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HomeMy WebLinkAboutBuilding Permit 99-1352 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~., '.. 11/t8P9 PUD DATE RECEIVED 1/ /le/99 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE P.Ef{MIT IS ISSUED (Please Print or Type and sign at bottom) I. White 2. Pink 3. Yellow File City Applicant Permit Nc:R,~~~~t3!5? BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION 3 e,eoSS/l /V,o~ e / ,e, BLOCK I PID 2.5-zq<f- OOS-O MeLJ//t/I9L- ,e/Dc;6 LOT ADDITION 4. OWNER 1ST (Name) (Address) 5. ARCHITECT (Name) (Address) ~_lm~l~ /'? artS (Name) tu"/~ (Address) ss ';>0 --I5$' >~ tt..-: Re-roofing a Porch a Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE 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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the .0;;i~l.,9~.4 permit for ju e. ermore, I hereby agree that the city official or a designee may enter upon the property to perform ne~ed insP!tctlons. "..' - /' r ignature License No. 7. TYPE OF WORK New Construction 0 Chimney a Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. Fireplace a Alterations 0 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Yes No 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS ~ - ~~:J-#~ OCCUPANTS 17. COMPLETION DATE ~ SETBACKS: Required Actual FOR ADMINISTRATIVE USE Water Tower Fee .. .. .. .. .. . .. .. .. .. .. .. .... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ 2. as r . 5 Cj Paid Z. S I . S-q Receipt 9. 'i" 0 Date ~ II 0 /tIfJ' By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce and may proceed 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. Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 9 .crn .Q t"') , - USE OF BUILDING ~ /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................................... $ City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ ( ~, . 7~ 't 7 .'$C{ Q,5D Mechanical Permit Fee ..................... $ ^)~ ~q~ Sewer & Water Permit .~........ ........ ..... $ Gas F. p1ac P ....... .. .. ... .... $ , :: mes ing ~:tr;it wrr~"fl1-:~ ~ Certificate of Occupancy Issued City Planner Date 24 hour notice for all inspections 447-9850 Special Conditions if any ...-/ Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 1:1 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward .. ... .. ... ... .. ... $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee . .. . .. . .. .. .. .. .. .. .... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn. .. .. .. .. .. .. .. .. .. .. . .. .. .. .. .. ... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ 19 - /35'2. Tht ('tnttr or tht hilt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT yV1() H S 301 l.,[) r..R ~ APPLICATION RECEIVED Jill g / '['] The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: f.LpLl ~ (ll<.OSS r\^,[),~A. C /((.cLE Accepted Accepted With Corrections ../ Denied Reviewed By: .hhu:rR Fl-lll.~\vt(\~ Date: --311/00 , , C t - D ommen s:1 HE t ~D(JQ',t)) l)(t\.vEvJ,'1Y .(\'\u~, i3,c. ~(pr 0;"1 dF {wE: --51 DE LOT LI,\J[ S0fl\lEY\ -' I DrzAIN,,":C. ~ lJ'IlLrT"'r' E"AS[,"1EfIJ-;-. (.set: AL\(R.(\T'()l\j~ 17, 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 ~ qC/.. /357 White - Building Canary - Engineering Pink - Planning Thr Crnlrf of Ihr Lab Counlry BUILDING PERMIT APPLICATION OEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED nOH5 /3vlcObRS III 16/19 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / &; 124- c,eo SS /rN 0/2/-1 ell<.- Accepted Accepted With Corrections Y Denied ,~/JIl /____ Reviewed BY:~~ Comments: Ma."'-L~\"\.- · EdS~ ~ Date: 11- 2((-9 ~ 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 ,",'I" . 5;' ,......... ............ ...... '. .......'.. ." . ..... '.......... '.,'. ..... ..... .... ...... ..... '. ':'~':~""~':~~""":""" .' . '. . '. ...... .' . ..... .....' ...' The'~i~~e"gi~l,and...PlanningDepa~fJntshev.reviewed.the,building'permft ~pPfieatij)nfor~~n.ctMtyWhid1i$P ""at: /, . ." . /(p:/ Z 11I/-'" e~os.sjJ':IV(f)~ '. e II<i:. . .' "' Accepted Accepted With Corrections v Denied Reviewed By: ~~~ Comments: 1\ .~~ ~ ~p~l\ ~ IV r' ~ ~~1; ~t-(F'r- ~l.-" ~t~~~ ~.l~~'\~ ~_ (J~-c0-.LJ). :2-"') ~v~~ I~ /..//, ~ ~ - ~t ~_: .~ eYv~ 'trt\A{i- V ~ ~~ ~/j{'Jp~ l--ef4.dt~ Date: liThe issuance or granting of a permit, or approval of plans, specifications and computations shall r;lot be construed tobe4;a Q"ermit 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 DEPARTMENT OF BUILDING AND INSPECTION SITEADDRESS ~\2t.\ (1~ NATURE OF WORK - (bQ)(l ~ .~-, USE OF BUILDING ~...... >FP PERMIT NO. CJ3-l3:,'<. DATE ISSUED JI-2l(-<tt; , CONTRACTOR -1k>V\~ ~s. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DO:~~T I D~rE / FOOTING r 'Y '3 11)fo FOUNDATION (Prior to Backfill) \ /. PLACE NO CONCRETE UNTIL ABOVE VAS BEEN SIGNED ROUGH - INS FRAMING :IIIIj- .~n.r.~ ELECTRICAL I/( 6r-l~ --= COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS g) rvp' G/7-cTvf BUILDING ELECTRICAL -- DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electricpl service cabinet prior to rough-in inspections and maintained until all inspections have been approved. 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 DATE TIME CITY OF PRIOR LAKE pc 7"oz,( INSPECTION NOTICE SCHEDULED ADDRESS /-f.dPLI ~Jrl( >1 OWNER CONTR. PHONE NO. PERMIT NO. Qt(-(3S2 o FOOTING o PLUMBING RI o EXlGRADIFILUNG o FOUNDA liON [J MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULA TION fJ./tf~ o SEWER HOOKUP o FIREPLACE FINAL EFINAL f) o PLUMBING FINAL o GASUNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: ------- / r / /.j '\.. /'" / / U~C- l ~ " , ----- -----...::...... "" -........ ) / / ~/ ------ f--/ {~(~ ~ WORK SATISFACTORY. PROCEED o CORRECT ACTION AND P CEED o CORRECT WQ K C R REINSPECTION BEFORE COVERING Inspector: Owner/Contr: 5~ FQR: THE NE~T IN~PF.S<!TIQN ~4 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl