HomeMy WebLinkAboutBuilding Permit 00-0407
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CITY OF PRIOR LAKETh \ So 1= \ Ie... ~cJ 1.
BUILDING PERMIT, ;
TEMPORARY CERTIFICATE OF \rJ 1M F\\N 'LE .
ZONING COMPLIANCE 00 - O~()S
AND UTILITY CONNECTION PERMIT Permit No. 0 -040
3. LEGAL DESCRIPTION
LOT ID BLOCK ~ PiD O$"- 3JO- 030- 0
ADDITION \(tJOg it'll Icr
4. OWNER (Name) (Address) (Tel. No.)
5. ARCHITECT (Name) (Address) (Tel. No.)
DATE RECE=IVED
~J l~/ao
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
'? t::wooD eD,
6. BUILDER
(Address)
l'-{~l1 6V1IN(",,~S
13viUvSv"IUE: ~!>:JO{,
(Name)
lrJ lr\l DW tJC D tfoll"\t5
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Rs-roofing 0 Porch 0
Rs-siding 0 Finish Basement ~
I'lO P. ....1.:-. (2-.
16. PROJECT COSTNALUE
If; , Of) t:>
17. COMPLETION DATE
8. PROPERTY AREA OR ACRES
Sq.f1\. ~ No
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 mentioned property 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
building official voke this rmit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inppections.
X 2./ 't 7 5:!IO/O..,
License No. Oaie
White
Pink
Yellow
File
City
Applicant
1. DATE
'5/10/00
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
f?p(.(.f:1J) rs;
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
q'Ol - ~~ -gt(<f
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLlCA TlON
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
~es. 0/.<..
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION #. (J". () fJ PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 il) 4
Permit Fee ................................... $
cli:ls U
RlzS
City:
Plan Check Fee ............................. $
- ...e -
2..Dt)
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~
5Iv'!i~O
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This App9tion 8l:\.OOmS Yow~ Building Permit '1.hJn AS;p.E.rCjved.
By ~............. ~ Date S/z,~"'P "
,
Certificate of Occupancy
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer ........"................ $
Meter Horn ... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid Receipt
est in the above application and accompanying documents is in accordance with the City Zoni Ordin nee and may proceed
-' onstitutes a temporary Ce~~1015mPliance and allows construction to commence. Before occupancy, a Certifica
City Planner ~ Special Cooditions n any
24 hour notice tor all inspections 447-9850
S~1
W~t~ ~ - ~u~~7
Canary - Engineering
Pink - Planning
Thr(-rntnof Ihr Lak.CoUnll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT jtj\(Y'JWOOc\ ~e..S.
APPLICATION RECEIVED\'J\ fA. ~ \ 'i../A), J. crrro
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ Lj SCf / eO}i e JY\/lJ"7'Je/ t2ero..of
Accepted
Accepted With Corrections
/"
Denied
Reviewed By:
Comments: ,f ~
~
it-, :0 I-J
~
Date: 5/CJ.S/ffO
.
L...".e~ ~-~ ~~.
~ CH-- ti-L ~ ~,
"The 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."
~~
Do.o401
Th.. ('..nlt'r 0' Ih.. 1.8k.. {'ounny
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,
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\ '
\ \ \ ('1\, e'>
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:
.I L/:;, '! I
""-
\\/(\ryi '
,', ,I
.-'.....,
Reviewed By:
~
l(0'~
Accepted With Corrections
Accepted
Denied
Date:
q7"3,)cD
Comments:
''The 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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 14 5~ I F:..oSElAJOO.t:J ~D,
NATURE OF WORK L. L Fi~is"") L.{ ~-..s (t-lcI ~ p,) 61<csl...tZ---
USE OF BUILDING tfJf A/~. .
PERMIT NO. /J(J. 04r:J ' DATE ISSUED .q 2..5/" 0
CONTRACTOR WI AJ 0 t.Oo ~ PHa~e CJ 52 - 815 - 8~Jf8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ INSPECTOR
~~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
. required)
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service c,!bil1et prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850