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HomeMy WebLinkAboutBuilding Permit #00-0207 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ( ~::~;~:IS ISSUED (PIOas;nt or Typo a: s~; at bottom] /63'87 r/<A/V/l/JA/ 3. LEGAL DESCRIPTION Z- BK.OOK:.SVJ~~6 ( ~ILDER -- ~o f f iJ'vPE OF WORK 'N8w.Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. ~ LOT ADDITION .r-" ( ~~ER ~,,.I/,v ~ 5. ARCHITECT DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, . ~ 5 . TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ;/~/OO S. 1'. ,(:, Ml1 t/ I BLOCK Z. /1/LL.5 PID 2b -(j/It7- 011- (L ZblD 1. White 2. Pink 3. Yellow File City Applicant (Name) -i- (Name) (Address) al! A/ I(~~ / /.fg 7 (Address) (Tel. No.) !jk.q.".,J:J'..." /~ .I, l'. (h) #oT~'3b8~ ( N) '-Itffe':.-Noq.s" 0 Permit No. !JlJ ~OL07 I 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 h~ed infon.:'J~n on this app' ation whic is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for . the above mention6lfPropertyd&:lndthafall construction . conform t isting state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can r 'is P, e~it for jU~t cause. F ermor reby agr:~ that the city official or a designee may enter upon the property to perf~~. c::::: tigna~ License No. ~~ ~~7 - .-- SETBACKS: Required Actual (Name) 5~h',~ / '1'- (Address) Fireplace 0 Alterations 0 Septic 0 Addition 0 De... , - Re-roofing 0 Porch 0 Finish Attic 0 Re-siding 0 Finish Basement 0 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No FOR ADMINISTRATIVE USE USE OF BUILDING BUILDING DEPARTMENT VALUATION Front Back Side Side I /C..6 ~ /4/R I OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION --1, y. fJ() .~) TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES '-l~. 7'5 2?,~ .70 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. .. . .. .. .. .. .. . . . .. .. .. .. .. .. . . .. . .. .... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: Division 1 2 3 4 Permit Fee ................................... $ Plan Check Fee............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee . .. .. .. .. .. .. .. . .. . .... $ Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit...................... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ Paid /.l U9 Receipt Date ~ho/on By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin6 Ordinlr,ce and may proceed requested. This document when ~. ,Iann~r CCJlSjitut~s a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. , _~ 1/l~W>r~ ity Planner Date Special Conditions if any Certificate of Occupancy Issued it ....................... $ ecom~/v~. '~ing Permi~ Y'lh,i AgwQvecl ~ Date 'f.... .., ZJtItCD 24 hour notice for all inspections 447-9850 White - Building Canary - Engineering Pink - Planning Thr Crnlrr or lhr I..kr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED KeSj []U rJ Al6 ./ E/ (,6 6N 4 Is /00 / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /b3Bq F1e/1lVrt,,!N '/~1 , Accepted Accepted With Corrections ~ Denied /?/J/? / Reviewed By:~;rf:--- Date: '1- ?-'2.~ Comments: /- ~ HAl ~ J/.J~C) ~ 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." "... .~ Th" (""nl". of Ih" Lak" Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST APPLICATION RECEIVED qL- ./ ,.'- ;/ - 1'1 /\.,' (-~/ j/{' () l t-ILt~[I\J NAME OF APPLICANT 1"/, " I.'" r"'--' C- ", . ~'~"".J l The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: // ,~~:-:.' :::," Cl ) , ' / /i f'.... I " /1': / )~. -.t~ ,~..-.... c.,' I I ,I V I ~-- ....' l '..' , ,. -- . I Accepted v Accepted With Corrections Denied Reviewed By: /~~ v Date: L{ - Ll!) -eo Comments: lR~\D~~ ~,~~<.~~ i)..-," k. VBv~~~-D b~ 'J I ). I AM [J..)I ~ V~) V\NJ~ ~)l.~. 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 cal]ceL 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 JL)~~ 'Fto-\A.\;:.\''-' ,\, TYPE OF WORK De..~~ f!-e.p~~ USE OF BUILDING Sr:D PERMIT NO. 1T7J- Gz,07 DATE ISSUED '-I-,-~ - I BUILDER K'~, , NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , , FOOTING INSPE~) L ,. ;TE PLACE NO CONCRETE UNTIL.ABOVE ~fAS BEEN' S~GNED v FRAMING B~~~ i~~~lt,~ ~'1" FINAL Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /&'3~~ PK'lrtJI!..L/N OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~ tsnFlNAL t:f5/ /'0'''' SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ,~ ~ DATE TIME 711~a ~1 7/2, ()(). ()?/Ot - , o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o I Xi\ WORK SATISFACTORY J PROCEED ( b'" CORRECT ACTION AND PROCEED :S:::O:ECT~L~ FOR REINS:::::~:FORE COVERING I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!