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HomeMy WebLinkAboutBuilding Permit #00-0323 -----OATERec"EivED.' ~ CITY OF PRIOR LAKE BUILDING PERMIT, :1 tlMn TEMPORARY CERTIFICATE OF MAY .- Q,MJ ZONING COMPLIANCE ANp UTILITY CONNECTION PERMIT DIRECTIONS 1. DATE SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ,J ~ BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) [;/0" ()[) 2. SITE ADDRESS ..:.. 1!4 /7/c.l-5 'PHCA~ffN-r ne::1ff::)~W L-~ t;;- ~srnv I "4. b~~ER /.. (~~) (Addr~)L/. (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE "-iC/7e N ~ .. YtL~ /-I(//S Illy"o""" r'~-/E/I.J~Nr ~"E,4.q()N ~/V"'~'7'"/',f( 90' (Tel. No.) 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 3. LEGAL DESCRIPTION LOT ADDITION 5. ARCHITECT ,I"': (~UILDER (Name) -#01\1' k~OY6~ s J PID 25"'3~7 -005-D ~e:lJZ)dW 1. White 2. Pink 3. Yellow I Permit No. O~ ,i L/ BUILDINdlNFORMA TION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE 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 mentione 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 c ij,a k ''t.V-a:' Furthermore, I hereby agree tha, the city offlctal or a designee may en'er upon the property to pe~~ed;~nspeCuons. X ~ / 'l ;~~?;;.J --:; License No. 0ate ) FOR ADMINISTRATIVE USE SETBACKS: Required Actual BLOCK ~N-Q (Name) (Address) (Address) (Tel. No.) /7/07 ?/-/t:;:}J~N7 Ht~";IJH LA/' . '/fTl- 6~ 6'6 / Deci)( Finish Attic 0 Fireplace 0 Alterations 0 Septic 0 Addition 0 He-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Y13S No Front Back Side Side USE OF BUILDING BUILDING DEPARTMENT VALUATION RG5 OFF STREET PARKING SPACES REO. SPACES ON PLAN i" PERMIT VALUATION "I.2-()(). ()lJ AlP- TYPE OF CONSTRUCTION: I II III IV <fD Occupancy Group A B E F HIM ca> S U Permit Fee ..........~i~~~i~~..:...~..~.~... $ L/ () r ~5 ,2~. I ~ ,~O MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: J' \Y?;t S\\ Plan Check Fee ............................. $ State Surcharge............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ Pressure Reducer .......................... $ Meter Horn ... .... .... ........................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Water Tower Fee ........................... $ Water Tap ........... ........................ $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $--,", 1. 0 I Paid h 7 01 Receipt No. ~ 74 J ~ Issued . Date .g;:1 f ^ J l' -rf) By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City zoning- ~ ~ay proceed a ested. This document when sig by the . Planner constitutes a temporary Certificate of Zoning comPIi~nd allows co, nstruc"tion to commence. Before occupancy, a Certificat of upancy must be issued. . ' . -s-- ~..eo ~1:C~") ~Wu~~ ~ ' ' City Planner Date Special Conditions if any , :t"""~ ~ Gas Fireplace Permit ....................... $ This~me~ ~U~i1ding Permit Wh~4P~ved. By JI1..G ~ Date ...s-/F/ is 0 , r Certificate of Occupancy 24 hour notice for all inspections 447-9850 00 -0 >2.- ~ Thl' Cl'nll'r of Ihl' Lab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,p \ \ /. \ \ f:'l \ ~ ,- \J~:: \ " \ ) " ~\ :, \. \} I ,;.,-\. ..~..... ~) ,) ,:~'I t., A, f" \ '.1.., t I\.J j i ~. " . /',/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: - I I .,... , , \! , <,\1 Lc, (,~_ / J Accepted v Accepted With Corrections Denied Reviewed By: ~'171~ Date: .4)- B./90 Comments: ~~ ~ ~ed< ~,,- 1 ~~4 '1~ ~~ ~~~~ LJt. b~ \n~ ~~I> 6Vl ~/~~\e ~ ~1M..1~ w~~lA1.r'{ ~/~h9VI. 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 o~- 032,3 Tht' Ct'ntt'r of tht' Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ e (\ l- \Le. \ d h\) \ ~ APPLICATION RECEIVED 1'1 9 C) 5 \ rl Ot\ ('") The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: i 7 J 4,) t/\ R..D ~ 1\ -l-'^ ~ (\\1\.1 L(x.-'rv~_ /' Accepted Accepted With Corrections Denied Reviewed By: ~ ;t~p Date: 6/8/(J~ I I Comments: ,f e;tlO ;;j)1:~ #A1JO - t::J(,(A Avo Au.., I ~ INI'c*;IL fYVr-TttJtJ Q,J (HE A-Pr'kif6tJ PLA-1JS, 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." PRIOR LAKE INSPECTION RECORD SITE ADDRESS I? ( L./ 5 PH6ASAf'J ( . ~~[)DvJS LM~ TYPE OF WORK ~E:lA..) J:)~(<- USE OF BUILDING ~s; AI r2- PERMIT NO. fJl) - 032..6 ' pATE ISSUED 5.~ / 07J BUILDER ;J);1\l KICO VE!2- /rl6lJf::-- v~w;-fiJ/.s . NOTE: THIS is NOT A PERMIT FoR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING _ limR ~ \5 ;- PLACE NO CONCRETE UNTIL~BOVE, HAS BEEN.' SlGNED FRAMING R.~. m ,V .?/ /1./ ~ DEPARTMENT OF _ BUILDING AND INSPECTION FINAL ~ /~, . 5/Z2/~(} Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ,1_O:Lh ~ I.'):T P~))O"0 - ~o.Q!O'lAJ TIME SCHEDULED ADDRESS \ 1 \ L D PHONE NO. CONTR,. PERMIT NO. 0( ) - ~ ~ OWNER o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL. o EX/GRAD/FilLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ ~- ;... ~ o-fJ-~ t3 I( ~. ' N) ~ ~~. J1 r- I _ ~ .f g..... ( ---- ::::---.. -..~~ ~ ) )'j -?/ ------- X WORK SATISFACTORY, PROCEED IJ. ~ORRECT ACTION AND PROCEED o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING Inspeclor: n-I Owner/Contr. .L J CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTJ