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HomeMy WebLinkAboutBuilding Permit 00-0407 ~'t . CITY OF PRIOR LAKETh \ So 1= \ Ie... ~cJ 1. BUILDING PERMIT, ; TEMPORARY CERTIFICATE OF \rJ 1M F\\N 'LE . ZONING COMPLIANCE 00 - O~()S AND UTILITY CONNECTION PERMIT Permit No. 0 -040 3. LEGAL DESCRIPTION LOT ID BLOCK ~ PiD O$"- 3JO- 030- 0 ADDITION \(tJOg it'll Icr 4. OWNER (Name) (Address) (Tel. No.) 5. ARCHITECT (Name) (Address) (Tel. No.) DATE RECE=IVED ~J l~/ao 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 '? t::wooD eD, 6. BUILDER (Address) l'-{~l1 6V1IN(",,~S 13viUvSv"IUE: ~!>:JO{, (Name) lrJ lr\l DW tJC D tfoll"\t5 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. Fireplace 0 Alterations 0 Septic 0 Addition 0 Rs-roofing 0 Porch 0 Rs-siding 0 Finish Basement ~ I'lO P. ....1.:-. (2-. 16. PROJECT COSTNALUE If; , Of) t:> 17. COMPLETION DATE 8. PROPERTY AREA OR ACRES Sq.f1\. ~ No 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 building official voke this rmit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inppections. X 2./ 't 7 5:!IO/O.., License No. Oaie White Pink Yellow File City Applicant 1. DATE '5/10/00 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION f?p(.(.f:1J) rs; 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) q'Ol - ~~ -gt(<f 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLlCA TlON SOIL TESTS 0 ENERGY DATA 0 USE OF BUILDING ~es. 0/.<.. OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 COPIES PERMIT VALUATION #. (J". () fJ PLOT PLAN 0 BUILDING DEPARTMENT VALUATION TYPE OF CONSTRUCTION: I II III IV Occupancy Group A B E F HIM Division 1 2 il) 4 Permit Fee ................................... $ cli:ls U RlzS City: Plan Check Fee ............................. $ - ...e - 2..Dt) State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ ~ 5Iv'!i~O Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This App9tion 8l:\.OOmS Yow~ Building Permit '1.hJn AS;p.E.rCjved. By ~............. ~ Date S/z,~"'P " , Certificate of Occupancy Issued Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer ........"................ $ Meter Horn ... .... .... ........................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid Receipt est in the above application and accompanying documents is in accordance with the City Zoni Ordin nee and may proceed -' onstitutes a temporary Ce~~1015mPliance and allows construction to commence. Before occupancy, a Certifica City Planner ~ Special Cooditions n any 24 hour notice tor all inspections 447-9850 S~1 W~t~ ~ - ~u~~7 Canary - Engineering Pink - Planning Thr(-rntnof Ihr Lak.CoUnll')' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT jtj\(Y'JWOOc\ ~e..S. APPLICATION RECEIVED\'J\ fA. ~ \ 'i../A), J. crrro The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / Lj SCf / eO}i e JY\/lJ"7'Je/ t2ero..of Accepted Accepted With Corrections /" Denied Reviewed By: Comments: ,f ~ ~ it-, :0 I-J ~ Date: 5/CJ.S/ffO . L...".e~ ~-~ ~~. ~ CH-- ti-L ~ ~, "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." ~~ Do.o401 Th.. ('..nlt'r 0' Ih.. 1.8k.. {'ounny White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT , \f~ ,\r \'J \:. \ ' \ \ \ ('1\, e'> APPLICATION RECEIVED :\:\ }';, , , . \ \ ( ../( r'l >; ;' .l..' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .I L/:;, '! I ""- \\/(\ryi ' ,', ,I .-'....., Reviewed By: ~ l(0'~ Accepted With Corrections Accepted Denied Date: q7"3,)cD 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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 14 5~ I F:..oSElAJOO.t:J ~D, NATURE OF WORK L. L Fi~is"") L.{ ~-..s (t-lcI ~ p,) 61<csl...tZ--- USE OF BUILDING tfJf A/~. . PERMIT NO. /J(J. 04r:J ' DATE ISSUED .q 2..5/" 0 CONTRACTOR WI AJ 0 t.Oo ~ PHa~e CJ 52 - 815 - 8~Jf8 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~ INSPECTOR ~~ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS DATE FRAMING INSULATION ELECTRICAL PLUMBING . required) GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service c,!bil1et 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