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HomeMy WebLinkAboutBuilding Permit #00-0216 DATE RECEIVED, +/5/00 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. DATE 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 J '1/5 tfJ , ~ 3. LEGAL DESCRIPTION / '}-5' 00 (fJ I u\ t::rbl,-~ ,}r~ rv~ LOT BLOCK 7 PID 2-S-~" 04?- 0 h/~ 2#0 nOLJN_ ADDITION ,r# ()~ 4. OWNER (Name) (Address) tir<~,V) d r;~&J~, ~)(.sc>" 5. ARCHITECT ..- (Name) (Address) (Tel. No.) ~S/- t;~8-(P"45 (Tel. No.) X-2/3 6. BUILDER (Address) (Tel. No.) #- J-.I . ~ J./03--- 0793 (Name) 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement ~ Fireplace 0 Alterations 0 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit NO..m - 02-/0 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 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 buildin icial can ,~ cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe'!9"}1 needed inspections. X "P/. ~-4'OO ~ /' Signature License No. Date Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION L/ .l'.}~ · c.2-O , USE OF BUILDING ,j !Z6S /fje- TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 8!U L_- Permit Fee................................... $ -- City: Plan Check Fee ............................. $ State Su rcharge ............................. $ <<2 . 00 Penalty ....................................... $ MA TERIAL FILED WITH APPLICA nON SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o 40.00 \~~~ \J M (?\ Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ............ ............... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ 1?C1. 2~ Paid /30. 'J,t) Receipt No. 31 f g I Issued ~ br Date ~ By Y r) This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdi e and may proceed as r~q~sted. This document when sig~ the C.~lanner constitutes a temporary Certificate of Zoni~g compliance a~ows construc~ t~ c~mmence. Before occupancy, a Certificate of &lupancy must be issued. /' :.~. Y-l\"'~'~ '?6'~~ pr ity Planner ... Date Special Conditions if any ur Building Permit ~~en.AJproved. Date ..., - -~ 24 hour notice for all inspections 447-9850 The ('enler of lhe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT F If! 6: D 12!. / Cf:::-S 0 tV. e ,e6q 0 R.. Y APPLICATION RECEIVED 4/ ::;;/00 I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-/59 BLU68/RLJ/R-. ;\16 I Accepted Accepted With Corrections ~ Denied .~ II? / _ Reviewed By:\d~~~ Comments: ,. ~ +~ \oa..~'~\~ ~cR J-- Date: 4- 7 - "2000 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 White - Building Canary - Engineering Pink - Planning The Center of the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED -:' ."," /~ I /c_ 1.._, ,1 / L,/f'" .~ / /-; / /" (/\) ......., J L/ ..../ / / C'~ "/ ( K. \/' / f , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I ~--1 /' r>)'" Q l.j( ,-.,./'" I / j,...../ . / r' ~""- I L..,,' L C. l :~- / j:::::~"LJ I"-- I Accepted t/ Accepted With Corrections Denied Reviewed By: ~ - ~ Date: 4 - II - C9C) ComMents: 1'f)fV~ Fl9V ~~ ~ 10 ~ ~Lv, ~~ l ~I\ +- 2- '6~8eV1tt'" 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 J L\ L5::l ~\L>~~n& --r-~ \ NATURE OF WORK B~~ ~'lA\'~k.. USE OF BUILDING S~f) PERMIT NO. IJO-Qz/0 DATE ISSUED 4-1-2000 CONTRACTOR fi..~I'('. ksav\ 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 I I V/t 1J;r. '///1 NtJ , ..... ., I FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) 1 t){~~ n ~/I'!/t?tJ . 1"/ --' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT ~)17 t, j -- ~ S /{)v OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electricaJ se~vis:e 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 I-~~OV ADDRESS III t 51 tSuR Io.'t-e{l OWNER CONTR. PHONE NO. PERMIT NO. (J (j - Z ( Co o FOOTING o FOUNDATION o FRAMING o JNSULA TION J1' FINAL o 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 o GASLlNE AIR TST o COMMENTS: 'lb. ~f ()Cc- (.2e;- ~ " - ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORgT ~~K, CAll FOR REINSPECTION BEFORE COVERING Inspect r: ~ '/ Owner/Contr: CA ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl