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HomeMy WebLinkAboutBuilding Permit #00-0197 4PRI~ . : f2.~7~\~ - ~ ' . ~I, r;.-' / ) ,I r dATE ,~_EC~IVED ... 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. sn AOI')AESS 3 -~q- 00 ~(\}()Le R. olPtlr< I N. e, ;e/50 BLOCK 7- PID Z5-'ZEKo-028-0 ~e,e//lf.3& IIlu.S 2ND (Name) ~RAD DRQfJFrJ (Name) \ 4 s'el1 3. LEGAL DESCRIPTION 5 LOT ADDITION 4. OWNER 5. ARCHITECT 6. BUIlDER (Name) ~A()\€ F\ ~ A ~c) v( 7. TYPE OF WORK New Construction LJ Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Fireplace 0 Alterations 0 1. DATE (Address) ~Af"I\l ""~ p,[!.O\lfL. (Address) (Tel. No.) "'/~ ']01 -'} I~S (Tel. No.) I. White 2. Pink 3. Yellow File City Applicant (Address) (Tel. No.) Permit No. ()O -0/11 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding LJ Finish Basement)( BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 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 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 build~ official Wn rev9~ this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x-DAAAI- ~ 03-.:)."- QtJ Signature License No. Date 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING K!Es /-J/ R- , 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...................... ..... .... .... $ Plan Check Fee............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ 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 ...................... ..... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ FOR ADMINISTRATIVE USE Back Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~ JOOO. t:!Jr, City: 81'} .'- ~ "Z..C> 0 40 -00 ~~ l.(o ..fX) e Permit ......... i . .. .. .. .... $ mes Y9i. BuildinctEermit W.hen ~r~v:?_ ^... DatI!. t;--~ Total Due.............................. $ Paid /(,t'f. z ~ Receipt Issued ~- Date 4 /1J7) By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni g Ordi'nce and may proce s requested. This document when sig ~v the Cit,:. anner constitutes a temporary Certific,ate)2t ZO..':!in.9 comPlian~ws ;::;;;.. ~o Cmmenc:j;fore occupan~, a Certifica e of Occupancy must be issued. L1'~"6-D .... _..o.v~ . I' ~~~ City Planner .. Date Special Conditions' any Thi By Certificate of Occupancy 24 hour notice for all inspections 447-9850 MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS LJ SETS SURVEY 0 COPIES PLOT PLAN o (jU · 0111 Thr Crntrr of thr Lakr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D/CON6N, BenD 3/30/00 / I APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4569 t5R/Ot,t5 RIDcqB 'I/C N6 r - , Accepted Accepted With Corrections ~ Denied ///J{ Reviewed By: ~ ~ Comments: Date: 'Is: ~ ,. ~ ~ bo-~ r;\A..~-!.~ \-J~oJc- 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." . ~ ...,. ..- ,.~.- ..", . ..".,..,. , ~..,. -. . ..., . ,.". .' . .""'."'>"':' -.e'I' ~"""'J,',,,.,~ " '. . . . ";"'Wh ..~.., 1 l t() /()(fl The Cenler or Ihe take Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED J~/)~:' (/ Ii,./' 61'v// !;/',f::/'I U // C/ II(~. C' / I The Building, Engineering, and Planning Departments have reviewed the building permit application tor construction activity which is proposed at: //4/ :::;,- [:/0) Ic/ /I.:./{ c: ^- /t.> {;:; (~::. / I't/E- I Accepted Accepted With Corrections v- Denied Reviewed By: ~~ Date: L/ -- !)... C90 CoAments: t~~ ~L9-v- l=~~~ ~~~-e_~ ~ 0 ~ tbdv-~ I ~V\ ~ f=~d1 ~.. /"~~w-d. ~S~ U,V<-~ ~~ C;~ ~ . ~O~ ~~ ~ <"'I vVO 'Fe.e_\ ~~ ~Jl.veJ. LO ~D" . ~~ ~~k~ ~~~~\L.~\'^-Ll\il~ ~ ~k. ~\~ U\M~'\~ A/',P ~'\ l~lMl"/!'~ I'v\. f:J..~ \ ~~S\1t~p 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 ~9 1Stid\e. e,~' ,~. NATURE OF WORK ~~ ~\A'''~~ USE OF BUILDING ~FD PERMIT NO. IJ7) --0 /Cf7 DATE ISSUED 4 -2.:2000 CONTRACTOR ~~ D'tov\~( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~ t- t=7~ h. J/JI/()/ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I - iI A w"" 'fl)1'1 W..Y / ... I~.y tY1~ 1 FINALS ELECTRICAL PLUMBING HEATING DO NOT OCCUpy A:r ~ ~ UNTIL ABOVE HAS NOTICE , q;UJ01 ~./)/, /;'1 UI j/0jV/ BEEN SIGNED 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, carcJ.shaJl ~e 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 3. lee- D I -3\~ ADDRESS 14-58q g~(DL6 IGAO~h-'~ OWNER CONTR. PHONE NO. l..-L,.. oC-ICf7 PERMIT NO. :::>, "" R..$ o/') - q ?, o FOOTING o FOUNDATION o FRAMING o INSULATION tr\ FINAL t,..... L.,. ~ ~ SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL ~ 0 GA. SLlNE AIR TST lJ:S/ ~ $~ ( r2- ~ COMMENTS: "I;'""iii"\i.-~-'.!!'"...!-'-' -"'-.~ r; -h' r~ '. .. _ ,yJ,.;.'~_.t_.&~;- ~ _'~<'4 """"-~Aa~~~~~: "- _._~ il WORK SATISFACTORY, PROCEED (~ CORRECT ACTION AND PROCEED o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ( Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl