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HomeMy WebLinkAboutBuilding Permit #00-0329 QAIf RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT MAY ~ am DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) ,..~~ _.TJf~ St~ 3. LEGAL DESCRIPTION LOT '1- D BLOCK L ADDITION .M. '\ -\r _ t'1. t \ \ ? 0 vVlL 1. DATE s#( Ux)O PID ~ 5' -155- OOS- 0 4. ~ . &ame) ~t^;\l- O~ --t,~ 5. ARCHITECT (Name) ~~ t..A t (Tel. No,) fS'L-~t/7-51o IY- (Tel. No.) (Address) l. \ f5IS~ ~-(.. .:>~- ~~~ress) (Address) (Tel. No.) 6. BUILDER (Name) >~~ 7.W...W$RK N.~Uon~ Chimney 0 Misc. a,,--~ ~b (S\.l L DeCI()l Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Fireplace 0 Alterations 0 Septic 0 Addition 0 9. PROPERTY DIMENSIONS Width 1.5"2.::J::. Depth 7 '5 + 10. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit No. 00-03ZQ ., BUILDING INFORMATION 11. SIZE OF STRUCTURE (l1eight~ I (Width). I' (, -n JI-f 12. NO. OF STORIES I 13. TYPE OF CON ST. RUClJON N -u-) tJt)CXJI.. 14. FLOOR AREA APPORTIONMENT ,~SE /1 )(/1 = /1b Sl ff. ~D:fh) , 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE ation 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 I construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe needed 'nspections. z.eao License No. t SETBACKS: Required- Actual FOR ADMINISTRATIVE USE Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~J d () () USE OF BUILDING (8 .Ay' ~ TYPE OF CONSTRUCTION: I II III IV 0 Occupancy Group A B E F HIM (61 S U Division 1 2 (!) 4 Permit Fee ................................... $ 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 Plan Check Fee ............................. $ 1o'l,15 i/O.~' , /,()O Amount Brought Forward . ... .. .. .. .. .. .... $ Park Support Fee ........................... $ SAC .. . .. . .. .. .. .. .. . .. .. . . .. . .. .. .. .. . .. .... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ /0.3. '7 I Paid / ()3. "7 I ' 74/ it-- DateS- h ~ 4rv By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin!nce and may procee s requested. This document when ~ilYfla.n nnn4e~ constitutes a temporary Certificate of Zoning compliance ~~ction to comme~ce. ~~ OC~~icate of Occupancy must be issued. ~ -.;t.~... N~"SD ~. · City Planner - 'Dale - - Special Conditions if any Mechanical Permit Fee ..................... $ ~J 1'\ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This ~iO~~m~04r Building Permit S~PJoved. By ~.4iJl1- Date "/'IJ 0 , , Certificate of Occupancy Issued 24 hour notice for all inspections 447-9850 ....... ,- The eenler of Ihe L.ke Counlry ()6~()3ztt White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT :: ("~ Bai.es APPLICATION RECEIVED ~CA.\f () ~ <3 0 00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5\5:5 \-\.~ ~+~\ Accepted V Accepted With Corrections Denied Reviewed By: ~jl.~ Date: f). ~-&:;> Comments: ~ _~ ~ t'f- ~~vMou 1 IS ~~ .10 /5Mvtetr CJ- .. I'f\~~ ~~ ~(JI"1I4 h~2 p~ {.VIer 10 I ~s uAMLE-.. '" 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 Gancel the provisions of this code or other ordinances of the jurisdiction shall not be valid.1I ~ W~i~ ~~~ Canary - Engineering Pink - Planning Tht' Ct'nlt'r of Iht' Lakt' Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -::1CLr\ ~ ~n\l i ~ ~ - I - APPLICATION RECEIVED M~'1 (\ L, ) a 000 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5\5~ ~~ ~ \~e.;\- /' Accepted With Corrections Accepted Denied Reviewed By: Comments: f'e:7'tC ~ r i~p INr:olL ~T7t),J Dale: 5/?~O , , [J)ec,/(.. I/~Nf) "'~I AIIP AL'-. ()AJ THE APf'~tJetJ FA4N.s TNG 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 PRIOR LAKE INSPECTION RECORD SITE ADDRESS 5153 !-loPE sr-ICEl:~-'1 TYPE OF WORK NcIAJ I </ 'X/'l' J)EeK- USE OF BUILDING ~cs, A/I( PERMIT NO. 60 - 03Zq DATE ISSUED 5/ J'I () 0 BUILDER ~/2A.N/<' ZOVt. 6~' ' I NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS' BELOW THE PERMIT IS BY SEPARATE DO MENT FOOTING _ IN~ T R r;,' itJ'iOe ~E NO CONCRETE UNTIL AB01HAS BEEN S\,IGNED ' (f' 1-'\ / FINAL '0/ 10 ,UJ W . Call between 8:00 and 9:00 A.M. for ~II inspections FOR ALL INSPECTIONS 47-9850 \ DEPARTMENT OF BUILDING AND INSPECTION Io~ TIME CITY OF PRIOR LAKE 4r INSPECTION NOTICE SCHEDULED ADDRESS 5/53 ~ope S, . OWNER CONTR. PHONE NO. PERMIT NO. 0-3~ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: duJ<- ~ ~0lrA ~---- --- /~ ~ICL ~\'" ~\ ~) V-----.------- __.._~ r-=. I~ +~0 '" \c //) ',,--~ -~ o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL lJ SITE INSPECTION -.OOb o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ALL FOR REINSPECTION BEFORE COVERING Owner/Contr: C"LL 447-985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. C~E REQUIJMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI V INSNOTI