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HomeMy WebLinkAboutBuilding Permit #00-0146 ~ DATE RECEIVI;Q CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant .15. Permit No. 00 ~OI4& 2. SITE ADDRESS 1'70 (p V ~IS/OO Pfft:;rc~/\/T n~rn::;;()lA/ ~N~ BUILDING~RMATION 11. SIZE OF STR~RE (Height) (Width) (Depth) DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 3. LEGAL DESCRIPTION 12. NO. OF STORIES LOT ADDITION /0 2- PIO 26--328- 02..1- 0 7#f3J7S/HV./ ne::rJO(J vv . (Aj9fi}6' fllii:16A/lr /lJJ.~e.b NJd . kA- DR L /1< ..?A ,If A.. t.A- ,r'r .1"11 '*" ~ J..j11....J..~ , (Address) f i (Tel. No.) ~V()~ ff10- /0/0 (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE BLOCK 13. TYPE OF CONSTRUCTION 4. OWNER . (Nam;l, f!.HA~L~ .1;5. 5. ARCHITECT (Name) 6. BUILDER (Name) (Address) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 5/})?1~ Fireplace Y Septic 0 Alterations 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement V SEATS 16. PROJECT COSTNALUE Width Depth 10. CULVERT SIZE Yes No 17. COMPLETION DATE 9. PROPERTY DIMENSIONS I hereby certify that I hav~ 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 ~ci~1 can revoke this pe"!)j for J.iu~use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo.rm needed inspections. X f..!-/I ~ ..0_ "l'~ . \5'-.~r.P/J Signature License No. Date FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLlCA nON SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUilDING of L/5< A/L . I OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~.OO PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee.................. ................. $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . . . .. .. . . . . . . . . .. . . .. . . . .. . .. . . . .. . . .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ ?l.f. 7') Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee .OQ.-:../cf!e.. $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $LS.Y... ~ Paid /5~ 7~ Receipt !p. 3~??' Date .3/zZItJ 0 By , , This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed s requested. This document when Sign~~e Q-y lanner constitutes a temporary Ce~te of Zoning compliance and allows construction to commence. Before occ ancy, a Certificate of Occupancy must be issued. ~e ~ S"'2~.c90 ~~~. C~~~~ A~4~ ity Planner Dale Special Con ilions if any q C> .~ t~D ~.V Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ 40..C!>O Mechanical Permit Fee ..................... $ In9 Permit When ~ro~d. _ __ Date ?...,~ Issued 24 hour notice for all inspections 447-9850 00- oc trip White - Building Canary - Engineering Pink - Planning The Cenler or the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT eflf/EL5S 13. ;:::;q 0 R..L/ /::::... APPLICATION RECEIVED 3/ /5/00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /VJf/;f&; l?fIE/JS/lN/ '/11070 OW uJ, . , - Accepted Accepted With Corrections ~ Denied~ __ pi ReViewed~ .,4 <... i..I "., - r Date: 5 -{7'" ~ Comments: ~~~~~~ ~~'- 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 ~- ~ ~: T"~~--'~~ - - -. .e . , ,.""",,,,.,,..,,, 'r .. ,.,.,..,.,. ..' ., 7.'." . 4 .~~ .- .-'l'.",.,.-.y--- 1 ~ (J7J - 0 J tf/~ The eenler of Ihe t.b Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED {!!/;}I!{ES 8 * J::))U k 1-1 l:::- I ";,? j' l.r--: i(,: /' ....._.' I -./ / 0'1 V / / The Building, Engineering, and Planning Departments have reviewed the building permit application ~or construction activity which is proposed at: } / ~I // (> &., f ;fj~/) ::;jl.L//V' / . //j /t.l/ L) {:' tJ i-/\}. . , -- Accepted ~ Accepted With Corrections Denied Reviewed By: ~ tA~ f/ ., Comments: ~p.~ ~ t=Ml~ ~q7') ~cjW:~-R_ ~ ~~ ~ t ~d-~L l-t, ~ Date: 3 - 2-2-~ .... liThe issuance or granting of a permit orapp,roval of plans, specifications and computations shall not be construed to be a perm it'fo r, or an approval of, any violation of any of the provisions of this code or of any oth~r 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.n, PRIOR LAKE INSPECTION RECORD SITEADDRESS 17()(n(o ~~ I~~ LV\. NATURE OF WORK ~} q::'lA.'-tR. USE OF BUILDING SF-A. PERMIT NO. OO'-{)/~ CONTRACTOR \<a.J t ',,~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION DATE ISSUED 3-/1- 2a:9CJ INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ,FRAMING INSULATION ELECTRICAL PLUMBING \)'tA f ~. l~/I.t,/fJ7:J HEATING (if required) 16j...... I,;;./~ It'/D FIREPLACE f\/?;r, !.:;JIJ/ / b?J GAS LINE AIR TEST ( tb) :- r 3/~~)ov COVER NO WORK UNTIL ABOVE ~AS BEEN SIGNED ~ ~~ ) - ~ /Z/ ~ /60 J~/ ~f II!r6 I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT /) . ~ 1fT:;- c?- / to / ~ tJ ) .; ( ~ .. /d--< ~ //~ ~/l f)7 r L/ /1 u/ / U c:::-.--- OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electricai 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 DATe TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS J70~~ SCHEDULED z.,(P' () z.. 'f; u0 PI1'bft S' ~ I 1'1 Q:n::JO LJ OWNER CONTR. PHONE NO. PERMIT NO. 06-/tf~ o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING~ 0 WATER HOOKUP .-:l INSULATIO 0 SEWER HOOKUP (' FINAL ~ PLUMBING FINAL b SITE INSP CTION , MECH FINAL COMMENTS: ~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI FIREPLACE FINAL GASLlNE AIR TST ::t r (V pfY-lZ ~~ ~ORK SATISFACTORY, PROCEED ~ ~.ORRECT ACTION AND PROCEED o CORRECT WO , CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ , Owner/Contr: FOR, THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSII/OTl