HomeMy WebLinkAboutBuilding Permit 00-0618
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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7-/7-0()
1'</5D
DATE RECEIVED
L White File
2, Pink ~
3. YellOW,lfrPPlicant
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7.11.r.tJ
'CoI9J
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FillED IN
BEFOI3 P ITI~,I~ UED (Please Print or Type and sign at bottom)
BUilDING IN"
11. SIZE OF STRUC
(Height) (Depth)
yr'
12. NO. OF STORf'fl
~\,';~ ,. ',~~~.
3~f ' Syc~'" tft
3. LEGAL DESCRIPTION
LOT ~L5 33
T /,,-' /
PID 25""'/01:1' Olb-()
BLOCK
13. TYPE OF CONSTRUCTION
ADDITION
;.. ,III'~~:;Z (Nam!l
,..k" '.)eFr Ij'1/tt/
5. ARCHITECT (Name)
YLr7...N~7 3,
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
3 3lf$" J Y" tf I'll ,,/"-
(Address) ,
~" (Name)
J5 q t.:S /)11-,....".,
15. NUMBER OF OCCUPANTS OR SEATS
(Address) (Tel. No.)
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
16}0" .sT h"~... c.~'J '-IV 'Irv-;1~ ~ 7
, I"" Fireplace LJ Septic LJ Deck LJ Re-roofing LJ Porch LJ
New Constructio~'b Alterations LJ Addition LJ Finish Attic LJ Re-siding LJ Finish Basement LJ
ChimneyLJ Misc. AJ J A'ly W:"r/r.-IV J.. - J.)t'/~ tlt~Jfr
8. PROPERTY AREA OR ACRES' 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
17. COMPLETION DATE
No
Yes
Depth
Width
Sq. Ft.
I hereby certify that I have fumished 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 property and that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building officla}can revoke ~i~,1 nnit fO, ,r jU, st cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perfonn ne, ,ed, ,', ad inspections.
X ./;"A" O~d ____ ~ () fJ ~ '-/1rb l/ ")- J 7-- DO
_/'~ ' License No.
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ PERCOLATION TESTS LJ
SETBACKS: Required
Actual
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS LJ
SETS
~~
USE OF BUILDING
COPIES
SURVEY LJ
~OC>.~O
PLOT PLAN
LJ
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Pennit Fee ................................... $
Amount Brought Forward .. .. .. .. .. .. .. .... $
Part< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. . . .. .. . .. .. .. .. .. .... $
SewerTap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
City:
( 1 .00
I "J.t, S'
..So
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty....................................... $
Plumbing Pennit Fee .... .. .. .. . .. . .. .. .. ... $
Mechanical Pennit Fee ..................... $
~fiJ
~}VI ^ tI.tJ
'\:v-
er Pennit .~...... ............ $
....... ............. $
es ullding PennittWf1~IiP~~. _ _I
Date ~ Il::~
Water Tower Fee . .. .. .... .. .. .. .. .. .. .. .... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
tTotal Due .............................. $ _~., s-'
Paid <. I ( S; Receipt No. ~ , ~ r
Date ~/ .aD By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordina~ and may proceed a reql 9Sted. 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
Issued
Special Conditions if any
Date
City Planner
24 hour notice for all inspections (952) 447-9850
)D.o~~fJ
Tht Ctnltr of Iht Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PelMlT APPLICATION DEPARTMj:NTCHecKLISI
NAME OF APPLICANT
DI'l I M fiN/ BoB
7-/,- 00
. .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~ eo sv C!A no~6 7li?-.
I
Accepted..?'---
Denied /J
Reviewed BY0"/
Accepted With Corrections
Comments:
Date: /-11-2000
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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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF '
BUILDING AND INSPECTION
SITE ADDRESS ?~t.., ~r. ~ I J'
TYPE OF WORK .:I",~~ V\J~ Wc~
USE OF BUILDING S r-rJ
PERMIT NO. tJ()rOfo/~ DATEISSUED J-t~-?ooo
BUILDER D:4 ~~^ ~... L~__
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
PLACE NO CONCRETE UNTIL .~BOVE HAS BEEN SI~q,NED
FRAMING ~) 2X1o HP^- I /WI 7 /;r/ #t)
I I
FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
· . . "-"lir
DATE
TIME
f- ~ tH)
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
33?S
9/ ~;{1d
1
5''1 ~~(2..C I~,
.../
CONTR.
SCHEDULED
OWNER
PHONE NO.
PERMIT NO. (),. '=:, { t
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION Il 0 MECH RI 0 COMPLAINT
~RAMING" 0 WATER HOOKUP 0 FIREPLACE RI
o INSULA rlON 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMPANTS~ tJ I ~~V.I rJ:J
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~;;E~TrC Ot-AND
o CORRECT OR~. \LL
Inspector: " Owner/Contr:
CALL
NEXT INSPECTION 24 HOURS IN ADVANCE.
'ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI