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HomeMy WebLinkAboutBuilding Permit 04-0518 ~~ OAT. ~.r.eIYEl! CITY OF PRIOR LAKE 5- /~,O4-- 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 /8'7CD mikhw CI'rU!/e SE 3. LEGAL DESCRIPTION LOT ADDITION In -#l f kit J / / PID BLOCK ..!J RJrVd ?/kE~e 5. ARCHITECT 1. White 2. Pink 3. Yellow File City Applicant Permit No, BP 04-.05/8 1. DATE 5;~ k?tl ZONIN;e/5 D ,.2 6'/5!5tt?/.:;-t' BUilDING 'NFORMA TION 11. SIZE OF STRUCTURE (Height) (V{ldth), ;.:).J.:f 12. NO. OF STORIES / 13. TYPE OF CONSTRUCTION c.U:lOD!k'A rJt 'J)f./r.vh e..d.. 0.A-1L AE[b 14. FLOOR AREA APPbRTlONMENT USE to 'I::; ::B- ~)I (Address) I ~ 70{) '-r'Jufl'hf./' (Address) (TeL No.) qS;}.- (!"jf'/~ ~6 - fP11 (TeL No.) (Name) n/l Roll ()-I;;.r (Name) 6. t~ER (Name) I (Address) (TeL NO;-\ "f5!;Jq:9o- 15. NUMBER OF OCCUPANTS OR SEATS ~ '<11) ~f.If!/Ul& /!(.i/!tIw/#r" 439/ t,JtrJW7 SU.d2l/S (Jk ,;?;J88 OCCUPANT" 7. TYPE OF WORK Rreplace [""J Septic LI Deck 0 Re-roofing 0 Porch LI SEATS New construction){ Alterations 0 tddition [""J Finish Attic a Re-siding 0 Finish Basement 0 16. PROJECT eOSTN ALUE Chlmnev 0 M;sc. 7i>P-4a c: h.f c a a ICt:i10 f. / fr. otPO "9- 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS -----,-mcuLVERT SIZE 17. GOMPL"ETION DATE Sq.Ft. ~/. O'1f?J W;dth 10<0 Depth /79.'6 I Ves No r;/.3)!CJ4 I hereby certify that I have furnished inlolTTlation 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 con~ruction I conform to all existing state and locallaw$ and will proceed in accordance with submitted plans. I am aware that the bui~n revoke this permit fo~. rthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ~......_u..., ,.... X ~..-, ,,/ -?1A _ &tJB/ffJ'?' if 1)/8104 ..." ~at~ ~- -- --0.--- - -, license No. . Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING D~RTMENT VALUATION ....-~OO.".., S::F:D, OFF STREET PARKING SPACES REO. USE OF BUILDING SPACES ON PLAN PERMIT VALUATION Side MATERIAL RlED WITH APPliCATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 PERCOLATION TESTS 0 SETS COPIES ~~(J,t:Jo Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ TolalDue .............................. $ 7ft,.(JO Paid '7 {, . 0 0 ReceiPt No. -fG '1 r; (, Date (,.r.o4- 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 pr~s requested. This document when ~~lann~~~ ~ temporary Ce~; of%ing compliance and allows construction to commence. Before occl.4)ancy, a Certificate of Occupancy must be issued. vt= C' \. i S 'IC .. , ity Planner te peelS OlldIIIOll$ any TYPE OF CONSTRUCTION: I 11 III IV 0 Occupancy Group A B E F HIM @ S~ 01'0" 1 2 (f)4 7 J/, ?s PerrnitFee ................................... ot City: Plan Checking Fee ......................... $ State Surcharge ............................. $---./' Z S Penalty ....................................... $ Septic System ............................... $ Other ......................................... $ ~o~ ~. Subtotal............................... $ ::IS~S~:t~It~;~<! Certificate of Occupancy Issued Amount Brought FOlWard .................. J: Park Support Fee ........................... $ SAC ......................................... $ Collector Street Fee ....................... $ Sewer Tap ................................... It License Check Fee ......................... $ Pressure Reducer .......................... $ Meter Hom ....... ............................