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HomeMy WebLinkAboutBuilding Permit 00-0174 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 5~~ DAT~ Rl=rEJYEQ. .lS alll I DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE ADDRESS /q.Ot;J3 BI!-l/5.t5I#€..O 3. LEGAL DESCRIPTION 1.CATE 3/2-5/00 tvC; el .ne LOT ADDITION (p PID 2tJD 25-3<1-3- {)()(n-O AVnM _ J HIL.L BLOCK nAPL-E: 14. OWNER (Name) \<':-,A,,>:o.. ~ 15. ARCHITECT (N~e) 6. BUtLOER (Name) (),~ c.... (Address) ~... ~~ ~u. (Address) (Address) (Tel. No.) J..\tf3 - 7'\ '2- <- (Tel. No.) 7. lYPE OF WORK New Construction 0 \\.O""V-''e.-~ ('0..,: \oJ, l-\<:.IM.e,\ Fireplace ~ Septic 0 Deck)( Alterations 0 Addition 0 Finish Attit"O ' (Tel. No.) ~ D~\l.'e" ('o.,~6.~~~ ~ ,,\.~ Re-roofing 0 Porch 0 Ae-siding 0 Finish Basement 0 1. While 2. Pink 3. Yellow File City Applicant Permit No. /)() -01]4- BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certl 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 ntioned 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 :uilding . ial ca~ revF'is penr just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform 3ei~ ~S~i~. I -----.) ~ License No. I [)Me; I ~ SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front "oJ< Side Side 17. COMPLETION DATE MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 USEOFBUILDING J6!': A/.i2.-.. OFF STREET PARKING PILING LOGS D PERCOLATION TESTS D SPACES REO. PLANS & SPECS D SETS SPACES ON PLAN SURVEY D COPIES PERMIT VALUATION --3,,0tV'). ('t') /"", PLOT PLAN D BUILDING DEPARTMENT VALUATION lYPE OF CONSTRUCTION, I II III IV V Occupancy Group A B E F HIM R S U Chi" Division 1 2 3 4 Permit Fee ................................... $ 7'/. ,c....- 'IA.59 I.~r) Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ ~ Sewer & Water Permit ...................... $ Gas Fireplace Pennit ....................... $ Th;s ~f f::mes YYi:B~ud;ng Perm;t When Approved. By _ . .._ Date <-<I')-;>~ Certificate of Occup4- Amount Brought Forward .................. 0;: Park Support Fee ........................... 0;: SAC .........................................0;: Collective Street Fee ....................... $ Sewer Tap ...................................0;: . Pressure Reducer .......................... 0;: Meter Horn ................................... $ Water Meter ................................. of. Sewer & Water Connection Fee ........... 0;: WaterTowerFee ........................... $ Water Tap ................................... cI:: Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $-17---+. f?4::.- Pa;d /74. e f- Rece;pt No. 31/;>><2> Issued - - .. Date ~/U7.J By ~ This is to certify that request in the above application and accompanying documents is in accordance with the City zoni' o~ance and may proceedL requested. This document when Si~ t~ C!!f ner consmutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. .AA..t p~AtV'\ ~~t1, ~'1l?O , - C Pi~l1ner Date Special Conditions if any 24 hour notice for all inspections 447.9850 ~~. 6D -0114- Thr ernlr. of thr L.k. ("ounlry While - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED &e6GOe, J::'Rf?lIG 3/~BIo() I I , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-0 t,..:3 .6L- u eEl ,eo '"7K:.. N6 Accepted Accepted With Corrections X Comments: Denied ) 1____ Reviewed By(J!j}fL..._ ~ - -:t 7 eOool u...o. i:)or.~ 4~ ~ j- Date: s-3D-7~ "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." ..l..~~X PR/Ocr" ...J f::: ~ urn.. :_. '.. White - Building Canary - Engineering Pink - Planning Thf' ("..nIO" of th..l.ak.. Country .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /:";:: . /_. "..- (. . . ,./. 1/ ,-- i "I.' ~/ \.._ 1'-. ,-._ <./ '._ f::". f 3/'..;.> C.j'/".. /_r_-, I". t. I /~^'r_/ 16 I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: i _<1/ / ';;;> /~'(,.':(~0 /,7/ //'<:::///.. j ./ '_ L' '0/ ,. ,1-:--1..-/ 7k /vC Accepted ~ Accepted With Corrections Denied Reviewed By: ~ ~ Comments: l~{~~~ ~ f}.p..-A. ~V\Mt""~ Date: 3-3DrCO "The issuance or granting of a perllJIt 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." L DEPARTMENT OF BUILDING AND INSPECTION DATE ISSUED 5-PJ-~f'k:9r5' I FINAL I JYt~/~ ; , . Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 /h, CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS I ~O("3 ~h,v-A. OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMINGw \go INSULATIO to. FINAL t" SITE INSP C N COMMENTS: ~Pl't o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAf, _ IJ t.Le- ~j$ TIME to:sn 0-1/4 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLiNE AIR TST o di6. (~~ r- ~ -'. ' ~....-" '" ~ .~ -;4.&. -- " ., ~~ "'- J .,-" ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I OWner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI