HomeMy WebLinkAboutBuilding Permit 00-0910
DATE RECEIVED CITY OF PRIOR LAKE
10 · z,. · 00 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
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 ADDRE/SS JII,"'"
-r ~ UJt1I1~ee; hve,
3. LEGAL DESCRIPTION
4-
LOT
6. BUILDER
7. TYPE OF WORK
New Construction CJ
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
oo-CflIO
1. DATE
10. z,.00
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
81
12. NO. OF STORIES
BLOCK
PID -2S-/94 -009,0
13. TYPE OF CONSTRUCTION
(Name)
(Address)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace CJ Septic CJ Deck CJ Re-roofing CJ Porch CJ
Alterations CJ Addition CJ Finish Attic CJ Re-siding CJ Finish Basement CJ
I!H'AAltje OF ()~~(/P~~
_ f
9. PROPERTY DIMENSIONS 10. CUL VEftr SIZE
Width Depth Yes No
17. COMPLETION DATE
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 abo~e nti ed pro~ at all construation will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding . al ~ ke i p r just cau . Furth rmore, I hereby agree that the city official or a designee may enter upon the property to perform ~
License No. ,~
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
~~~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
CJ
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
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~. Date ~-~-r.L-
A11~
~/'~/O.JI.
/~
Plumbing Permit Fee .. .. .. . .. .. .. .. .. . .. ... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS CJ
SURVEY CJ
PLOT PLAN CJ
SETS
COPIES
Amount Brought Forward . .. ... .. .. .. .. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. . .. . ... .. .. .. .... $
Sewer Tap .... ............................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee .. .. .. .. .. .. .. . .. .. .. .. .... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ..... .................................... $
Total Due.............................. $
Paid Receipt No.
/
N/I" ,/
Date
By
This is to certify that the request in the above application and accompanying documents Is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
s~ Pf. Planner constitutes a temporary Certificate '1 Zoning compliance and allows cons"ruction to commence. Before occu~ncy, a Certificate of Occupancy must be issued.
~~U~~-1J /oCi/@C) ~_ l~ "'-~A6t./.,~j
~ity Planner Date ~s if any
24 hour notice for all inspections (952) 447-9850
Thr Crntrr of thr Lab Country
White - Building
Canary - Engineering
Pink - Planning
8.Ull.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M/."I//N .13
/0 · Z. 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I+/Z-' ~Mnef<.,t!E Ave.
Reviewed By: /
V w- //
Date:
I()--/o,-~
Comments:
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."
B~!!~t~
13790 Glendale Trail · Savage, MN 55378
(800) 777-2243 · (612) 890-4676 · Fax (612) 894-1457
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"FOR ALL YOUR BAI I ERY NEEDS"
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Th. C.nl.r or lh. Lak. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDI'NG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r;;-J t- 1/ / IV .l3
It' · Z · ()O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4 /23 {~,(/~'Jly'/C/(C6 }-} liE, .
Accepted
Accepted With Corrections
v
Denied
Reviewed By: (.~ (/~
Comments:
~~~ ~~~-~-l
~ (W' C)~ ~1~~..
Date: 18/ <S / 6J{)
IA',~~~ ~ &_lfe.r~~
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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."
DATE TIME
CITY OF PRIOR LAKE ,.-.-
INSPECTION NOTICE SCHEDULED 10 1"'~3...oo .L; / J
,. ..
ADDRESS J t./I ~ (' ~ J?1 Y11c=-n:-~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/")t? -1/0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~ SITE INSPECTION
COMMENTS: ~S' e,e fJv/;
rj)J 1t-6 ~ ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~.
o WORK SATISFACTORY, PROCEED
)lD CORRECT ACTION AND PROCEED
:S:O~CT ~ ~LL FOR REINS:::,:::ORE COVE~NG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTI