HomeMy WebLinkAboutBldg Permit 00-0201
DATE RECEIVED
. 2. 8 2JXD
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. QO"'OZO I
1. DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
I hereby
the abov
building
X
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~?J~
TYPE OF CONSTRUCTION: I \I III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
~l5{)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
\~I )(
SEATS
16. PROJECT COSTNALUE
Septic CJ
Addition CJ
Deck
Finish Attic CJ
Re-roofing CJ Porch CJ
Re-siding CJ Finish Basement CJ
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
License No.
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS CJ
SURVEY CJ
SETS
COPIES
PLOT PLAN
CJ
:s . (X!O .00
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
74.7~
4~.'3'
\ . Sr:>
.n.D
~'\~lQ)
c, Isoloo
Pressure Reducer .......................... $
Meter Horn ............................ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
4- Receipt
Building Permit ~en Approved.
Date - ~- OlJ
Issued
Special Conditions ~ any
24 hour notice for all inspections 447-9850
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White - Building
Canary - Engineering
Pink - Planning
The Center of the take Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
R / J( t!k!rl1'7 f o//1/VR
~/Ze/(TO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-?4-6 I-IlG1HL,A/VO
f,T IV 6
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Accepted
Accepted With Corrections
Denied ~/\/ j _________
Reviewed By: [6- /;;e:s: Date:
Com~ents:
f, Ke~oe ~ D~c-rc ~~
? 50-~~
"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."
The CeRler or Ihe Lake Counlry
(jV _ 0,&0 (
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
R /)( (!/c!/-/IG; ~ Olrl/\//-I
f . I
_3/ze/()()
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4. 94- 6 /11 ej// L / / /'./0
(IT IV 6
Accepted
~
Accepted With Corrections
Denied
~~
Date:
'-I,-S-et::>
Reviewed By:
Comments:
Arw~ ~ ~-4-K ~~
"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."
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PRIOR LAKE
INSPECTION
RECORD
SITEADDRESS IlfC,'--l8 ~A \,~ It
TYPE OF WORK ~c lc
USE OF BUILDING 5P-D
PERMIT NO. trO-- 07 LJ /
BUILDER f< IX" '
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED ~"?o -?o ~
I in. INSPECTOR I DATE
I FOOTING LJfLf:" fJ/?/ P1
PLACE NO CONCRETE UNTIL ABOVE HAS BEE'N SIGNED
1,iil-1l1U8 I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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