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HomeMy WebLinkAboutBuilding Permit #00-0325 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATE RECEIVED 1. White File 2. Pink City 3. Yell~~PPlicant . Permit No. a6' ~3 I I BUILDI~FOR:::ON 11. SIZE OF STRUCTURE (Height) (Width) (Depth) MAY 8 2000 1. DATE DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 5'~'3-6D 2. SITE ADDRESS 7/ H ~ 3. LE~AL DE~IPTION~ LOT J 0 BLOCK ~ ADDITION -Wo l"'\ct .\ ~.# E.~ \ (~ , 4. OWNER (Name) 'J"l m Llnvq 5. ARCHITECT (Name) , 12. NO. OF STORIES PI.D ~~-~q4- 0/6-6 <9J~1 A-tt)N 13. TYPt)eC~N~CTION 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) ~'I (/ -- 30;){) (Tel. No.) (Address) /7/rJ / IInl' J~ t":'N'1 (Address) (Tel. No.) (Address) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS (Name) 6. BUILDER l\. II t \ SEATS 16. PROJECT COSTNALUE Deck)( Finish Attic 0 Re-roofing 0 Porch 0 Re-sidling 0 Finish Basement 0 Septic 0 Addition 0 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Fireplace 0 Alterations 0 17. COMPLETION DATE 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Y,es No 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 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;Pffi ial can revoke t~is p~"DitJ,or just ca~e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed insp~tions. X ~~/1 IT ~,.f/ S.J~ , Signature r License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS Side Side Back Front BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. USE OF BUILDINl3n - A1. t(J0~ f< ~ SURVEY PLOT PLAN o COPIES o SPACES ON PLAN PERMIT VALUATION ~ Zat) tJ, [)?J TYPE OF CONSTRUCTION: I II III IV (Sj) Occupancy Group A B E F HIM €) S U Division 1 2 (!) 4 Permit Fee ................................... $ Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. . .. . .. . .. .. .. .. .. . .. .. .. . .. . .. .. . .. .... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: t,Z.2S L./(J. '16 I . eo Plan Check Fee............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Water Tower Fee ........................... $ Gas Fireplace Permit ....................... $ Water Tap ................................... $ This Awication peco3~r Building permit'S-leJoved. Builder's Deposit ............................ $ By ..{;JL" ~ ,.,. J Iw Date ( (J 0 Other ......................................... $ eert_te of Occupancy Pa" TIm) "':;'1"" ........ ~~~~~;~o$if~.gJ Issued Date ~ ~ By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce and may proceed a r uested. This document when sig the C~ Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate 0 cupancy must be issued. ,-<,""S.;a:> ~ ~~MJ" ~~-'~e~'~ ~~~,.oI\'~~ U4bt-LR:,c--.~ Date Special Conditions if any ()I\ ~ ~~ ~ · I 24 hour notice for all inspections 447-9850 OC-O?J2-S Tht Ctnttr of tht Lab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Ji fY\ - ChJ-d. APPLICATION RECEIVED '" o..J.f 0 3 ) 8 0 00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \,r \ )( \-,-1) (' \ LQY"\ ~ 1 ra.j . Accepted Accepted With Corrections ~ Denied LIJPVa..~(,lj~ ~ =I~ ~ect(.... *' A-rJ D -~ AJ.J" A ~ L ~ I\J rife ,4y:Jp IUJ tJ et:J I' /ct..A.-S Date: S/rJ/OtJ , , Reviewed By: Comments: ~~ Tift? 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 ~,\ ..,)'\}, ,'. D [ '-Qj)U('?3 2 r; The ('enter of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~-r, (y\ ' C.,.} (l I rJ\(J_\J t,)3) aooo I APPLICATION RECEIVED ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \~ \ ~ '\..l "', : t ." ; ...~...' \ z:...CYf\ \ , "...... ~ : I' c1. '\ .~~' Accepted Accepted With Corrections ,/' Denied Reviewed BY:~~ Date: s-- ~-~ Comments: ~~ &.---~'-'< Pev--rl.4.Ll 1<;:' <:;#~'t, <iD ~ ~~ Odlt f~ ~ ~~ ,/<)ft~~ . ~(.,\M.t 1 \ e.c ~ t.~.P'{ "'" A.v1Nl,; 't ~ Lu~~ 8V\ . A~~./~ 4lAoU lA>6IP ~~k pr~ UW. ~1Pcv\~1 ~..~.~ ~vt<Pr~r') I~\ rev ~\~ \0 v.w~~ lO~ ~ ~"<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 //~" ..,....._.J. -....~,A..., PRIOR LAKE INSPECTION RECORD SITE ADDRESS /7/ r / Hat2-/2.0N Yll-At '- TYPE OF WORK IV 5 W J:) e--cJ::- USE OF BUILDING Re::. ~~ ,~l' PERMIT NO. 00 -0325 DATE ISSUED 518/~tJ - , . BUILDER ~/~ LIC)l.fti NOTE: THIS IS NOT A PEJ(MIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOC MENT FOOTING INS R ~~ II PLACE NO CONCRETE UNTIL ABOV I\AS BEE:~~~D \J /"7 FINAL ~. PI 2,,2/~ ) Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 DEPARTMENT OF BUILDING AND INSPECTION ..:.' ~.-r,""~:"",,".~""'''''-7'''.''' \ I , \ \ DATE TIME SCHEDULED '6/~aJr; A r H-a!' ., 7" r1'<'\ T ro.l \ (1,/r"JA.U':;&.~ ()4; ~ ,q 1\ -~ _. (- '- I I Uo {~ 6~' CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS \ '1 \ ~ , CONTR. OWNER PERMIT NO. PHONE NO. o FOOTING o FOUNDATION o FRAMING @ SULA TION INAL bE~ ~ITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~~~ oo~ O~~S- o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o - xiWORK SATISFACTORY, PROCEED I~ CORRECT ACTION AND PROCEED o CORRECT WO~L FOR REINSPECTION BEFORE COVERING Inspector: ~ ~ I Qwner/Contr: / CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE' FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI