HomeMy WebLinkAboutBuilding Permit 00-0691
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. While
2. Pink
3. Yellow
File
City
Applicant
B. 7- 00
SEE oO-SSJ
Permit No. no-oror I
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
.8 -1-/ - }OC()
PUo I
I
I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigl1l) (Width) (Deplh)
12. S.l!;E ADDRESS I. \ ,(\ 'i'I
.:;ORJ. - VV 001 L.J.J {L (' k'
3. LEGAL DESCRIPTION
LOT ~ BLOCK I
ADDITION~) ~ ~_..,..J1.<\~
14W~~
15,I}\lCHITECT" jNama)t 11
I/P./1 /oJ I4U, IYo ~
6. BUILDER
D-tl V e..
12. NO. OF STORIES
PID 2.5-337- fJ02..-()
13. TYPE OF CONSTRUCTION
(Addrass)1l a.. ^, 11,. (Tal. No,) b5' I
111'15 - JJ"\)'" IIJ.i.u-t . u.- - 40 b-l.l'm
(Address) ., (Tlil. No.) I
, t , c. ,
14, FLOOR AREA APPORTIONMENT USE
(Name)
(Address)
(Tal. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
W~l~
r,
"
'.
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK
New Construction a
Deck)J"
Finish Atticb 9
Fireplace 0
Alterations a
Septic a
Addilion a
Re-rooling 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
/8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE
Sq. Fl. Width Depth Yes No
I hereby certify that I have fumlshed inlormation on this applicalion which is to the best 01 my knowledge true and correct. I also certify that I am the owner or aulhorized agent for
the above mentioned property and that all construction will conform to all existing stale and local laws and will proceed In accordance with submitted plans. I am aware that the
:uilding Offlci~~Lv.o thtP:rm~~ermore, I hereby agree that the city official or a designee may ?nter upon the property to perform needed inspections.
~- 0-8."""S Uos"sNo, D"s
~;. Culvi~Li;.'-lt)N DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Front
.,d<
Side
8Ws
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
..eeS /1/ k!...
,
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
USE OF BUILDING
100 "'"
PERMIT VALUATION ______ 0...
PLOT PLAN
o
TYPE OF CONSTRUCTION: 1 II 111 IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... f
Collective Street Fee ....................... $
Sewer Tap ................................:.. $
$
City:
S U
(,,-z..1..S
4nA"("
\. 00
Plan Check Fee ......................... .... $
Slate Surcharge .............................. $
Penalty ....................................... $
~
Pressure Reducer .......................... ,
Plumbing Permit Fee ....................... $
Meter Horn ........ ........ ................... $
Water Meier ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
WalerTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Dua ............................. $ \ 03.1\
Paid I O. 71 RsceiptNo. ;';'6'81 ~~
Dale By (J>/\.J
This Is to certify that the request in lhe above application and accompanying documents is in accordance with the City Zoning dinance d may proceed aJeJuested. This document when
signed by the City Planner consmutes a temporary Certificate 01 Zoning compliance and allows construction to commence. Before occupancy, a Certificate ~f"9(;cupancy musl be issued.
Mechanical Pennit Fee .....1........ ....... $
Issued
CltyPlanner
""s
Special Condilions ~ any
24 hour notice for all inspections (952) 447-9850
~~
06 -O(g~ (
Th, ("fnln of lh. L.h eounlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
wr;N5MANN HOM5S
~. 7. 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30ez wo()n ()(I('~ De...
/
Denied
~~r w;~ CO"~,",
I
Date:
1) /0/0.'
(
Accepted
Reviewed By:
Comments:
"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."
PRIOR LAKE
INSPECTION
RECOR
SITE ADDRESS -3082. WOC()
TYPE OF WORK ~ ,,...
USE OF BUILDING ~ AlrL / I
PERMIT NO. On. ora q I DATE ISSUED r3/~/ Ou
BUILDER \~A{\.Y\.J ~ ~~I-~_~o
NOTE: THIS IS NOT A PER'MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
1)(2-
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
'FINAL r~,-~ I b I cJ3 or
Call between 8:00 and 9:00 A.M. for JII inspections' l
FOR ALL INSPECTIONS 447-9850
DATE TIME
SCHEDULED /p -I f,3 -tJI
WOt?l J)l.v:.k '\)('.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
30B~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
ClJNSULATION 0 SEWER HOOKUP
,l7FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: Ae ~
00 -O(~q J
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR') CALL FOR REINSPECTION BEFORE COVERING
Inspector: rg_ \J~ Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!