t.l (" ~s 'f. EI'~ S ; /) It C' IJIt .f.,., I {II fh1 .
. .
liThe issuance or granting . of a. permit or . approval of plans,.. spedfications and
computations .shall not be construed to be. a permit for, oran 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 vio:late or cancel the provisions of 'this code or other
ordin~nces of tile. jurisdiction shan not be valid."
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /4?(,~ ~H@U.r eT. ,J.6,
TYPE OF WORK ~/o""II""~ ~""~'P"" 11.1)( z.o I ~J e
USE OF BUILDING (2a. u- (
PERMIT NO.. () () .. 00 (f' DATE ISSUED ~ /1/ ~ (:)
., .
BUILDER ~S'ePl't M.. ~OLlCE-~;iL G:.t 2. - '-lc.fo -1./"1 'fo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
:Ml~
~E
D~€ FINAL
~~ R.. I F- Call between 8:00 and 9:00 A.M. for all inspections
~. ,~5(OE ~~(S~ FOR ALL INSPECTIONS 447-9850
INSPECTOR DATE
FOOTING ~. 9/I/utJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING
\
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\
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I
. .-
DATE TIME
SCHEDULED lo-/1-cO ft r
/'17/.,1 ~hery (';:;/-
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT~L _ J
~INAL ~ n ed
o SITE INSPECTION
PERMIT NO.
().& W
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: "'
~ WORK SATISFACTORY, PROCEED
r; CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447-985~ F~~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/t)-1~Z-
ADDRESS 1'-I7~ C/'t,rrv C" AI.E.
- - (,
OWNER CONTR.
PHONE NO.
PERMIT NO.
a?r-~g8
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
"0 CO~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
G~- {J I(
~II/b &,1-0 ((
)I.. WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
InSpecto~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
lNSNOTl