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HomeMy WebLinkAboutBuilding Permit 00-0458 ~ DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, &AI ,_I . TEMPORARY CERTIFICATE OF .-w :1. ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 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 /~3f32- 3. LEGAL DESCRIPTION e, WOOOlel066 LOT ADDITION 4. OWNER (Name) 5 (!,flJeOP6 5. ARCHITECT (Name) ) 6. BUILDER th o.r / fS S PID 20- Z1t/.- Ot/-z,-O es. ,,.., /!-'c:::; Z-N.o ~Of)N" (~ddress) eH{)~ f b/~H/9Nle (Address) ft()12/Z()N BLOCK (Name) (Address) S;h ('(') t) e Fireplace b Alterations 0 1. White 2. Pink 3. Yello1V File City Applicant Permit No. no -0460 7/eA1 {., 1. DATE b5/3i /00 , , Je./ 66 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 11~g2.. H()l'i~ -r;;,d 5f ?Q-LJIfl-~/8"1- Septic 0 DeCk}\ Re-roofing 0 Porch 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE 17. COMPLETION DATE Yes No ed 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 nd 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 ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne~ed inspections. - . 5/31 /00 S' ture License No. ' Dat6 I SETBACKS: 6(equired Actual USE OF BUILDING BUILDING DEPARTMENT VALUATION Front Back FOR ADMINISTRATIVE USE Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 ~6S 41.Ae. OFF STREET PARKING SPACES REO. SPACES ON PLAN SETS COPIES PLANS & SPECS 0 SURVEY 0 # I G:,0lJ, {)O I PLOT PLAN o PERMIT VALUATION TYPE OF CONSTRUCTION: I II III IV (11 Occupancy Group A B E F HIM tJ) S U Permit Fee ..........~~~~i~~..:...~.~.~... $ 5/, Z5 33.$1 .8'6 1.1~ ~tJ.,.I} LV. {, 0 J Pressure Reducer .......................... $ O ~~~ 1 Meter Horn ................................... $ . ,.z, a' ~'. 00 ;)1pfA6 Water Meter ................................. $ ~'. jO ,..~ Sewer & Water Connection Fee ........... $ '" · Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ total Due .............................. $~..3 '=' Paid ~ b 3 c. Receipt No. 376 Y'<.. Issued 0 . Date ea1 ~ By This is to certify that the request in the above application and accompanying documents is in accordance with the City zoni; 6rdinance and may proceed a sig~lanner const. itutes a temporary Certificate of Zoning compliance ~nd allows .c9'\stru~ to cOf~enc,. Before occ~ncy. a Certificate 0 ~~~ -u"'-7-&<.:J ~V~lA.'_C~~Vtw- - 1;ity Planner Date Special Conditions if any Plan Check Fee............................. $ State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $. Sewer & Water Permit ...................... $ Gas Fireplace Pennit ....................... $ This AP..8i~~ion Beco~ Y'9UA ~ding Permit When Approved. By ~ ~-rJU,4t Date -4/Z;/dC Certificate of Occupancy City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . . .. . .. . . .. . . .. . . .. . . . . . . . . . . . .. . . .. . . . .. $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ 24 hour notice for all inspections 447-9850 t5b -0 <<r( The ('enter of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT c.;.~ r UA ~h~ APPLICATION RECEIVED ,J UY\Q. \ "- t I d tITb The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~ " Z, ~"l \. '....) '6 0' \.-\"C) f\ ? (:; II \ ~. t1\ \ \ 't: Accepted Accepted With Corrections ~ Denied Reviewed By: Date: ----b.. 7,- &0 Comments: ~~~w..N - tw~dl. 12> ~ ~~~~ ~ ~~ ~/~,4~~ ~,r~lO ,S~J~I 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." ~ CD -oL/(f Thl' Cl'ntl'r of thl' Lakl' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT c...~()Jl_9 ~ ~('Y\rl~~_ APPLICATION RECEIVED .J~. \ ~+ I aJ1Sb The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \ 'l:51s' d \ \0'"'c 0n \~ \ ~~ / Accepted Accepted With Corrections Denied ,. Reviewed By: ~ 1dt..l Date: · to/z./OlJ , , Comments: Re-Ifo J)ec"K- flA-,vp -{JuT AtJt:J ALL. I He INfOreW\.ItTlo,J t!JN THE APfJ/UJVG:r; PL.MS, 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 /73iZ- IJtJ;e I~,J 112.A1L- J; E, TYPE OF WORK ~e W CD/:; eJ~ USE OF BUILDING ~e~' A/j2. PERMIT NO. 1M -0 t./$ B DATE ISSUED ~/z,/()O BUILDER (ljlA1eu=::.S. S'cifl<...df>€ ~9sz - ~~7-718 7 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INjpECTOR DATE FOOTING ~. (,/a-r/ltD '. . I' , PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL t!A-, /~/~~ . . I ' Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 \ \ \ I DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /4/S-ftd //,' ~O ADDRESS I ?3?Z H ~IL / zo,-J 772- , OWNER CONTR. PHONE NO. PERMIT NO. ~ - t.fS8 o FOOTING o FOUNDATION o FRAMING @ o INSULATION R:FINAL o SITE INSPECTION COMMENTS: e l:: - I t-J> P . 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 GAS LINE AIR TST o ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED :.::::ECT ~L :OR REINS:~::/:~:FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI