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HomeMy WebLinkAboutBuilding Permit #00-0082 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATE RECEIVED FEB I ,12lDl . 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 53&/ /7t1t3L6WOOO DR/Ve N~ 3. LEGAL DESCRIPTION 1. White 2. Pink 3. Yellow File City Applicant Permit No. 0 () -0067 ,t..DATE R.l50 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 2- /VOJe In SHtJee; O/iKS ,4. OWNEA'T~~{mt1{)L {~ 5. ARCHITECT (Name) PID z5...340 - 0 10 - 0 ? 7H nOON (Address) (Tel. NO.V .~ G~I AN~ ~,vt;L l40;!J~~q (Address) (Tel. No.) LOT :z BLOCK ADDITION &. BUILDER (Name) (Address) ShI'fC 7. TYPE OF WORK New Construction 0 Fireplace 0 Alterations 0 Septic 0 Deck 0 ~ition ~i;:;.sC 0 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS Re-roofing 0 Porch 0 Re-siding 0 Finish Basemen9( SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 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 building offi' can revoke this perm' for' t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. 4'4 z.--t7-DQ / ~~ ~ x SETBACKS: Required Actual FOR ADMINISTRATIVE USE Water Tower Fee . \.. ................ .~.~.:...... $ Water Tap ..........\..~:.......... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $-L./I:1 9.'7e;- Paid /, 1..2,r Receipt. 6 Co "CJr'-f0 Issued Date 31 ( / () 0 By '. ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City zonin6 Orclnance and may procee s requested. This document when s~.RY Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ,~~ 2-?~~~ v City Planner Date Special Conditions if any Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING l2es ,'1/~ PERMIT VALUATION l.(.. e2CO 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 ................................... $ B7 . ?. c;- Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee .~.Q::,..~Z:-.. $ Mechanical Permit Fee ..................... $ 2-.OD '-IO.e>c9 ~v V (fa .(5)0 ur Building Permit When ~p~ed. . Date ~... I~.. ~~O~O 24 hour notice for all inspections 447-9850 Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward . .. .. .. . .. .. .. .... $ Park Support Fee ........................... $ SAC . .. . . . .. . . .. . . .. . . .. . . .. . . .. . . . .. . .. . .... $ Collective Street Fee . .. . .. .. . .. .. .. .. . .. ... $ Sewer Tap ...................... ............. $ $ Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ 00 {X)02--- Tht Ctnltr of lht L.kt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT HOL I EIC) 2-/1"7/00 , /61<R-V f APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 53(0/ 1tt1I3L6VVOOD DR- N6 Accepted Accepted With Corrections ~ Denied C2 Reviewed By. ~ .~ / ~_-tL_~ ~~~~ ~~ Date: -"2 - (8 -?<~ 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." ~ C(;v The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /{ / / I "/C-- K"~/ I '". I...- f.-.. . I 2/17'/ (: {/ . I / E 1<' l<., V I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /::; :;? /;- I ,.i; / l< / c:.' -,' t V (, lr.!}; I'J '''':':' ....-../ ---.J c::> /, -/" \_' ,,-. \."j "'--'" ----,. ^ i- t \J 1:-- ~. Accepted v Accepted With Corrections Denied Reviewed By: ~. ~~ (/ Comments: ~~~~~~D~ --~1~1 ~ ~ I ~V~S.. Date: :&Z9? ~ 19{) 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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 53&( ,~~'(JLUnc('~ Qt-. \\Jl~ NATURE OF WORK ~~~ *- t::~ 1<:'1-1. USE OF BUILDING S F'D PERMIT NO. 00 - (JOB 7 DATE ISSUED 2 - 22 -~I..o'O CONTRACTOR Molta- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~G PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS JRAMING INSULATION , ELECTRICAL PLUMBING Wic.. HEATING (if required)) j,.1i;~~. FIREPLACE GAS LINE AIR TEST '1/)~//o , 9/~~Io) I . / COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED -- h~ In .JI~ /; I 6"/~:)/~ · . , ~~ I?r FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTIC\:" ~ 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 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~lJ2... ADDRESS 53 I; I A-J ~ 1:tJiJ OWNER CONTR. PHONE NO. PERMIT NO. On-?d-' o FOOTING o FOUNDATION o FRAMING o INSULATIO& ~ FINAL (\l$/ o SITE INSPECTION COMMENTS: o EX/GRAD/FilLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST / ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~ FOR REINSPECTION BEFORE COVERING Inspector: ' M....... ( Owner/Contr: CALL 447-9850 FcZTHE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI