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HomeMy WebLinkAboutBuildinjg Permit 00-0907 ~iV '.:':::-'1iAr.EJ:~r=0~f,',r=Q, .... ,.~.; ,- CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE -AND UTILITY CONNECTION PERMIT ~OO telSO ocr-6. DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) /~73s tlINOSOe. L.N 3. LEGAL DESCRIPTION 9 .3 ADDITION /'V/C..ObeNC3SS poll/OS 2ND ____ (Name) (Address) :::Ji"l\ IJZ/lid I ~ 1~s/.Ji ),/f}-sdL LtJ 5. ARCHITECT (Name) ~ 1. White 2. Pink 3. Yellow 11. SIZE OF STR (Height) ( (Depth) 12. NO. OF STORIES PID 25-336-02.~-O 13. TYPE OF CONSTRUCTION LOT BLOCK (Address) -- (Tel. No.) :;.~- 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) (Name) -:r~ QR(;;bkJ f!1!!!!!l5 RUl~I\' Fireplace 0 - Septic 0 Oeck ew Construction LI Alterations 0 Addition 0 Finish Attic ~ (Address) (Tel. NO.)ll~':> i5JJ}fef~ltIuqJlA"'- J.l1I o\-.s;;l1f' &irNS'~i\lc. ~ ",y tt- 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS Re-roofing 0 Porch 0 Ae-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. .PROPERTY DIMENSIONS 110. CULVERT S~ZE Sq. Ft. Width Depth Yes No" I hereby certify that 1 have fumished ",;v." ,....'-'., 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 prope and th construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the :uilding official can r k IS pe . st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfO~ LlCsnseNo. .---=-. 17. COMPLETION DATE FOR ADMINISTRATIVE USE Other ......................................... $ TolalDue .............................. $ /88. 2/ ! 8'R', if J Receipt No. ~ gL.lQti? Date )t)-/;J.-Oo Bya((j;/I~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce~ requested. This document when signed by the City Planner constnutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. I SETBACKS: Required Actual Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION (1I~~.d>t"") . USE OF BUILDING jg.e~ n//Z- TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 S U City: Permit Fee ................................... $ IIZ. zs- 1)1 .'H~ ~./l)O Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ ~ ,6 .\ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer&WaterPermit...................... $ Thi By our Building Permit When Approved. Date 10 - {() - '2rx>O Issued City Planner Dale 24 hour notice for all inspections (952) 447-9850 Special Conditions if any Side MATERIAL FILED WITH APPliCATION SOIL TESTS 0 ENERGY DATA CJ PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward .................. $ Park Support Fee ........................... CI: SAC ......................................... CI: Collective Street Fee ....................... of:: Sewer Tap ................................... of:: $ Pressure Reducer .......................... <I:. Meter Horn ................ .... ............... <l' Water Meter ................................. $ Sewer & Water Connection Fee ........... go, WaterTowerFee ........................... $ Water Tap ................................... of:: Builder's Deposit ............................ of:: Paid 00 'OQo1 Thf Crntrr of thr Lakr Count!'}' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ToPs REf7()OeL.INq /0. ft; , 00 I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /ftJ73 b W/{l/050f!.. L17N6 Accepted Accepted With Corrections ^-- Denied ~~f Reviewed By: Date: /~ -/6 -ZOO&) --, p;j;s:~ ~cl- ~~_ "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." ,/ // . PRIOR LAKE INSPECTION RECORD SITE ADDRESS 1(,7~t) w.'V\bsr'\r- TYPE OF WORK Z::Qrt~ USE OF BUILDING SFD PERMIT NO. {)O. OQa7 DATE ISSUED Ie - (O-ZClOQ BUILDER \O~ ~MO\c.h~ ~l~ 201 - 52.78 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION I FOOTING I &:~PECTOR I /~/J,;7~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I~ I I I FINAL ~ I (0/;:;'5/0) t Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 SCHEDULED ~~~~OJ It. 73 S-- // ) 1!41 dxn-J CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~~~VeLr o SITE INSPECTION COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL t&~- ~ ~.~"---_. ~:;>.--- /(- (l t.t"U ........ -~-~._-- -/-- DATE ~E_ /L (. () ...q t?/ o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o .....~ '" ./ blWORK SATISFACTORY, PROCEED f CORRECT ACTION AND PROCEED o CORRECT WORKffLL FOR REINSPECTION BEFORE COVERING Inspector: [~ Owner/Contr: f CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!