HomeMy WebLinkAboutBuilding Permit 00-0629
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-'DATE RECEIVED ' CITY OF PRIOR LAKE
BUILDING PERMIT,
JU 1 'lnnn TEMPORARY CERTIFICATE OF
L I, QNJ ~i. ZONING COMPLIANCE
ANO',UTILITY CONNECTION PERMIT
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Permit No.
DIRECTIONS
SPACES NUMBERED t1'HRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
\1#'0'\
ANNp\ T (2A~
1. DATE
'I J 1'1/00
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'1. c;-- ~ 01.. .- O~'l · '3
BUILDING IN"'ATlON
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
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3. LEGAL DESCRIPTION
LOT Su.k Q5 BLOCK 1WP - \\~
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~. 4. OWNF R . -f (NalJe~~ J /t IAddr~ J (Tel. NO.)_
~"'Mrr Jill" '# CAXJ ~lJII!'I&"'" ~'f7~r31
5. ARCH CT (Name) ~ !{!J. iI!l ~ddress) ~ t:!r~. (Tel. No.)
...:~~o~~~ sr ~7 2
6. BUILDER (Name) (Addresl) I.,jl (Tel. No.)
rtLlOtt- \..A~ f'\U 4+1. 2-18 >
e;~ v}~T"WooA U\l Ro. BOICr:;~,
7. TYPE OF WORK Fireplace c:J Septic c:J Deck c:J Re-roofing c:J Porch c:J
New Construction c:J Alterations 0 AdSWon 0 Finish Attic 0 Re-siding 0 Finish Basement c:J
Chimney c:J Misc. -re.N A:N 1'" r- \ N \ S ~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
12. NO. OF STORIES
PID
13. TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT USE
l.~.D. 1\~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
1 O. CULVERT SIZE
17. COMPLETION DATE
Yes
No
mished 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
rty a 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
. . r' se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perf~l~ons.
License No. ~
FOR ADMINISlRA liVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS c:J ENERGY DATA c:J
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING
SPACES ON PLAN
PERMIT VALUATION
c.; 00 -
SURVEY
PLOT PLAN
a COPIES
c:J
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:
Amount Brought Forward ... . .. .. ... . .. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. . .. .. ... .. .. .. . ..... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ....... . .. .. .. .. .. .. . .. . .. .. ... .... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Plan Check Fee ................. ........ .... $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
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.. .. .. .. .. .. ... s.-
... .;p .......~I
r: i ing Permit Whe '. v ':AI,..,.
Date . LA.J
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Water Tower Fee .. .. .. .. .. .... .. .. . .. . .. ... $
Water Tap ................................... $ .1"""''-
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Builder's Deposit ............................ "
Other.................................... ..... $
Total Due.............................. $
Paid 3~.' SO' Rece~t No. :2ro' Co
~~ -....... ~ in aoxxtlance_ U1e :;on~.oz;:.::, nmy ~ ./.!:::~~when
ing compliance and allows construction to commence. Before occupancy, a Certificate of Occupancymusrll8 issued.
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Issued
qls to " that the req~i th ve application and a
ned b ~City P r temporary Certifi of Z
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Special Conditions if any
24 hour notice for all inspections (952) 447-9850
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White - Building
Canary - Engineering
Pink - Planning
The Centu of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENTCHECKLISr
NAME OF APPLICANT
I. 5. .0. . II C;
'OJ. / 7. 00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ &: 5 I / /11\//-v/l . / ~FJ /.~
Accepted
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Accepted With Corrections
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Denied
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Or~
Date: 7/20/00
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Comments: VQvYI(;) IAI
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Reviewed By:
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liThe iS$u8;!Jce or granting of a permit or approval of plans, specifications and
computatidns 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
~
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nt~r of th~ Lak~ Country
BlllLJ)ING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/. 5. D. / /9
"7. /7' 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&5/1 A1v'/1/~ ./~/~
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Accepted With Corrections
Accepted
Denied
Reviewed By: ~ .4 .
Comments: (! ilAW ~
o r'srtl-/ c-r I:? H:t Q!3-
Date:
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Cff/t,.f)/fGVt:) ~A1~ IAJj~
Y/tCb- - A0 CN/h1/6~!j /;US~G .
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."
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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS l~S" f \ AN~. T\~ll-
TYPE OF WORK I Ie- ~/~
USE OF BUILDING TE;N ~ F-t.v IS ~'t A
PERMIT NO. _ 00 - "2. 'I _ DATE ISSUED 1 /':2-0 I~o
BUILDER f · tS · t7 - l , 4
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
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PLA~.~.!E UNTIL ABOVE HAS BEEN SIGNED
~4 7/~/~
,
: and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ,~S It
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
~ ~INAL
o SITE INSPECTION
COMMENTS:
Clef<. ' t: J
SCHEDULED
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t47'
lVr$'
TIME
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CONTR.
PERMIT NO.
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECTA~IONANDPROCEED
o CORRECT W , , FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ....l.lI8&I FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REUMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl