HomeMy WebLinkAboutBuilding Permit 00-0416
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
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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
4574-
3. LEGAL DESCRIPTION
fR
LOT
H()Htt1/ N GlI5II<L)
-0
~ 08 HLU 3 /f!.P
22..JrW(2.cn1O
7le '- /2. J
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BUILDI~' MATION
11. SIZE OF ST' , ' RE
(_') . .1. . (""""I
'~1>'
12. NO. OF STORIES
BLOCK
PID
25::.3L./11- 02/-0
13. TYPE OF CONSTRUCTION
ADDITION
...<MNER, (Nam~
..A\v ct:> ~t<>~
5. ARCHITECT (Name)
L1 ).Addr,sslL
T::> 7"( f1l"W\NlfMS 8r~
(Address)
'..'It!>.. 7'1)5
(Tel. No.)
30~ ' tfl07
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
eeu-
6. BUILDER
(Name)
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0 Septic 0
Alterations 0 Addition 0
.3J;!.oot:1S
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Baseme~
SEATS
16. PROJECT COSTNALUE
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
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 men~tion' End 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 ometl m.,. is rmit for just cause. Furthermore, I hereby agree that the city official ora designee may enter upon the property to perform needed ins,.,.pecti.", 'ons.
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,; License No. '~~i! .
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ PERCOLATION TESTS CJ
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
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OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 3,.000.00
PLANS & SPECS LJ
SURVEY 0
SETS
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II '" IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4 7 ,
Permit Fee ................................... $ . L . 1 S--
City:
Amount Brought Forward . ... .. .. ... . .. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. . .. .. . .. .. .. .. .. .... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee . .. .. . .. .. .. .. . .. .. .. .. .... $
Plan Check Fee ................. ............ $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
1.50
LIO . eo
rn
5/tb/OO
Sewer & Water Permit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ J I ~ . ?&:;
Paid / / to. z. S Receipt No. 37 ~ 2-,4-
Date ~/~/ov By ~
This is totj~t ~ uest in above application and accompanying documents is in a. ccordance with the City Zoning Ordinance and may proceed is requested. This document when
signed by, C' con . tes a temporary Certificate 0 oning ornpliance and allQWs construction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
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~ City Planner -..- Special Conditions if any ,
r Bulkjing ~;:n~l,,~~
Issued
24 hour notice for all inspections (952) 447-9850
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NP.ME0FAPPt.t(j~,.bo..:.v\r\ ...~
APP~lCArtGNRa~M:D ~~f\tt l ..~60tJ
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The. Building, "Engineering, and .PlapningDepartmentshave reviewedthe building."permit
application for' construction' activity which is proposed at:
LlSJL+Urnrr\\~lr€~ ... \ (Q.;
Accepted '
/
Accepted With Corrections
Denied
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Date:
g~vj()o
R.eviewed By:
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.1I
00 - O.t/0
Th~ ('~nt~r of th~ L.b Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Druilr-l ~
APPLICATION RECEIVED ~ ~N.t) d-(f(f()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
LiS,L t+urnm;~'nlrel \ rryJ:
Accepted ~
Accepted With Corrections
Comments:
Denied _
Reviewed By: C~P" e:._
~ci ~ ~A~e~~ ~\A.\'~ ~~~
Date:
S --2~'20"a
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
P RIO R LA KE' ~~rtD~~~~NJD~~SPECTION
INSPECTION RECORD
SITE ADDRESS LlS'?<-f ~IU\MW\l\Ac.k\~ \;a.,\.
NATURE OF WORK ~.o~. B~ "-
USE OF BUILDING. S~j)
PERMIT NO. ~(J"" () '-1-/ to DATE ISSUED ~ 21.. -2oC)
CONTRACTOR ~to""-S~ ' ,PliONE"- t../cJ.C; . III 8c)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
ill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
'E_\ILtNJ 1 LBJIJ'
~--, I I~('l/(JTJ
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12- ~ ,!,q!OI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
D
)
FINALS
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BUILDING
ELECTRICAL
PLUMBING
HEATING
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 been 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 4SryQ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o . INSULA TION
~FINAL
D'Srre INSPECTION
COMMENTS:
SCHEDULED ~':l~~7'
WllrAAuIl iVl,tr- Dn-J
CONTR.
nME
PERMIT NO.
00 - c.f11"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
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Inspecto
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY!
INSNOTl