The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 00-0374 ~1 QAT" R"""'''''':! CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF MAY I , 2000 ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File Cily Applicant Permit No. () ().0374- 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 It.( UCc h,4.,,.--- ':f711 / ex> BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION 12. NO. OF STORIES LOT I {j~ 6LOCK j:Ul~ fD ( PID ~- eJfJ<{ - 00 { -6 ill" J-L d~1 /Ja..&c.. 5. ARCHITECT (Name) LV i?/c..Ke (Name) (Address) I '{II'! F,s !'e-.- (Address) (Tel. No.) I '-103- 't?"'l... (Tel. No.) 13. TYPE OF CONSTRUCTION Dec.K 14. FLOOR AREA APPORTIONMENT USE ADDITION 4. OWNER z..~( 6. BUILDFR 'Zc.rl j~ame) bl... Ke.- (Address) Nil? -{2,s'he.- (Tel. No.) IfD3"-'7?6.~ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK Fireplace LJ Septic [j Dec}s.X Rs-roofing CI Porch 0 New Construction 0 ~ratlons 0 Addition 0 Finish Attic 0 . Re-siding 0 Finish B!1ernent 0 ChimneyLl Misc. "';..j-/4IA..1L€lJ H..... .,::-u..:/7uuT QIfZ61$C J:;,A- f-boTl.,Jq) 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yos No t 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. 1 am aware that the building official ~ ~o~is permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform neepe~ ~spections. X_ ~./ ~ _ ~/IIIO& Signature License No. Dale SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION Front Side Side SOIL TESTS Ll ENERGY DATA Ll Back OFF STREET PARKING PILING LOGS Ll PERCOLATION TESTS Ll SPACES REO. PLANS & SPECS Ll SETS SPACES ON PLAN SURVEY Ll COPIES PERMIT VALUATION .tI'2,f}(JO (N'O Gj~'IPLOTPLAN Ll BUILDING DEPARTMENT VALUATION USE OF BUILDING ~ AJ t2 TYPE OF CONSTRUCTION: I II 111 IV (jj) OccupancyGroup A B E F HIM €) S U . o."'M 1 26>4 14.75 Permit Fee ................................... $ Ll8.S'! /.50 Cily: Amount Brought Forward .................. $ Park Support Fee ........................... It SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... It $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ ~ 5' )o/OV Pressure Reducer .......................... $ Meter Horn ................ ................... <I: Water Meter ................................. <t Sewer & Water Connection Fee ........... <t Sewer & Water Permit ...................... $ Water Tower Fee ........................... $ Water Tap ................................... <t Builder's Deposit ............................ It Other ......................................... It Total Due .............................. $ /z4. 84- Paid 1/. J/. f 4-- ReceiPt..:3 7/fS7 Issued ;~1. Date 571 '/77) By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi nee and may proc s requested. This document when ~.nner constitutes a temporary Certificate of Zoning complian~and all~~i~ ~:~efo. re occu. .pancy, a Certifiea of oecupanc~ust be issued. Q~_IJ"" ~:-80 ~, ~ .~...WI<lr't(:) ~ .A.A.~.. CtIy Planner Dale SpeCial Condrtlons ~ any t Gas Fireplace Pennit ....................... $ This ~~~ B~~~es Your Building Permit Wh~1) App~ved. By .. ~..d;1l1- Date S://Z./tJC Certificate of Occupancy 24 hour notice for all inspections 447.9850 ~~ 00 -037~ Th~ ("..ot..r of thO'I,.k.. ('ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ fV' I R\(L~ e.. f'J\0-.A1 \ \ +-Y\ \ ~n 00 I . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4// 9 Fi~\he.r Ave f\lJ~_ 1\/ E Accepted Accepted With Corrections ~ Denied Reviewed By: Comments: ReAL) ~ .. -=I~ f..; I tJ ~W\J4:n/),J (])clj;.. THE. ON Date: 6/1 Z,/dd rNMV 0 - (JU.",,4r,.Jo Au- Ttf ~ ~f2IJ';671 . i'(c;u...Js , "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." ~~ OD -0374- Th~ ('..nt... "r thO' I..k.. ('ounll" While - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (~) (U. i h \n it- e... N\C'-A J \ \ ,\ I ->", ....... ,,;"- /-$ . $\..) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4/} 9 Fi ::"her AVe>.,rwde.... t\f E Accepted Accepted With Corrections ~ Denied Reviewed By: ~ ~ Date: S- I 'O-6t.:) Comments: /t{w~/~ I);~ L~ -I- ~~ ~ \~J~. ~ ~,-.Q4-'G t)>tVu~ ~~ VV\,~~V1MAM J--.,~c::-\ <;;~ Cia ~~~ '-' - ~ ~fM.fr~fsJjCLT'\iO ~ S:L~J~ ~LlAMtw1 ~}/v-e-vt 15/~&v 17') 1~~LJCLvIL.P~" I , . "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 oT 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 /,///9 Fts)lt;~ TYPE OF WORK NE:{,() J)ECJ::..... (Deslq/J ~r1.- vv...Tu~ (lAz6C3~ USE OF BUILDING ,(es AI r2- ./ PERMIT NO. ()O - 0374- DATE ISSUED 5/ I z./ 00 BUILDER SfU. r J5L.AJt(.[; NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE , FOOTING I h, I (o/ ZI / tP PLACE NO CONCRETE UNTIL ABOV~~AS BEEN SljNED I FRAMING -:P{l..IOC'L Tb dlecJ:-I~~ I \) I 1 n V6 IAN~ I ~ I v Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 . . . . CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /7"//7 /i5~e/'" OWNER CONlR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL ..-II'sITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: b~c~ OATE nile /t'JP/'o/ C!1Y-S-'7? o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o .,/:' ;' / ( OJ4#-? /.,.} /e /--r> /' ---~ ---- ~ ( / \. ( // tJ S .e "'--- . ~/ /~ /e ------ ~ "\. ) / ~ r:V'WORK SATISFACTORY. PROCEED /d ~ORRECT ACTION AND PROCEED o CORRECT ~O~ REINSPECTlON BEFORE COVERING Inspeelor: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. UUNOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!