The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 00-0489 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED I ase Print or e and sign at bottom) 2. SITE ADDRESS 3. LEGAL DESCRIPTION LOT semON Z ::; ;;;~~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1~fiz/"" 13 ~I #22..0 HWY /3 PID 25-902..-1/)4-0 BLOCK ADDITION 4. OWNER (Name) (Address) ,t::A-/71f e;vA#'tJ;Gl,1 ~ i- S. ARCHITECT (Name) (Address) 7. TYPE OF WORK New Construction 0 Chimney r:J Misc. 8. PROPERTY AREA O~ I\C.RE:n..l~ 9. PROPERTY DIMENSIONS Sq. Ft. ;2.. 5t>O 9,. .- ~ 1\ Width Depth 6. BUILDER sAl1 C; . \Tel. No.) qS-Z-'{1/7..~2/6 (Tel. No.) (Name) (Address) (Tel. No.) 1. White 2. Pink 3. Yellow File City Applicant Fireplace 0 Alterations 0 Septic r:J Addition 0 ~ / Re-roofin~ Porch 0 \:-siding 0 Finish Basement 0 ~ tlEI!!.LA V 10. CULVERT liZE Yes No Permit No. J) 0 -04fll- 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 IbtJt). c/C) 17. COMPLETION DATE ished 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 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 this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to periorm n.eeded in~ections. - ~ 6~/Z-~[) tJAPI'~ NO License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Deck r:J Finish Attic 0 USE OF BUILDING BUILDING DEPARTMENT VALUATION Front Back Side Side .I ~ 1/C. AI' OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION _ 21 S'""()t). 00 .I TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee .................................... $ Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. .. .. .. . .. .. .. .. .. .. .. .. . .. . . .. . .. . .... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn....... ..................... ....... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Citv: 7'1. 7~ Plan Check Fee............................. $ /.z~ State Su rcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee .................. ..'. $ Sewer & Water Permit ...................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY r:J PLOT PLAN 0 SETS COPIES Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ 7~.0 l) Paid 7fd.O () Rec:ae,pW;.37(,B/ Issued Date t // /../,; 0 By -' This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin! ord~ ~nd may proc~s requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Certificate of Occupancy 24 hour notice for all inspections (952) 447-9850 Special Conditions if any City Planner Date ~ (JO ~()~q White - Building Canary - Engineering Pink - Planning Thl' Cl'ntl'r of thl' takt Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT PrJ/771 EVAfi~L CdjjjRl2t-f APPLICATION RECEIVED &/Iz/OO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: - rJr/~ H16/-/t\lA1/ /3 ~ ~;I.;).() - I Accepted Accepted With Corrections Denied Reviewed By: fll! ~{.,/I ~ A sri/ill G U3 S" ~/ tV r/~ ~~o Date: Comments: 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 ._.._._'......~-._....-.~"'7"".. ----~.."-._--~-~~-...,-------~-............___...,,.,..----. ....,..-~:::-:-:"----c-.- - -.- The Center of the l..ke Country [il b,q White - Building Canary - Engineering Pink - Planning :\':fII BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED t:'J--1/11/ {:., l/-lj\l G Ul (l;-J L {?//2.)CC I / (~fit.k'C 1-/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: )/,', ...j I~ ././/(:j/ / .../ Ill! /2/ ~.aiJ I Accepted Accepted With Corrections Reviewed By: I / /( t...;, tI.J /..1 i ! / f ,., I ,/ ,/ i . I Date: (r II L( /, ]) Denied , f Comments: .I / // /I/C... /,~,I'" ,/,,, ~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 cancel the provisions of this code or other ordinances of the jurisdiction shall not b..a,valid." CITY OF PRIOR LAKE INSPECTION Ni{};;() ADDRESS J L b ..~ U""^t SCHEDULED 13 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING @ L 0 )NSULA TION \ 4 FINAL .] SITE INSPECTION f\ COMMENTS: ~- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~ .~ari ~_!~ - - r:7.~ ,< ~ 010 '-. DATI TIME ~~ 6- 489 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o cL.., ~ - ~---- ~ ~:}-J~) ) ~ i WORK SATISFACTORY, PROCEED ( ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspeelor: ~I Owner/Contc CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!