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HomeMy WebLinkAboutBuilding Permit 00-0522 DATE RECEIVED CITY OF PRIOR LAKE / ~JJrifl BUILDING PERMIT, (0 I --. . v '-TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow 1..:. ~t ;'~t\, ~ l';: (J~522.. Permit No. DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 1. DATE c:, ..J if -0.0 BUILDINGJNIIIIt')RMA TION 11. SIZE OF STR~RE (Height) (Width) (Depth) 2. SITE ADPrESS a ,(' 7 tt,( 3. LEGAL D~S5-~PTION LOT'~ BLOCK ~ C(()SS~V1t::ly"({ s +: 3 PID ~ S - ~~-o~-o ~ ~_. L[t11. ~ (Ad~eSS) J (Tel. No.) <5 q It tf c Y'OSSc{~ It $ (}. 9'St ..If{.j(.) -$13(; (Address) (Tel. No.) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER (Name) ~ pb r/. !l~;<)~ #",vl~k 5. ARCHITECT (Name) 14. FLOOR AREA APPORTIONMENT USE 6. BUILDER (Name). J (Address) I/. (Tel. No.) Dt.V';J ~c-t,4,'~n C!>~S7'.. 2..1 7l b 1r-cYJt^LL~ Itv'e '1Sc<lfolf"32<z t. cJr -c. V ; II t.- I vn 11. S ~5 c? if If .....- Septic LJ Deck LJ Re-roofing LJ Porch I1r' Addition LJ Finish Attic LJ Re-siding LJ Finish Basement LJ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 7. TYPE OF WORK Fireplace LJ Alterations LJ New Construction LJ Chimney LJ Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 17. COMPLETION DATE 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE 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 mentioned property and that all construe' will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this pe~jus . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins~ons. X ~_- - ~~ 3' 07 ''''/Lf-O Signature License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS LJ ENERGY DATA LJ , PILING LOGS LJ PERCOLATION TESTS LJ Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION -# ltJooo f Do ~A-Jr- PLANS & SPECS LJ SURVEY LJ PLOT PLAN LJ SETS COPIES USE OF BUILDING TYPE OF CONSTRUCTION: I II III IV (!j) OccupancyGroup A B E F HIM @ S U Permit Fee ..........~~~~~..~...~..~.~... $ , L Zr, z.. 5 1". q/. 3,~ Amount Brought Forward ... .. .. .. ... .. .... $ Park Support Fee ........................... $ SAC ................. ................. ....... $ Collective Street Fee . ... .. .. .. .. . ... . .. .... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ City: Plan Check Fee ................. ............ $ State Surcharge ............................. $ (~~ Penalty....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Water Tower Fee .. . .. .. . .. .. .. .. .. .. .. .. ... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $L.e.8. Z I Paid /e". z",. / Receipt o.~p.,J"J Issued Date? /1';" /t; D By -~ This is to certify that the request in the above application and accompanying documents is in accordance with the City zon~"nance and may pr s requested. This document when s~. the Cff{ Planner constitutes a j: ,. orary Certificate of Zoning compliance and allows c~truction to commence. Before occupa~ ~rtificate of Occupancy must be issued. ~~~~ft~___ y-,JA,.-UO~. .... (\'^_w~ ~~~~_ ;- City Planner Date 'Special Conditions if any Gas Fireplace Permit ....................... $ This ~cation ~eco~ Ypur Building Permit w~n "2rovej. By ~ <f~ Date I Z-fOtJ Certificate of Occupancy 24 hour notice for all inspections (952) 447-9850 (f) -Of}2-'Z- Tht Ctnltr or lht Lakt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT DQJr\d. S~weA(_Jn ~\-. APPLICATION RECEIVED J, rA\) _ \ cq"Yh) ~OO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 6~~q ~ Accepted Accepted With Corrections X Denied Reviewed By: Comments: <2G,:tO ~ -:Jdp Date: ~/Z2/{)O ,*~()-ow ~D Il-fe- AHtlJd6tJ ALL 'H~ ?LMs, ~ ~~ ~ tb t:' '" -L-t J N J::=i:J t2 111'-14 n O,J (:J,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." .c 00,05bU The Cenler of the Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT fJrk..N \ c-\ ~S vhw e,.t\ ()\\ ~~ \-. APPLICATION RECEIVED :-J\ ~\L. \ ~+.h 1 ~C500 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: C".9 t:.-I a /"....c C r' '''''.ct ... "'.: j -/! .. I L.rV....)i ~ \,..A, ,.,t' C\ --:>-. ~r-v )t' Accepted v Accepted With Corrections Denied J Reviewed By: q~~ Comments: 3 ~ W~ +&:.-l~ ~k . t a.. ;\'\IW~ .~~ Il) Fl . TV~ 0~~ ~ Uvte., t9~ ~~.1J~__ ~~~ G#~/ r:~c..lJJ~~ ~ \0 ~1Au~ ~IJ~ '" Date: a "~-c50 a , ..~~~.~~ ~TW/~ ~.W-~. liThe issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to baa 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 Gancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." PRIOR LAKE ..., INSPECTION RECORD SITE ADDRESS 69'-/9 ~ xU-r NATURE OF WORK fJ~ - '/~ 'X' ILl II ~1c.a,.J'i' USE OF BUILDING REs, AI ~ .J PER.MIT NO. 00 ~ OS Z z... DATE ISSUED (" ( z z. ( ()O CONTRACTOR .J2A.~(O . ~C1HE"'Cl{ Ct>rJ~l' ~NF""'jSZ-~(<,G)-322'-. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF -.... BUILDING AND INSPECTION FOOTING INSPECJPR ~ DATE 7ft!", PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS_ ~, ?/Uln I g;,P . fl!P/#/J I .' FRAMING INSULATION ELEC L .t COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT ( 7J;~ \::7. , /' ?}.;G .(/G> OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all Inspections have beeli appr.oved. 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 SCHEDULED tl:~ TIME CITY OF PRIOR LAKE INSPECTION NOTICE 2:60 ADDRESS 54 44 Ceco-~tvi:>1tA OWNER CONTR. PHONE NO. PERMIT NO. 6::> ..5 L2- o FOOTING o FOUNDATION o FRAMING o INSULATION l8-FINALp~ o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: . r?J~ ~ (~ ; V\. r;~ tJcJ-Q J.-- tJ.c. I P WORK SATISFACTORY, PROCEED ')!.. CORRECT ACTION AND PROCEED o C~' CALL FOR REINSPECTION BEFORE COVERING Insp ctor: / Owner/Contr: C ~ -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTJ