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Home My WebLink AboutBuilding Permit 00-0487 ~ Co;~i~~ 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 IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS 1\ f Ll3~ ~ I U~"'" ~V~ r;::,~1,~"I,,'f'(f '<>"..-,>,;'l;;...\. 1. DATE Co-5'~ 12..2- ~:~r~~, .~". LOT S€C"T 2.- BLOCK 7'WP 114- ADDITION 4. O~R , (Name) II _ J41" \.JDY'EL~h.\, ~ 5. ARCHITECT (N&me) PID -2S-9tJ'Z.- 030-0 (Address) I (d-f ~ ~ (Tel. No.) ~ ~,..).f};/~.~ ~ (Address) (Tel. ~o.) ~~~~ ~.t: 7. TYPE OF WORK Fireplace 0 New Construction 0 Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. (Address) (Tel. No.) 6.. I ~ r r" l'....... 't\~ C.; <t40"" '5"' ~c;.I L/Oq .) ~~c C~f lc.t'lO'- 1/ of; Decktl1' Finish Attic 0 Septic 0 Addition 0 Re-roofing (] Porch (] Re-siding (] Finish Basement (] 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE Width Depth Yes No 1. White 2. Pink 3. Yellow File City Applicant Jft~ Permit NO.-IJO -0411'/ BUILDING INFO""'ON 11. .SIZE OF STRUCTUAIJ " . (Height) (Width).~pt. (Depth) 12. NO. OF STORIE~' 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16.~O~~ 17. COMPLETION DATE I hereby certify that I have fumished 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 build~ ~ke "R permit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. xL. ~ 4eS- ( ~-5'-c!)<o 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. USE OF BUILDING ~_.b \-" ~ SPACES ON PLAN PERMIT VALUATION :f2.pOO , 00 TYPE OF CONSTRUCTION: I II III IV (Jt) Occupancy Group A B E F HIM di:> S U DMsion 1 204 Z-S Permit Fee .............. ..................... $ b Z · 1D. '-{ (p I,eo City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS (] ENERGY DATA (] PILING LOGS (] PERCOLATION TESTS (] PLANS & SPECS (] SETS t.." SURVEY PLOT PLAN (] COPIES (] ~ Pressure Reducer .......................... $ Meter Hom ................ .. .. .. .. .. .. .. ..... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ 'O~I Due .~.,........................ $--LtJ 3. 7J Paid I D 3. Receipt No. 7 b ~.:? Date CtJ J 't/ rJD By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~Ign the City ner constitutes a temporary Certificate of Zoning comPlian~:ows~ to ~~upancy. a Certifica of G, 'tv -(90 _ f' <e~ Planner Date Special Conditions if any 24 hour notice for all inspections 447-9850 Sewer & Water Permit ...................... $ Gas Areplace Permit ....................... $ This ~on Becr>mes Y9u~9 Permit W)el) woved. B ~_~ ~.a.... ~A. 'oate f#/J'/ It) y , . . Certificate of Occupancy Issued ~.... ., "",~t;'" Do-o~1 The Center of the L8ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED J(~hl\ ~o. ~Cl~\l'lQ lO(\~-\- n.2.L\ion J \J t'\e... b T'h) ;:) Q1lD The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I G:> Lj 3 5 'D v I V l' h A lr eJ\ lJ5J:... Accepted V' Accepted With Corrections Date: Ie ,I {, -CPO Comments: Pe./vud Pt$'. ~k. ~ 2- 6~~ Sl)bi"~'b6 fJ(~'r'1 ~ ~~Wv: ~ -6):'44f'&.~i ~ ~~ \~(}-V ~ 15~ttM.~, M~\~ ~ pr M~ S1(J~t.V~ .'SP~Ii:tI~ Fv8IM ~l~ Atj~~ Ufj~" Se.e ~es't r'{9Y Wc.u'~~ ~~I 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." - ....... 00 -04-01 The Center of the L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \(")\1(\ ~\"o..Nl'(u... lo~.\-rv..d1Qn APPLICATION RECEIVED J, ) f\e.,. b +h, d 01lD The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / Co'-!3"5 Julvth AVeJ)ve... Accepted Accepted With Corrections K , . Denied Reviewed By: ~ '::( ,u':t1j.J Date: ~ / ? /0"0 Comments: _ READ ~~ tlA~ D -e)<A,"- ~ D ALL 11:ie- JlJ.fO(l. l.r/'A,/O,J 0 N \1-\S ~P(G()tJeP ff'LMs, 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." ... ... ~ P RIO R LA K E ~~rtD~~:~~D ~~SPECTION INSPECTION RECORD SITE AD.DRESS / ~ '-133 :/)L< Ll{ TH AVE: TYPE OF WORK NGtU <i)CcK lef<.plt:tcG old) USE OF BUILDING KcS~, Iv! R .. PERMIT NO.' 00 -O4&;7 DATE ISSUED to/8/o(J BUILDER .JOHN Cfls(A~dJA. r~!::.( I M:"LJl40-S/88 ('~f\'q~O-7ItJ8 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT .., INSPECTOR DATE FOOTING lP>ri &, /2 2/trO PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ;1 .. / FINAL . tlr, ? (I f/ ~ Call between 8:00 and 9:00 A.M. for alllnspectlo~s I FOR ALL INSPECTIONS 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS \Co43~ ~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION(@ o FRAMING r ^ ~ ..!..NSULA TION r\. / ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: A:u k. I / Drt'" - C17' ~ }!i~t{ . -fi:7.r 1/ TIME Il.'"'l-u ~- Lilt? /' ~, I~ o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ WORK SATISFACTORY, PROCEED I~ ~ORRECT ACTION AND PROCEED o CORRECT ~ALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ' Owner/Contr: . I ' CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI