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HomeMy WebLinkAboutBuilding Permit #00-0206 ~ ,DATE RECEIVEQ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT R.a_ . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2..$TE AODMSs JLJ'71/ 1. DATE 1./ - 3-()O JeISD ~.srr9'rJ: /JJ/t 5,~, , PA.J(J~ LIiK~ ~m# 55372 3. LEGAL DESCRIPTION LOT BLOCK PID 25-/3D - 00/- /) ADDITION IRBc.r A ) f<{;6-I$T~W L/lJ'VO $p,e1/6.Y #73} 5C4TT Cot.WTY 4.owf.t&R (Name) (Address) (Tel. No.) I')?Jt;NI/~ /lJ1f.!.J <bf/ 1'I97~ 1E$7Jf~ ~ S~f{t ('/2) z2t -50/~ 5. ARCHITECT (Name) (Address) (Tel. No.) AlO',.t4 6. BUILDER (Name) (Address) (Tel. No.) /f/fJ,H~ 7. TVfI!' OPW'ORK New Construction LJ Chimney LJ Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Dec's)( Finish Attic LJ Fireplace 0 Alterations LJ Septic 0 Addition LJ Re-roofing 0 Porch 0 Re-siding LJ Finish Basement LJ 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit No. -1J /) 122-0 c., 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 '3 SCJ<fJ, 00 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 building off~~~e1ke_th)permit fO\just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X~/~ ~ ",-~.-oo - Signature License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 3~.02s USE OF BUILDING . eE.5#/R- / TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 MATERIAL FILED WITH APPLlCA nON SOIL TESTS 0 ENERGY DATA LJ PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS LJ SURVEY 0 SETS COPIES PLOT PLAN o Permit Fee. ................. ............. .... $ 7 ~ .1~ 4. e .SC! L .~) Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Issued Paid TOi~rgq:........~:i~;~. $-LZ. n ~4- Date l./ -l~ By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as r/quested. This document when sign . lanner constitutes a temporary Certificate of Zoning compliance an 1I0ws constructio co~.n nccee). Bef e occu ancy, Certificate Occupancy must be issued. _ ~7 .tJV r~_ ity Planner Date Special Conditions if a y City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ 24 hour notice for all inspections 447-9850 The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1/I6I-SbN1 /'11 Cf-IA6l-- 4-/-=?/00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4--974- CS;ffim' A1I6 <;G X Accepted Accepted With Corrections Denied ,/2/;; 0 Reviewed BY~/ ~ Comments: I.~J. ~DecL ~)~ Datg-7-200'O 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." Tht' Ct'ntt'r of tht' Lakt' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /1/'/6L.,:St, IVl I~'/ I {, rl11 is L, 4/3/00 I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 14~' q -7 4- 6,'~~ /7) ;1 C /"l~/ E" _~; r:::' Accepted t/ Accepted With Corrections Denied Reviewed By: ~~.o/....-v' . ~ Date: y- 7-t30 Comments: .~~ ~N- YJe.LK_ ~ - .. 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 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 14W ?~~ ~ TYPE OF WORK htXk USE OF BUILDING SPI, PERMIT NO. n 0 - (7 ZD Co DATE ISSUED 4-- 5" -2~ BUILDER .J)ietsOJ\ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING 'WIt.. FtJ?, _ 1-(<!"~o PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~ " FINAL ~,,~. fZ~/p, M:~. 5//t?a,O Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 DATE TIME SCHEDULED ~O .illS- ~/H/6' CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS J4-q74- OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION /A\) 0 SEWER HOOKUP X FINAL.1)eC,.I::- 'lBI 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: R-- ~ . 00 -tz ' ~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o (~/IA'~ ~ ~ ~ ~~..-- ~~.~ ~/~ ." ~ (~~ ~ 7Z{f~) "- --- - --:;::/" ----- --- ."" WORK SATISFACTORY, PROCEED I ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ -, Owner/Contr. J CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!