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HomeMy WebLinkAboutBuilding Permit 00-0409 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant 51 n J 00 Permit No. (JO.(Jtfo z- 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 y/,., L~ Sf --$1~. 3. LEGAL DESCRIPTION 1. DATE S"-J7-tO BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT to I (~~ PID 8~- 60S--(J06-0 BLOCK o nk. (A ('A~ 4. OWNER (Name) rNAMe/~ iJ, ~A~ 5. ARCHITECT (Name) (Address) f7f(,:i J ';-Q .:sr ~~ G - (Address) (Tel. No.) Y"7-'~ (Tel. No.) 13. TYPE OF CONSTRUCTION 3 Sf::.ASON PCJRc.# 14. FLOOR AREA APPORTIONMENT USE ADDITION 6. BUILDER (Name) (Address) S'T~J $R4?~G..lp.. (Tel. No.) 'Vt;, J-rAJ LV,.;f-A,s JI 7. TYPE OF WORK ~7'7~/:J7 ;!-- 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS New Construction 0 Fireplace 0 Alterations 0 Septic 0 Deck 0 Addition 'r!!' Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 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 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 can "'l(?ke.)pls pennit for just cause. Furthermore, I hereby agree that the dty official or a designee may enter upon the property 10 pe,:?!/,: nr;opeclJoos. X -=:l, ~~ ~i1 ~ ~ - Signature License No. Dete 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 USE OF BUILDING k:. Ii- / K- OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 7~.~ 0 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 ................................... $ $ Plan Check Fee............................. $ I 2 ". '1 S- Ffl . OT ~a 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 ......................................... $~ J Total Due.............................. $ Paid ;::;;0 Cf.. 3'1 Receipt No. Issued Date S1dKfov BY~ This is ~o ~at request i the above application and accompanying documents is in accordance with the City Zoning brdin~:le and may procee s re ested. This document when signed the' la r con utes a temporary Certifj~f ~oninV~,~liance and allows construction to commence. Before occupancy, a Certificat f upancy must be issued. ./:' ,.) Jd.31Ud . ~ h - City Planner · Date' SpeCial Condillons if any 24 hour notice for all inspections 447-9850 ~ 5'12-~joo Mechanical Permit Fee ..................... ~ Sewer & Water Permit ...................... $ D 0 - aMP White - Building Canary - Engineering Pink - Planning The Cenler of the Lake Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST --- APPLICATION RECEIVED ~~ ~~h \~++'J QOOO NAME OF APPLICANT - r()J(\, AS The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: S~67 /6 ~.~ ~ h-e,~_A- ~E Accepted Accepted With Corrections ><' Date: .5 - 2~. 2~ Comments: eqo.oe. cJA. ~ 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." _____-...--.-."-.-..---.. ......,.' _.-..-~"........... ~- "'Y'"","',,,,,, ..-.--. --~-'-~f'-r'~,! ""~'''''''''''''''~I.I~.,II~'''L'. 1r1ti." ~). ',"'" ,................ .-....- . . ..--- ryr""'" -----..... . yo- . '\ \ ~ ~ 00" oJoO .. ., Thf Cfntfr of tbf Ltikf Country White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPUCATION DEEARTMENT CHECKLIST --- NAME OF APPLICANT APPLICATION RECEIVED -r~ :'-1\ ~ ~bh 1#l, QODO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted 566 7 15~ th ~tr~e-t. ~/ /"' /lL I Reviewed By: ,l tJf.-//} ~~ Date: 5" .- d- 3--Q') Comments: ~ ~I{.ce - OIL... :sreA-bae./fcrcY, SE .~ Accepted With Corrections Denied ~ ~I,j' ".<< 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 DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS S8ts, 1 /50711 S, S~ NATURE OF WORK ADol I I 0 tV (RJ~H) USE OF BUILDING ~6S It /IIL / / I PERMIT NO. Of) "'04'oq DATE ISSUED s/zs/ao CONTRACTOR vtJHN!FRAtJCI.5 WALS-/ PtlONE44:!-/.3C!2- NOTE: THIS IS NOT A PERMIT FOR ANY dF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ...., INSPECTOR {p- (I~~ /IJ ~~ ~. (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS , D~TE ?f2f/t7tJ FRAMING INSULATION ELECTRICAL 6r t!/-:;. 911fl/ov 1t?e//Jl> / I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS is '~cM4 ~ ~ Of ~ ~ BUILDING ELECTRICAL ==- DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service c;abinet prior to rough-in inspections and maintained until all inspections have been appro.ved. 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 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 58~ 7 loG "TN .s / OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING f 0 INSULATION FINAL O~ ~ SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: 0 ~ c,_'ose ~~\e DATE TIME s ,e.OI jCJ, T" Od-~o'l I o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o / /WORK SATISFACTORY, PROCEEO o CORRECT ACTION AND PROCEED o CORRECT WORK, 'ALL FOR REINSPECTION BEFORE COVERING Inspector: n ~~.wm Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. \ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI