HomeMy WebLinkAboutBuilding Permit 00-0458
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DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
&AI ,_I . TEMPORARY CERTIFICATE OF
.-w :1. ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
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3. LEGAL DESCRIPTION
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WOOOlel066
LOT
ADDITION
4. OWNER (Name)
5 (!,flJeOP6
5. ARCHITECT (Name) )
6. BUILDER
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S PID 20- Z1t/.- Ot/-z,-O
es. ,,.., /!-'c:::; Z-N.o ~Of)N"
(~ddress)
eH{)~ f b/~H/9Nle
(Address)
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BLOCK
(Name)
(Address)
S;h ('(') t) e
Fireplace b
Alterations 0
1. White
2. Pink
3. Yello1V
File
City
Applicant
Permit No. no -0460
7/eA1 {.,
1. DATE
b5/3i /00
, , Je./
66
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
11~g2.. H()l'i~ -r;;,d 5f ?Q-LJIfl-~/8"1-
Septic 0 DeCk}\ Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
17. COMPLETION DATE
Yes
No
ed 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
nd 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
ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne~ed inspections.
- . 5/31 /00
S' ture License No. ' Dat6
I
SETBACKS: 6(equired
Actual
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
Front
Back
FOR ADMINISTRATIVE USE
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
~6S 41.Ae.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
SETS
COPIES
PLANS & SPECS 0
SURVEY 0
# I G:,0lJ, {)O
I
PLOT PLAN
o
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV (11
Occupancy Group A B E F HIM tJ) S U
Permit Fee ..........~~~~i~~..:...~.~.~... $ 5/, Z5
33.$1
.8'6
1.1~
~tJ.,.I} LV.
{, 0 J Pressure Reducer .......................... $
O ~~~ 1 Meter Horn ................................... $
. ,.z, a'
~'. 00 ;)1pfA6 Water Meter ................................. $
~'. jO ,..~ Sewer & Water Connection Fee ........... $
'" · Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
total Due .............................. $~..3 '='
Paid ~ b 3 c. Receipt No. 376 Y'<..
Issued 0 .
Date ea1 ~ By
This is to certify that the request in the above application and accompanying documents is in accordance with the City zoni; 6rdinance and may proceed a
sig~lanner const. itutes a temporary Certificate of Zoning compliance ~nd allows .c9'\stru~ to cOf~enc,. Before occ~ncy. a Certificate 0
~~~ -u"'-7-&<.:J ~V~lA.'_C~~Vtw-
- 1;ity Planner Date Special Conditions if any
Plan Check Fee............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $.
Sewer & Water Permit ...................... $
Gas Fireplace Pennit ....................... $
This AP..8i~~ion Beco~ Y'9UA ~ding Permit When Approved.
By ~ ~-rJU,4t Date -4/Z;/dC
Certificate of Occupancy
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . .. . .. . . .. . . .. . . .. . . . . . . . . . . . .. . . .. . . . .. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
24 hour notice for all inspections 447-9850
t5b -0 <<r(
The ('enter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT c.;.~ r UA ~h~
APPLICATION RECEIVED ,J UY\Q. \ "- t I d tITb
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ " Z, ~"l
\. '....) '6 0' \.-\"C) f\ ? (:; II \ ~. t1\ \ \ 't:
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
Date: ----b.. 7,- &0
Comments:
~~~w..N - tw~dl. 12> ~ ~~~~ ~
~~ ~/~,4~~ ~,r~lO ,S~J~I
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."
~
CD -oL/(f
Thl' Cl'ntl'r of thl' Lakl' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT c...~()Jl_9 ~ ~('Y\rl~~_
APPLICATION RECEIVED .J~. \ ~+ I aJ1Sb
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ 'l:51s' d \ \0'"'c 0n \~ \ ~~
/
Accepted
Accepted With Corrections
Denied
,.
Reviewed By: ~ 1dt..l Date: · to/z./OlJ
, ,
Comments: Re-Ifo J)ec"K- flA-,vp -{JuT AtJt:J ALL. I He
INfOreW\.ItTlo,J t!JN THE APfJ/UJVG:r; PL.MS,
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.1I
/
/' .
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /73iZ- IJtJ;e I~,J 112.A1L- J; E,
TYPE OF WORK ~e W CD/:; eJ~
USE OF BUILDING ~e~' A/j2.
PERMIT NO. 1M -0 t./$ B DATE ISSUED ~/z,/()O
BUILDER (ljlA1eu=::.S. S'cifl<...df>€ ~9sz - ~~7-718 7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INjpECTOR DATE
FOOTING ~. (,/a-r/ltD
'. . I' ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL t!A-, /~/~~
. . I '
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
\
\
\
I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/4/S-ftd //,' ~O
ADDRESS
I ?3?Z
H ~IL / zo,-J 772- ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - t.fS8
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
R:FINAL
o SITE INSPECTION
COMMENTS: e l:: - I t-J> P .
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 GAS LINE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:.::::ECT ~L :OR REINS:~::/:~:FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI