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HomeMy WebLinkAboutBuilding Permit #00-0260 ~ DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, ... 13 TEMPORARY CERTIFICATE OF WI' . ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. VQ -Ol~O 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 ^ ~ ~lM.rl-..~ ~J 3. LEGAL DESCRIPTION LOT 5 BLOCK ~ S+- A{)D)J 1. DATE .... OWNER &l\ 5. ARCHITECT (Name) R\~ (Name) l..j-Is - oJ f ~-\eQ... f"'~~ J\ "hrJ ~<\~~o. ~ fl5-30V-O&>J- () I ~ PID 0< 0 If.1~ ~~ I (Address) J hcaS'5' <( i Iv'l. P4~ Ave. BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION ADDITION (Address) (Tel. No.) bld-Y'-IO - ~ (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA O~ 9: PROPERTY DIMENSIONS 10. CULVERT SIZE Sc: Ft. __ ( .... )Width Depth Yes No I certify at I ha furnished inf ation 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 abov ro rty and t all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buil' 0 revo pe it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfLj need. ~ inspections. /\. -/<."'00 '-- License No. Date Fireplace 0 Alterations 0 Septic 0 Addition 0 Dec~ Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. USE OF BUILDING SPACES ON PLAN PERMIT VALUATION ~3tJO(J SURVEY PLOT PLAN o COPIES o TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee................................... $ Plan Check Fee............................. $ S U 7J../,75 4B.5'1 /. so City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. .. . .. . .. .. .. .. .. . .. .. .. .. .. .. .. .. . .... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ State Su rcharge ............................. $ Penalty ....................................... $ Pressure Reducer .......................... $ Mechanical Permit Fee ..................... $ V Meter Horn ................................... $ \.oW' 00 ~:r~:~t~;.;~~~~~~;:.:::::::::::: r'~, 6t1 Water Tower Fee ........................... $ /( tP,JtJ Water Tap ................................... $ ?^r;I~8); :::~~~.~~.:::::.:::::::::::::::::::::::: _ J/#.no Paid T~;:.~.~....~:,~;.. $ ~~~ , Date 4"b, JtlV By Tht7-.fy that the r est in the above application and accompanying documents is in accordance with the City Zoning ofdinanle and may proceed requested. This document when sign ~~~ n_ ~ j"'Y V~ compliance and allows constAlclion to commence. Before occupancy. a Certificat of Occupancy must be issued. Y City Planner Dale Special Conditions if any Plumbing Permit Fee . .. . .. .. .. .. .. .. .. . .... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This ~ion ~ecomes Y~ur Building Permit When Approved. By -" ~ ~~?i. Date '/-I'-!AOO Certificate of Occupancy Issued 24 hour notice for all inspections 447-9850 00 -OVf 0 The Center of the L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~cott e'\ ( Jt... APPLICATION RECEIVED A f>r\ \ :) \:2 () 0 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 'PrrCl\ LCA..L..,: /1N 5S3'h( /~&SS S~mo~(n~ Av~_ I - / Accepted With Corrections Accepted Denied Reviewed By: ~ :2~ Comments: ~~ ~~. ~ - o.J ~ ~ /JI~.. , , ./' Date: Lj- /9,...." tJ ~~~ (J 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. II , "."""'.'~""T."'- ...... ,~,., ," , , ~. 'S-:,:'1', ""'" '. _~'e...~v','"I'!~:;.. ;1 ~ 1/I/J The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED t.. , \ The Building, Engineering, and Planning Departments have reviewed the building permit application ~or construction activity which is proposed at: ,~- ;-:'"" -.......r' , " {. ,,; ',,- i l {__..i .-.1 f ( J ; (,... c...., Accepted / Accepted With Corrections Denied "'>, Q_ V)).~ Date: L-flaJw - ~/(~ 10 ~ O~cJ S;1e- plWtv<J - _.'*'~ Reviewed By: Comments: ... , at 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 SITE ADDRESS I to8S5 S (rv\ P~I ~s Au6: TYPE OF WORK ~EW DC:::-LAL- USE OF BUILDING /26SIr/,P PERMIT NO. 00 -0 2~ . DATE ISSUED 1- /9 -2000 BUILDER .5:..D1 ( (2 IcE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE 'PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE - FOOTING ~ ~, 1-~1-'*' PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED /? FINAL ~ ciJ./; Idl I 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 / Co~ ss- s~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING (@ o INSULATION fA FINAL o SITE INSPECTI o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS:J)l::-L(.J- ~'-"'-- ~- ~.---....... DATE TIME 2Jl/DI /0. 3~ o -a&O o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o '~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~_~ALL FOR REINSPECTION BEFORE COVERING InspectDr: ~. ( Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!