HomeMy WebLinkAboutBuilding Permit 00-0647
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DATE RECEIVED , CITY OF PRIOR LAKE
.. l BUILDING PERMIT,
0U\lA ~b\ ffiEMPORARY CERTIFICATE OF
<.\ =I-ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File'
City
ApJIirlInt
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADD tESS
\L'l3n
1. DATE
7/a.ro/cm
O~1-
,
,~;~~),
BUILDING~, MATION
11. SIZE OF STRU E
(Height) (Wi"< ';'t (Depth)
12. NO. OF STo4~
Permit No.
~n.or' ~
LOT ~ BLOCK Q PID a s- - da-~-OOlo-O
ADomQN t.Q., ," ~ \\1 fu \ Moo ADO\.)
~oJ-"':E-: ~tlQd~ ~ess)
(Address)
3. LEGAL DESCRIPTION
13. TYPE OF CONSTRUCTION
~
(Name)
(Address)
(Tel. No.)
~~-W?~OC(?
(JU! Dfa.~~
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
E)f<./F
7. TYPE OF WORK
New Construction CJ
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~
Fireplace CJ Septic CJ Deck
Alterations CJ Addition CJ Finish Atti
Re-roofing CJ Porch CJ
Re-siding CJ Finish Basement CJ
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
17. COMPLclluN DATE
I hereby certify th t 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' ned pro rty d that all~ coruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildl n rev p nn~ for just sa. Fur1h.nnore, I hereby .gree that 111. city offici.1 or. designee may .nler upon the property 10 pe;'~ need.......d.. I. no. ~ections.
, license No. 0/ ~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING 11 ~
PERMIT VALUATION
2,o~~
f
PLANS & SPECS CJ
SURVEY CJ
PLOT PLAN CJ
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup 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 ................................... $
$
Plan Check Fee ................. ............ $
State Surcharge ............................. $
Penalty ....................................... $
(p"'2.- 7C;-
4v. CE&
I , D&
~\~
Pressu re Reducer .. . .. .. .. .. .. .. .. .. . .. .... $
Gas Fireplace Permit ....................... $
This Ii as YoQullding Permit ,eD..~r~esIt.-r--..
By :Jl1 Date - LI-~
Meter Hom ................................... $
Water'Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ , 103.1)
Issued Paid /0 :J.? I Receipt.~o. .1 ro r I
Date ~.7.60 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 pr~; ~uested. 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.
Mechanical Permit Fee ..................... $
Plumbing Permit Fee ....................... $
Sewer & Water Permit ...................... $
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
~
jo.aoq/}
Th~ C~nl~r of Ih~ L.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
.BUILDING PERMIT APPLICATION DEPARTMENTCHECKLISI
NAMEOFAPPLICANT E\ber-t E c:,r~~ene ~r:
APPLICATION RECEIVED d " I \ Y ~."" >>- \ d (\Q()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\.L73 0 ~('\o..fje. . rvl~.
Accepte~ _
Accepted With Corrections
Denied ()/ 1~ a--
Reviewed By: ~~ .
Date:
7- 27 -2" co
Comments:
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
Jo~~1
Th~ C~nler of Ih~ L.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT E \ b.ert (Greene 5r:
APPLICATION RECEIVED Ju \y c;:)b tv- \ dooa
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ 1... 73 0 ~(' \ a..cA~ ne....
v
Accepte~
../
Accepted With Corrections
f:o"'<i-
Denied ,/")/)O a
Reviewed By: /4/'0/'
Comments:
Date: 7-27-2"00
..
liThe issuance or granting of a permit or approval of plans, specifications arid
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."
. .:~ ~.
'1
'.
,-
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ ~f~~ ~-"
TYPE OF WORK J:k.r (,_
USE OF BUILDING SF~
PERMIT NO. ()() · tJ(of', DATE ISSUED 7- 77 -cocO
,
BUILDER ~ ~J)~ . ttA ... C.I( 325"'- c., '7 "2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING t?:h ~lll tfl
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ ~~~ fh, 9//8/1/0
, .
,.,..
FINAL ~. I'/a" ~
. I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
~ .
\
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED '~~In It),' tff)
7 '
~~ I AT,.. ~'2A76~
ADDRESS "/'f7jo
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o -~ 0/ 7
o FOOTING
o FOUNDATION
o FRAMING t@
o INSULATION
\S; FINAL
b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: DeG/<C-
~
l'!. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl