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HomeMy WebLinkAboutBuilding Permit 00-0688 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ~ORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) r1.. 9IT~9DRESSC 1.- i"oo. ~1(llI. .....,.,.Yl~ (:T, ,_;t. 3. LEGAL DESCRIPjN LOT BLOCK ~ITION M/eR/ AfjE, #tLL S' ~~':R (Name) (Address) (Tel. No.) ~~""' (Y\, So tJCEk:.- 14qlJf- (J-1i:.M.1.-f (;,.., f'I,t' 5. ARCHITECT (Name) (Address) (Tel. No.) (,J..2 - Lf40 ""f44O (Name) (Address) (Tel. No.) DATE RECEIVED &/{,;0O 6. BUILDER CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT / ~7~/o 0 K/SO 1. White 2. Pink 3. Yellow Permit No. (Depth) 12. NO. OF STORIES PID 7&)-2..84--00/- 0 IS-r ~. 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS Re-roofing CJ Porch CJ Re-siding CJ Finish Basement CJ SEATS 16. PROJECT COSTNALUE 7. TYPE OF WORK Fireplace CJ Septic CJ Deck CJ New const~ JYterations LJ c AddIllo~ Attic LJ Chimney CJ Misc. 1ft? ')C Z-.rJ ~ 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS Sq. Ft. Width Depth 1 O. CULVERT SIZE Yes No 17. COMPLETION DATE I hereby certify that I have furnished infonnation on this application which is to the best of my knowledge true and c()rrect. I also certify that I am the owner or authorized agent for the above mentioned property and that all construction will confonn to all existing state and local laws and will proceedin accordance with submitted plans. I am aware that the c!)ing OfficiF" ravoke ~nn: cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertonn needed inspections. (.. X . M (;, -U" tJ 0 Signature License No. Date SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING ~~ 19/~ . , TYPE OF CONSTRUCTION: I II III IV CO. Occupancy Group A B E F HIM R Division () 2 3 4 Pennit Fee................................... $ Plan Check Fee ................. ............ $ State Surcharge ............................. $ , Penalty....................................... $ Plumbing Pennit Fee .. ... .. .. . .. . .. .. .. .... $ Mechanical Pennit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Pennit ....................... $ FOR ADMINISTRATIVE USE Back Side OFF STREET PARKING SPACES REa. SPACES ON PLAN PERMIT VALUATION Side MATERIAL FILED WITH APPLICATION SOIL TESTS CJ ENERGY DATA CJ PILING LOGS CJ PERCOLATION TESTS CJ PLANS & SPECS CJ SURVEY CJ PLOT PLAN CJ SETS COPIES #~O{)(), DO j stti) lIZ, 25 '72, 9~ . ~, I)t) City: Water Tower Fee ..... .. .. .. .. .. .. .. ........ $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ /8fJ.Zr' Paid 108.. -z.,/ Receip ~9? Date ~. In, IJ1) This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr s requested. This document when S~~the C' ner constitutes a temporary Certificate of Zoning comPlian~ a~s ~~ com&~-:ncy,~rtifica' ~~,~,:' C .'. ..--.~- --B~'?-cA:) v~' ~ - C Planner Date Special Conditions if any ~~ ,,'lb'O ~ r;trfI'C This ~tion Becomes.1J>u~ Building Penn it When..AEp')lved. By .~ 1..l .-;r~ Date -.10./'" f 81:> - , , Certificate of Occupancy Issued \; Amount Brought Forward . .. .. . .. .... ... ... $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee . ... .. .. . .. .. ... .. .. ... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ 24 hour notice for all inspections (952) 447-9850 .'~ D6' O~S~ Thr Crnlrr of Ihr Lakr Counlry White - Building Canary -Engineering Pink - Planning \1.,~,'~.~2.;,;' ~~,~,~,~:.:{, -~; :1.,: ~-.~~~t';-~" :~)~; t~\t.~~ BUILDING PERMIT APPLICATION 'DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 5f/L/Cc. ~_ "-JOt: ,t-1 (;J/lt /00 I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,j 4'-7(c 4~ {?I.;;t:~/(/~(jV Ie I I Accepted With Corrections V IV~ E- . Accepted Denied Comments: Reviewed By: r:4 ~ "'? v ~ L'Ch .~~!,~ . .'.:".~' .. ... . ~ ~cJ6,\~T:2c. - . Date: -.!l> ~ 7 - ~ ~ A-ae&.~ &.~~ .~vl.d)< V~ ~1 ~tl 'f:~~ ~~_~ IN L~ o.~ OJ; aLY~tI:> ~~e..: M~~ J;Y~q,V~~l.Jh' .1A2>-~ ~J q.SL{A-'?~.~~'t:.Me_ 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 D6vO~~ { White - Building Canary - Engineering Pink - Planning The Cenler or Ihe Lab Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 5fJUC6f::-1 vOb {p/~/oo I / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4'/04- elfeeRv C/ I Accepted With Corrections / N.c-. Accepted Denied Reviewed By: Comments: ~ IJFa~f)\AT(otJ ~ ::ja-J;~ QAre.-J4c.;6 ON TH e Date: ~ /9 / ~o HMD-oJ IWD A..LL Tlfe- !rPPI<-oJe:v PU+Afs 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 ';0. ", ~~.:-.:".. ":'-~'r.':"'~ ".::", -:'~~; .. . ~~~1..~.~ <;'..'1=-. u..rn ~~ oo.o~~( Tb~ entla-.oIIM Lake CO..lry White - Building . Canary .i Engineering Pink - Planning BUILDING. PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .APPLICATION RECEIVED ~ /. I ! /7 C f."./ "J O'L ~)( I(;/ L, G- f-- , V (pIG, /00. ./ / . . -."- ~ The Building, Engineering,~nd Planning Departments have reviewed the building. pellllit . . application fot con~truction ~ctivity whic;:his proposed at: . 14" / (2; .."f' C/-Ifft!./< V C / .. . Nt; I Accepted?' Accepted With CQrrections Denied Reviewed By: Gna,.t C 4.,..( SOl\; . Date: .'i'o/IJJ Comments: See .,V\.+()r~Q+\OW\. "n ~~ r""WO-~.... ~...~,..:'. ... !:.. ge(N~( I\J~ (rJ rJ6\~ S <.J r<.. \ley' ?e:-rcL got-f Cc(~ (~'7j ~ d+\-ClckMer\f.s: '- h..~X c,~IlJC. L$!,"fiar\ r,.~r"'AJ-i~~ 01. ~r~~ PI'ttt 3. 1:: ro S ; on C 0 ~ . _.. r'o \ t4 -e4..~t.l (" ~s 'f. EI'~ S ; /) It C' IJIt .f.,., I {II fh1 . . . liThe issuance or granting . of a. permit or . approval of plans,.. spedfications and computations .shall not be construed to be. a permit for, oran 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 vio:late or cancel the provisions of 'this code or other ordin~nces of tile. jurisdiction shan not be valid." ?J~ .. / /,- . ,/,.- PRIOR LAKE INSPECTION RECORD SITE ADDRESS /4?(,~ ~H@U.r eT. ,J.6, TYPE OF WORK ~/o""II""~ ~""~'P"" 11.1)( z.o I ~J e USE OF BUILDING (2a. u- ( PERMIT NO.. () () .. 00 (f' DATE ISSUED ~ /1/ ~ (:) ., . BUILDER ~S'ePl't M.. ~OLlCE-~;iL G:.t 2. - '-lc.fo -1./"1 'fo NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION :Ml~ ~E D~€ FINAL ~~ R.. I F- Call between 8:00 and 9:00 A.M. for all inspections ~. ,~5(OE ~~(S~ FOR ALL INSPECTIONS 447-9850 INSPECTOR DATE FOOTING ~. 9/I/utJ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING \ I \ \ I . .- DATE TIME SCHEDULED lo-/1-cO ft r /'17/.,1 ~hery (';:;/- CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULAT~L _ J ~INAL ~ n ed o SITE INSPECTION PERMIT NO. ().& W o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: "' ~ WORK SATISFACTORY, PROCEED r; CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I Owner/Contr: CALL 447-985~ F~~ THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /t)-1~Z- ADDRESS 1'-I7~ C/'t,rrv C" AI.E. - - (, OWNER CONTR. PHONE NO. PERMIT NO. a?r-~g8 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~ILLING "0 CO~NT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: G~- {J I( ~II/b &,1-0 (( )I.. WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING InSpecto~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI lNSNOTl