HomeMy WebLinkAboutBuilding Permit 00-0627
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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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,-/...,. 00
/2/~
7. /'1- 00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PE;RtltiIT IS ISSUED (Please Print or Type and sign at bottom)
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3. LEGAL DESCRIPTION
2-
ADDITION ISl..JiN 0
-"
~~~~Na1-\,n
5. ARCHITECT (Name)
LOT
BLOCK I
v,EAN 2JtE-
(Addr~A d' (Te~\r:v)
?8'~ I ~~vJ a\.~ t~t1~ 1
(Address) (Tel. No.)
PID
ZS""/Sf{ ~()OZ-D
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'_. ,;".;"""~.','j;"'..t<;"
/ (Name)
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SH~PU')
,~2.. W&~\V'll ~ ~ti,.1~-ql,14-
(Address)
Fireplace 0 Septic 0 Deck &-""""'" Re-roofing 0 Porch 0
Alterations Ll Addition Ll Finish Attic Ll Re-siding Ll Finish Basement Ll
.~BPt".A tt~AJT QeCft:-
onstruction Ll
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
1 O. CULVERT SIZE
9. PROPERTY DIMENSIONS
Width Depth
Yes
No
1. White File
2. Pink ~ty
3. Yel~.APPlicant
,t:~~
Permit No. D,' f4 't1
BUILDING .MATION
11. SIZE OF STRUcTt1\e
(Height) (Width) (Depth)
12. NO. OF STORIES
---.
13. TYPE OF CONSTRUCTION
-~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLt: IluN DATE
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 mentione:~rty 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
~ lY is perm~ for just cause. Furthermore, I hereby e9ree lhatlhe cIIy official or a designee may enter upon the property 10 ~.
~~;.;,.;~~. '. License No. ~ > ~.
~..
FOR ADMINISTRATIVE USE
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 .. .. .. .. .. .. .. .. .... .. .. ... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due.............................. $
Paid /Q3. -? I
Date 7.~. o1J By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zon~ 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.
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2,~. aC)
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
Permit Fee................................... $
City:
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~L.~
<I~
bJ)O
Sewer & Water Permit ...................... $_
This
By
Your Building Permit When Approved.
Date
Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS Ll
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Thr Crntrr of thr Lakr Country
oo.o~~1
White - Building
Canary - Engineering
Pink - Planning
BUILDING PI;RMITAPPLICATION DEPARTMENT CH~CKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~
?c;-IV A- J ~N 6
.
7 ./4--00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which' is proposed at:
385 I JSL-/If\/O V /6W C,IR
Accepted V
Accepted With Corrections
Denied ~ 'I/:?
ReViewedS{,/ U~ ) ./,) Date: ~2:J-~
Comments: V
(2J!kfhk ~~~
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS <Q:57 Ls.1~,( U."..e....J Cr,
TYPE OF WORK ~ &;\...... &.-.~t....,.~ ~'c; 0.7..' XI~1 )
USE OF BUILDING S~
PERMIT..NO. roe ()~ 7 . DATE ISSUED 7-?d{eo
BUILDER '~~~ I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
- FOOTING v~1:.t ~ ~{-' r~S" i ~~ ~ ~ ~rtAro+"', ~. 1/P!1G
PLACE NO CO~RETE UNTIL ABOVE HAS BEEN SIGNED
I
~
FINAL /# Ie .rf,Uf}
Call between 8:00 and 9:00 <<J6ralllnspectlons
FOR ALL INSPECTIONS 447-9~50
~~
.. .
CITY OF PRIOR LAKE
INSPECTION NOTICE
'"
SCHEDULED
ADDRESS
38'57
/SLA-No
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION (9
o FRAMING
o INSULATION
~ FINAL t'
o SITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: :PedL
~- I~';..f).
DATE TIME
!Ejr1/{JD A, ~
VIe-) CJI'l..
CJ-I,z 7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
)d'WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
~l
I
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1N9NOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!