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HomeMy WebLinkAboutBldg Permit 00-0413 DATE RECEIVED sller/oo CITY OF PRIOR LAKE 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 ADDRESS /6?.3.5t.f V I CTOte/11 CUK-1I6 3. LEGAL DESCRIPTION LOT ADDITION e> C/7JeD/ IV At- :3 IC/OCi6 PID 25...,335- 026- D 57H /7-DOAl. 13. TYPE OF CONSTRUCTION BLOCK (Name) JON I\J /"1/1 5. ARCHITECT (Name) (TeL. No.) 4- L(-Lj5 - /5/ (Tel. No.) (Name) (Address) SAI1C 7. TYPE OF WORK New Construction 0 Fireplace 0 Septic 0 Alterations 0 Addition 0 3 lZ.oortS Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basemen~ SEATS 16. PROJECT COSTNALUE .Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 1. While 2. Pink 3. Yellow File ,.~licanl Permit No. (04/3 . 1. BUILDING IN 11 . SIZE OF STRUC (Height) (Width) (Oepth) PU5D 12. NO. OF STORIES 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 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 mentioned 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 buildi .. can revoke this permit fo 'ust . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform need in pections. X Y"V7 a2, License No. FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~ lYlO. 00 USE OF BUILDING K-6.:5 A /1<- TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Division 1 2 3 4 Permit Fee ................................... $ '7L( . 'ls- Plan Check Fee ............................. $ State Surcharge ............................. $ , . s:> Penalty ....................................... $ Plumbing Permit Fee 0.0.:............. $ t./-O. 00 Mechanical Permit Fee ..................... $ ~ 540/00 Sewer & Water Permit ...................... $ Gas Fire lace Permit Q.Q..-:............. $ 4-0. 0 0 Thi By mes Your uilding Permit When Ar;roved. Date -5- 2 -2lr::>o Issued MATERIAL FILED WITH APPLICATION Side SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY 0 COPIES PLOT PLAN 0 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 ........................... $ Date uest in the above application and accompanying documents is in accordance with the City Zoning rdinance nd may proceed as r u nstitutes a temporary Certificate of Z~.....compliance and allows construction to commence. Before occupancy, a Certificate of C. PI Cldo'?JjW S 'IC .. " rty anner ~ ate pecla ondlllons " any 24 hour notice for all inspections 447-9850 lJlJ --0 ~13 The Ce"ler of Ihe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT J C1h f\ M o.~ () -\-~ APPLICATION RECEIVED---M~ 1<1'" I OOD The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /b3SLf Vi~tb('i~ Curve, Accepted -::L Accepted With Corrections Denied Reviewed By:QpfJ ~ '" I Date: ~'21, -2..000 Comments: ~Pt:ld. ~ ~~"" ~ -HII\\o:.,^- \r.o.wl nu\- "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." 60-0 cf0 White - Building Canary - Engineering Pink - Planning The Center or the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT JOhf\ Mo.\ (')~~ APPLICATION RECEIVED M(>-..~\ 0."', ... DOD The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which. is proposed at: 1(.,354 \Vi(,fu.rio..UIrve~ / C;~J~ Accepted Accepted With Corrections Denied Reviewed By: Date: sid-~loo , , 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 RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS I ~3.~t.{ !kfntl'O autV~ NATURE OF WORK ~~~IM'\A.~ t1\A~~~ USE OF BUILDING ~ PERMIT NO. (J?)- 0 DATE ISSUED 5"-2(,-2000 CONTRACTOR ~~ l'IIotl~. ctl/S"-/5/<.f NOTE: THIS IS NOT A RMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE -- I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE - I FINALS ~. 4: 00 AS BEEN SIGNED I 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