HomeMy WebLinkAboutBuilding Permit #00-0323
-----OATERec"EivED.' ~ CITY OF PRIOR LAKE
BUILDING PERMIT,
:1 tlMn TEMPORARY CERTIFICATE OF
MAY .- Q,MJ ZONING COMPLIANCE
ANp UTILITY CONNECTION PERMIT
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ,J ~
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) [;/0" ()[)
2. SITE ADDRESS ..:.. 1!4
/7/c.l-5 'PHCA~ffN-r ne::1ff::)~W L-~ t;;-
~srnv I
"4. b~~ER /.. (~~) (Addr~)L/. (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
"-iC/7e N ~ .. YtL~ /-I(//S Illy"o""" r'~-/E/I.J~Nr ~"E,4.q()N ~/V"'~'7'"/',f( 90'
(Tel. No.)
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
3. LEGAL DESCRIPTION
LOT
ADDITION
5. ARCHITECT
,I"':
(~UILDER (Name)
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J PID 25"'3~7 -005-D
~e:lJZ)dW
1. White
2. Pink
3. Yellow
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Permit No. O~
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BUILDINdlNFORMA TION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
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 mentione 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 c ij,a k ''t.V-a:' Furthermore, I hereby agree tha, the city offlctal or a designee may en'er upon the property to pe~~ed;~nspeCuons.
X ~ / 'l ;~~?;;.J --:; License No. 0ate )
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
BLOCK
~N-Q
(Name)
(Address)
(Address) (Tel. No.)
/7/07 ?/-/t:;:}J~N7 Ht~";IJH LA/' . '/fTl- 6~ 6'6
/
Deci)(
Finish Attic 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
He-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Y13S
No
Front
Back
Side
Side
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
RG5
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN i"
PERMIT VALUATION "I.2-()(). ()lJ
AlP-
TYPE OF CONSTRUCTION: I II III IV <fD
Occupancy Group A B E F HIM ca> S U
Permit Fee ..........~i~~~i~~..:...~..~.~... $ L/ () r ~5
,2~. I ~
,~O
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
J'
\Y?;t
S\\
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
Water Tap ........... ........................ $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $--,", 1. 0 I
Paid h 7 01 Receipt No. ~ 74 J ~
Issued .
Date .g;:1 f ^ J l' -rf) By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City zoning- ~ ~ay proceed a ested. This document when
sig by the . Planner constitutes a temporary Certificate of Zoning comPIi~nd allows co, nstruc"tion to commence. Before occupancy, a Certificat of upancy must be issued.
. ' . -s-- ~..eo ~1:C~") ~Wu~~ ~ ' '
City Planner Date Special Conditions if any , :t"""~ ~
Gas Fireplace Permit ....................... $
This~me~ ~U~i1ding Permit Wh~4P~ved.
By JI1..G ~ Date ...s-/F/ is 0
, r
Certificate of Occupancy
24 hour notice for all inspections 447-9850
00 -0 >2.- ~
Thl' Cl'nll'r of Ihl' Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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:
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Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~'171~ Date: .4)- B./90
Comments:
~~ ~ ~ed< ~,,- 1 ~~4 '1~
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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
o~- 032,3
Tht' Ct'ntt'r of tht' Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ e (\ l- \Le. \ d h\) \ ~
APPLICATION RECEIVED 1'1 9 C) 5 \ rl Ot\ ('")
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i 7 J 4,) t/\ R..D ~ 1\ -l-'^ ~ (\\1\.1 L(x.-'rv~_
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Accepted
Accepted With Corrections
Denied
Reviewed By: ~ ;t~p Date: 6/8/(J~
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Comments: ,f e;tlO ;;j)1:~ #A1JO - t::J(,(A Avo Au.., I ~
INI'c*;IL fYVr-TttJtJ Q,J (HE A-Pr'kif6tJ PLA-1JS,
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."
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS I? ( L./ 5 PH6ASAf'J ( . ~~[)DvJS LM~
TYPE OF WORK ~E:lA..) J:)~(<-
USE OF BUILDING ~s; AI r2-
PERMIT NO. fJl) - 032..6 ' pATE ISSUED 5.~ / 07J
BUILDER ;J);1\l KICO VE!2- /rl6lJf::-- v~w;-fiJ/.s .
NOTE: THIS is NOT A PERMIT FoR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING _ limR ~ \5 ;-
PLACE NO CONCRETE UNTIL~BOVE, HAS BEEN.' SlGNED
FRAMING R.~. m ,V .?/ /1./ ~
DEPARTMENT OF _
BUILDING AND INSPECTION
FINAL
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
,1_O:Lh
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P~))O"0 - ~o.Q!O'lAJ
TIME
SCHEDULED
ADDRESS \ 1 \ L D
PHONE NO.
CONTR,.
PERMIT NO. 0( ) - ~ ~
OWNER
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
COMMENTS:
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X WORK SATISFACTORY, PROCEED
IJ. ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
Inspeclor: n-I Owner/Contr.
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