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ 24 hour notice for all inspections 447-4230 ~ ~ Th~ Ctnltr of lht Lab Counln' Whit" - Building ~an?r" - Enaineerina ') Pink - Planning BUILDING PERMIT APPliCATION DEPARTMENT CHECKliST NAME OF APPLICANT APPLICATION RECEIVED VV E (~~ E iLl\) G A Ic/A G t::-' ,... " . J I ....:;. i {/ ( \ ,1 _ -~~ , ~ I,.,..- Ij' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ) 5: 7 0 0 rl I TG1-!EL.( j ,~{ ILl.L...E I Accepted x Accepted With Corrections Denied Reviewed By: IMfJ3 Date: ~ - a;:; 7-()'I Comments: ~"'''' R"'\I"'r~1> ~irll> for Additional Information! S*'*' 4.ttachments: 1) Grading Plan, 2) Erosion Control M('aslIro" "The 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." ~ ~ O~?; (Jvhite - Buildfi'i!D Lanary - €ngmeering Pink - Planning fhf('rnlrrnflh..I..hCounln' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED W f3ST8ruJ c:,AeAq b 5, /0,04-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /57DO nrT~A+6U ~ QAtu~ I Accepted Accepted With Corrections .-/ Denied Reviewed By: ~ ~ Comments: ~ ~ ~~ ~ ~ Vy-' ~ ~Ii' -/-r; d~ ~,,7'_~,~ , f Y v ~ MA~ ~~ ./ Date: 5/2-<( ~t/ "The 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." s~~ White - Building Canary - Enqineering ("1>ink - Planriintt-> -- lh('enl..,nflh.l,mk..Counln BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \V EST E Ie-IV G!\ Ic:A'1 (:I S' _ I I eJ . I '2 . (J4- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: }S 7 C () f i 1/(2~E.Ll ~ U k....L.-LE , Accepted ~ Accepted With Corrections Denied Reviewed By: ~ ~ Date: .5~~/o<l Comments: "The 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." , . , .:..\.... '.':'.-'.',. " ',. "-, --" , .- '."', t, , ,','--. . . . - -. " '-. . . \ '~__:. :. PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD. SITE ADDRESS /S'7~~ l!1.itdIEZL- 02L!t~ .REo TYPE OF WORK tc,A~G AMc.lJ'Itu.Dl7A~H.UL USE OF BUILDING S.1=:f) . . PERMIT NO, () -/. DIU _ DATE ISSUED S"k~~t/ BUILDER ~>"~ (;/:J1MM 'Eu,;~; IAiCfHONE #~- fk7-~6 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I /H7- I 0~~' I PLACE NO CON'CRETE UNTIL ABOVE'Hj\S BEEN SIGNED I FRAMING I fIVI// I { -(f.()L( I ezcc.rj{/~/+t, 1'./. i HJJAt,. I , FINAL I 1l1J-J- 1 hI /~tj , I " ' FOR ALL INSPECTIONS (952) 447-9850 . CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ^~7C'O OWNER PHONE NO, o FOOTING o FOUNDATION o FRAMING D...1~LATION A1!'INAL o SITE INSPECTION DATE TIME SCHEDULED ~~i'~ ~~// Cr CONTR. PERMIT NO. (!J 9":" S/ 0 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: //' (~/~9'7' " Lh/ ---A/I .~/ ::/ /'.. /..., / ~!f'! /If,) 7C~,r,Ce, / UVcr/IC- r~ ~4/. 1- ~ ~~.e. "--- ~ ~o /' / ,1H"? / , ..---- /' / _/ .,-,) \. ~//4'5'e r/ /e / ~ORKSATI~. "r<u,,",",u o CORRECT ACTION AND PROCEED o CORRECT WORK'1~L;:~EINSPECTION BEFORE COVERING Inspector: /~ Owner/Contr: z;~/ -~ ) ---- CALL 447-985D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .( SAFETY! DUHOn