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HomeMy WebLinkAboutBuilding Permit #00-0355 6. BUILDER (Name) (Address) 1/ (Tel. No.) t - n f) It\ J CJ ts1 ""~33 I- l+k~~ ~"\!"^' &-~1'~Yf..'\ r.O.p~1.4';J. ~~~,,~~. 4,(...S-:1~ 7. TYPE OF WOR~ FireplacA 0 Septic 0' Deck 0 Re-roofing 0 Porch ., New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 ChimneyO Misc. ~vn. 5{-r~rI ru-r, ~ iv1~ '3 ~CltSOI"l. ?.-v4, 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE Sq. Ft. Width Depth Yes No 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 mrte. ed property and that a..1I construc~ion w' conform to all existing state and local laws and will procee. d in accordance with submitted plans. I am aware that the building officia ~oke this ermit for j t use. Fu rmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X - _ d.-'!l /'0 _ ..4- 016 l ~ "'.., (". ~ S- - 5"- 6~ ~ Slgnature~ License No. Oate Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. . .. . .. . .. .. .. .. .. .. . .. .. .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ ~ ,DATE RECEIVED 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 I~ ISSUED (Please Print or Type and sign at bottom) 2. srre AOO~~, ~ '~_-;~y (. \ 1. DATE 5'".. 5"" ...." 0 ~k, ~.~i'. ~o-r LA k. 3. LEGAL DESCRIPTION ~ BLOCK 3 ADDITION ~ ~ ~i-h J ''-J t' O'{yt~ 4. OWNEFf /' L (Name) 1 \ , (Address) l.::!"\1' ~ tV' (v1 t \AJ1f j ru. ,.. ~A 4 5. ARCHITECT (Name) (Address) ffI IV. ~:)~., J LOT PIDQS'-dq5 -O~-O (Tel. No.) /1,/,- UOc.f (Tel. No.) FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION If ,5'1)(J . f)7) USE OF BUILDING ks ,AI t2- TYPE OF CONSTRUCTION: I II III IV C:iJ Occupancy Group A B E F HIM m:> S U Permit Fee ..........~~~~~~~...1...~.~.~... $ 2/.00 /3. (OS ,50 City: Plan Check Fee............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ 1. White 2. Pink 3. Yellow I File City Applicant Permit No.J)f)-0355 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 ~ S()CJ ~ 17. COMPLETION DATE 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 Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $~6'_ 15 Paid.3 6./ ~ . 3Z!/!I:J Date S-h"7/Oo By This is to certify that the request in the above application and accompanying documents is in accordance with the City zoning,.O~di~cfuce and may proceed s requested. This document when sig~ y the City lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occl'ancy, a Certifica Of.occupancy must be kss~ed'n //', ,~-I,<"'"-t90 . r~~~ScK~'f~"'\o.3 ~l~'~"~~ ~ ity Planner "'-date Special Conditions if any Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This Al.9cation ~ecom~ Your Building Permit Wh~ J.pproved. By ~ '::1~ Date ~// /,,() . '" - I Certificate of Occupancy Issued 24 hour notice for all inspections 447-9850 OO~03~ The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,.\ \' ,.'t'.- ,'.;:.. ~\!" \, /,.. " ..'..... " I \ i 1 ,..; J I '\ ( _ , .. ,,\ \.\ (,\ I ,e- r i" ;, n ....-'. '--4 " I ' 'I \ ' '. I'" ~ . (~ ( ..!.1 I ('<'l'}) '-.j ,,/ ./ fY\ \ I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -:) 6' ~7 ..~ K e. ~:J-tr'e-- t. , t " \\ J Accepted .t/ Accepted With Corrections Denied Reviewed By: ~ 4~- Date: 5- /s: <SlO Comments: ~' ('~v .~~'l'~ 3 ~ ~~. 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 no~ be valid." (0,0355 Thl' Cl'ntl'r of thl' tikI' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST C. · " V \~ /- NAME OF APPLICANT J \11 ~- ') f\~_ .. 'N-D (l '0 ~ /{.... APPLICATION RECEIVED. -'" OJJ ~ I-t\ \ ~ & () I - The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~?f/~ ~~~Te-" S-t~ ~~ / Accepted With Corrections Accepted Denied Reviewed By: ~:t ~ ~ Comments: R~ ALL THlC AfpfUJue:-O ~L~N s, Date: 5/11/00 I '~F=o(2.~\'orJ ON Ttt~ 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 SITE ADDRESS 38 73 KE.ST~EL. sr:- S,W. TYPE OF WORK ,~e-e:NEQ ~~H ~ A :3-S€AsorJ ~~ USE OF BUILDING RES AI g , PERMIT NO. 00 -0355 DATE ISSUED 5111/ () 0 BUILDER AL mcFF :BUt LDINEl i ~ePEN\R...V 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 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING ~/& ~1 ~/J-6/~ I NSu L~ TI 0 N /b:r . 51 ~ 51l)~ FINAL · I~ _ ~/S;~ V 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 &/~~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING ~ 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULA TI9tJ 0 SEWER HOOKUP FINAL- I ( e 0 PLUMBING FINAL 4'~ITE INSPECTION 0 MECH FINAL COMMENTS: ('~ ~ DATE TIME g'5~?r- B cc)t) ~jALJ2- ~ '- 0__'1 5") o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o )4J WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: 0./... Owner/Contr: CALL 447-985~ THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! r .. J . I.... --- :> ~t..l:o., , . . ,b-O , ' r-~ '- D (., / / · / lc'-B" '/' 2.-"2..~ ~ ~ & L.. ~.." vmnl ~CJ f;.. f' !~ .-.-1" ~i ~.., ~ '- I \ ~ ~ . . .' ~ ' ~t, ~u' ..... ,"' :r~.t"'.~::::.~~'~ ............, ;.. ... -' . - . '.. b~0\'2.00~; :r:.: . ',.," ,0, . ., .~ JU: #;) ~ " >, .t:'" . I ~' v'. , ; i 1 ' . ,. \ ' '. ..., , 1, j ~ . , .. .~~~^.. . I - L l......_l I L J. 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