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HomeMy WebLinkAboutBuilding Permit #00-0075 DATE ~ECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant FEB 2 3 (Don Permit No. 00-0075 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 /' L" L::'",O b 7 7 ~ #A?1'~'/f'J'l~ 1. DATE ~- 'K~_:f ,. t7f> C/4?'~ cY. PUSp BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION LOT I BLOCK tlARJ30~ I 4-1"'" 12. NO. OF STORIES PID :;)~-2.3B- 001-Q 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER PA#P? 5. ARCHITECT (Name) /fA-9/" (Name) 6.?H /)~d~SS) rrA-/f',~A"I/~e-~ c,rl (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE ~(7~-'IJ'~. (Tel. No.) 6. BUILDER (Name) (Address) :Pe::.o/~~e- t:4?~~j'~?%,~ .z-/C, 6Fp~ ~A-/ke~ "J"-/f'~/;' ~,,~ 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 New Construction 0 Alterations)( Addition 0 Finish Attic 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS Sq. Ft. Width Depth I#'.~ _j? y;!.o.~~ ~;( ~.~a-1 ~g - /,,/~<< . ~~,?"...,/d-. ,:r~(7F' Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 10. CULVERT SIZE Yes No 17. COMPLETION DATE I hereby certify that I have fumished 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 ca~ r~7~~rmore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X --;-r p:" , Rnp7- PPb"F '-~.I_ (7&/' - ~ Signature -::J""A-Y J#A-~t?r . License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION .~. O~ PLANS & SPECS 0 SURVEY 0 SETS COPIES , USEOFBUILDING ~ AIR- PLOT PLAN o TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. . . . . . . . . . . . .. . . . .. . . . . . . .. . . .. . . . . . .. .. $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Division 1 2 3 4 7'1. Ie;- Permit Fee................................... $ Plan Check Fee ............................. $ State Su rcharge ............................. $ Penalty ....................................... $ f. ~O , .L ~&~.' '~~~GO '1 1./ J Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due.............................. $ Paid ? t, . z...S Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Date Issued By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin ce and may procee s requested. This document when sign by the' nner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. ~"m~er:> IDS C C anner ate peclal ondltlons if any 24 hour notice for all inspections 447-9850 White - Building Canary - Engineering Pink - Planning Tht ("tnttr of tht L.kt Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED DECiJR-A JIl! 6 ~ONSI r<- · 2/23/00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (p 550 J-/fi ef30R- V f 6w ~/!<. ~G6 Accepted Y- Accepted With Corrections De n i ed ........... / Reviewed By: jO ~f\.. I' Date: :2 -2 c{ - 20 DO Comments: _I. l)~ S~~ ~\er~ ~u& ou~ "2. Ac.c1!S4$ Ie:;. J:dt" S~~ ~ o liThe 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.1I The Cenler of Ihe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED // E, ( C ;(.' /~ ~ I I V c 2-/~/ C/O , I , ,~_........._.. --/'-" -f'-.-/ i ( " ~ ,. i The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;---.- I \, ,."-. I I ,. l' , I. /; l. . ,I. i f t/ I J- i,. \ ,r I j' I " ___-" __...1 L,. .. I I ' f'...... . t..- . V , '. ./' . I Accepted / Accepted With Corrections Denied Reviewed By: ~~ Comments: Date: i l-. ~_.r \....-. ~~ v~,vB) liThe 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. II, PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS L,S-SO 1-10." ~\ll'~ Cr- NATURE OF WORK AkicJ,~ USE OF BUILDING Sf}? PERMIT NO. 00 ..ocn6 DATE ISSUED z.-2-c(-Zooo CONTRACTOR ~(,rU-:t ll~'-U. ()~c.J\lZrt NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FRAMING INSULATION ELECTRICAL PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS (1 Jh /6rJ j;Jl . HEATING (if required) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS ) BUILDING ELECTRICAL HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical ser\lice 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 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ...O)NSULATION A_ l2f"RNAL rr o SITE INSPECTION SCHEDULED ~2\ ~ ro:b -. ~550 Har-bf.lr Cr CONTR. PERMIT NO. 0-75 o PLUMBING RI ~ECH RI ~~ ~::: i i.;:~~~ o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~ ------------ r ^. ~ LQWvJ I~ -N r1 ~ ~' ~ ,~ (' l j)S<f .~' ~ \ ~ _- -- I _ / --------- ./ [' ,jo" \ ~ / /' /' ~KSATIS\ o CORRECT A Inspector CTION BEFORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. \ COD REQUIREMENT. ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI