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HomeMy WebLinkAboutBuilding Permit 00-0378 5~~ Q4TC RC(";CI\fC.o. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant roNt"'\~ 2WJ Permit No. f1() - () 3 7 'i( DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUEO (Please Print or Type and sign at bottom) 12.SITEADDRESS53foO BOUN71! 5T. 5E 3. LEGAL DESCRIPTION 't/J~~ RI BUILDING INFORMATION 11. SIZE OF STRUCTURE (Heigtlt) (Width) (Depth) 12. NO. OF STORIES LOT 7 BLOCK .3 13;eoo;c-SVILU-:... H/LL5 PID 25-1f37-/)3~-O t?/H 13. TYPE OF CONSTRUCTION ADDITION 14. OWNER Qau;J t 15. ARCHITECT 6. BUILDER (Name) RO"Q (Name) 1-1 UP}. ~ (Address) 14. FLOOR AREA APPORTIONMENT USE (Name) (Address) ~ \ [MVIO (N (Address) ~ '" 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS \)a VtJ " 1\0''''\ t-{u<!.("-. 7. TYPE OF WORK Fireplace (J Septic (] Deck (] Re-roofing (J Porch 0 New Construction 0 Alterations a AddItion" Finish Attic 0 Re-sldlng (J Finish Basement ('J Chlmn.y" Misc. h-"lR'AG6 (A~tfeD) 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. WIdth Depth Yes No I hereby certify that I have furnished infonnation 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 submlned plans. I am aware that the :Uilding offle1;:.n revo'J;f~or just cause. Furthermore, I hereby agree that the city offlclal or a designee may enter upon the property to perfol;?~ ~r~ ~ Signa~ -- License No. ---... - Date r SEATS 18. PROJECT COSTNALUE 17. COMPLETION OATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual Fron' .... Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS " ENERGY DATA " PILING LOGS " PERCOLATION TESTS " BUILDING DEPARTMENT VALUATION USE OF BUILDING R.F:S AI/<: OFF STREET PARKING SPACES REQ. SPACES ON PLAN PERMIT VALUATION J.IJ ()'O. CJf'; PLANS & SPECS LI SURVEY " PLOT PLAN LI SETS COPIES TYPE OF CONSTIlUCTION: I II III IV (SJ OccupancyGroup A B E F HIM R S (I) Divlsion" 2 3 4 d P.rmit Fe. ................................... $ I". 7!3 Plan Check Fe. ............................. $---lJ ':J'.~ b.5fJ City: AmountBroughtForward .................. $ Park Support Fee ........................... $ SAC .........................................!I: Collective Street Fee ........................It Sewer Tap ................................... ~ . State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... $ Meter Horn ................................... .It Water Meter ................................. CI: Sewer & Water Connection Fee ........... ~ Sewer & Water Permn ...................... $ Issued Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ It Other ......................................... $ TolalOu. ...p;q.................... $Q Of 3. lfC1 Paid .Q'i3. Receipt No. 7t.1t...O Date .'=i It cv/~ By ( This is to certify that the request In the above application and ........._......<-..,109 documents Is In accordance with the City Zoning d-dlnance and may proceed s~~ c;.='utes. lamporetyCertiflcate. of 205 CO"1>lianceSlows construction to commence~~!..eEL4>8ncy, a rtlflcate _ ~ .&J~-QJ ,\.vJ..~~~ . ity Planner' Date Speciel Conditions it 1.ny :::a/Jf2,l.~:::;~I~~.;.:II~i~~ BY~ late - . Certificate of OCCUpancy 24 hour notice for all inspecbons 447-9850 ~~ DD 037C/ Th~ ('.,ntpr of lh.. L.kt Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Wt_",6.c\ ~ ~Ll ~~lLf) APPLICATION RECEIVED f'J\fllj' I d +1) ) 8 rm--o The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 03'0 Arnrn~ 5,~j. SE. Accepted Accepted With Corrections /' Denied , Reviewed By: ~ -:{.~f-J Date: 5/(~/oo Comments: /(e4::J:J ALL- r!f1Y Irl FT:J (J.ftI.A:r{~,J aN At:,iJ/UV6b . PL~S. , . THG" "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." 00-037 f( Thr- Cr-nlu of Ih.. uk.. enunlry White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT r}~,,j A ~ f~ n /1(1 ~~ (-' h II APPLICATION RECEIVED f'J'\ (\..\' J I J. .. /) ,:::;.. n () () I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5. -7 {\ r . ,- , _ . ~'(') ;-'-,m! y] h.l1 . '1 J ,- ,..c-/- ~,{:;. cJ Accepted ,/ Accepted With Corrections Denied Reviewed By: ~_ ~ Date: $-/~ o.9t..:) ....to.. Comments: k~ ~~ Aw~ r~t'. <:.' ?- 'f (~ 2 '-/ r. "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 SITEADI;>RESS 530:,0 eourJ/'f. 577cEE/ NATURE OF WORK /177AC/-IFT) 6)7;eAGE::: USE OF BUILDING J;ZES H//2- / PERMIT NO. on - () 37PJ i DATE ISSUED 5)9/00 CONTRACTQR H () F.H /IJ DA V / r) . / NOTE: THIS IS NOT A PERMlf FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTO_R DATE I FOOTING V1;(vI" 1,'!:,(r1I";, , FOUNDATION (Prior to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING ELECTRICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS . ~ ~trldO' 1,2~~/o t/ OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOT-ICE This card must be posted near an electrical service cabinet 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 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS -5J~ tJ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~L . 0 SITE INSPECTION COMMENTS: DATE nilE SCHEDULED ~~ Avftk ~ CONTR. / PERMIT NO. t:)() -p? o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL &-:::JP o Ell1GRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~/ /"" /7 / /7/?<f/ /:J(( ------ .. ~ 4 /)/}) /!.-/as-e /7 rto ~... / ~WORKSAT~OIl..PREl_""D --------../ /O\:ORRECT ACTION AND PROCEED o CORRECT ~>~OR REINSPECTION BEFORE COVERING Inspector. / ~_ Owner/Contr: CALL "7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE. CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH" SAFETY/ INSNOTl