HomeMy WebLinkAboutBuilding Permit 00-0620
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DATE RECEIVED CITY OF PRIOR LAKE
1. ZOo 00 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
Qty
Applicant
Permit No.
DO. Ov; uJ
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
2. Sill' ADDRESS d
'f03tf I{.O/1}JoK. E
ST st
7-/1-00
,tZ1S()
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Height) (Width) (Depth)
ADDITION
3. LEGAL DESCRIPTION
4-
-5PtAft/N.,
1(~bv2..EL
12. NO. OF STORIES
4. OWNER
UbtI~
(Name)
.4.
.fO?nL
(Address)
4~ R.a.r. bk.L
(Address)
PID 1--&1-099- /)/'J3-D
~
13. TYPE OF CONSTRUCTION
LOT
BLOCK
5. ARCHITECT
(Name)
(Tel. No.)
'-/'I7~'f.'7
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
UA-tEr .4-
Kllr!:fl/U1-
tfr; 3'1 IlPUl ol<-
W7-~'f7
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
Fireplace LI
Alterations'"
Septic Ll
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
New Construction 0
Chimney D Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished 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 menw' ned ro and that all construction will conform 10 all existing state and local laws and will P, roceed in accordance with submitted plans. I am aware that the
~Uilding official e thi ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform'1~de1Jr~ews,
'-, ' SIgnature license No. Date-
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLlCAnON
Front
Back
Side
Side
SOIL TESTS
D ENERGY DATA
LI
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PILING LOGS D PERCOLATION TESTS D
PLANS & SPECS LJ SETS
USE OF BUA-DING
"'pc:, A/I?
./ -
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ...................... ..... ........ $
PERMIT VALUATION
9::n.oo
SURVEY
PLOT PLAN
LI
LI
COPIES
R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... ............. ...... $
Sewer Tap ................................... <1'.
.
Plan Check Fee ............................. $
"21.(')6
I"! .~,
,~t')
State Surcharge ............................. $
Penally....................................... $
Plumbing Permit Fee ....................... $
cia, DO
Pressure Reducer .......................... $
MeIer Horn ................................... $
Water MeIer ................................. <t
Sewer & Water Connection Fee ........... <I:
Water Tower Fee ........................... $
Mechanical Permit Fee ..................... $
Sewer & WaterPennil ...................... $
Gas FIre ce Permit ....f.. ............... $
This' ecomes our B~i1ding Permit \O(~~~~f2::!.ed._ _'!o
By __ Date I -t!D ~
Certificate of Occupa'
Issued
Water Tap ................................... $
Builder's Deposit ............................ <t
Other ......................................... <t
Total Due .............................. $ 2.05: /.s-
Paid 75./ S- ReceiP~OO q
Date 1.[...1) . r:R/ By I/ffi--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceedls requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction 10 commence. Before occupancy, a Certifi~~f Occupancy must be issued.
CityPlannar
Date
Spacial Conditions ~ any
24 hour notice for all inspections (952) 447.9850
PRIOR LAKE
..,
INSPECTION RECORD
DEPARTMENT OF -f-
. .BUILDING AND INSPECTION
SITE ADDRESS '-40 ~r.j . fR..rIAAA.o b
NATURE OF WORK K."tcl........ L",JL..,-t
USE OF BUILDING "f:" f'l
PERMIT NO. Of) ()(;Z-CJ DATE ISSUED 7-2o-"@C7C'
CONTRACTOR lG,'<D "-:..:-..It f"HOtJE*' <.f<n-o";11..0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I --,_lfI~G I
'F9'~'''''''''' ~'ril:"'"" eul~iII) I I
PLACE.NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~~;8Po!.' ""~
FRAMING
L#HiJIb .."'i'I~
ELECTRICAL.
PLUMBING
HEATING (if required)
~E
(iN! L ~v ...: T~l-
-
,~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ng)
/1)':n12-- WCW-- d.vJ11~ r:i fA. /11 ~
/JUAA) IJ J2.A/nl ~ +- ::iJ::; 0 d, - /5 b.. ~
I
BUILDING
ELECTRICAL
PLUMBING
,AiEATING
DO NOT
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections -have be2f1 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