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Home My WebLink AboutBuilding Permit #00-0055 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ;i;7;~ 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 '/'32v , 0~~~C> 3. LEGAL DESCRIPTION LOT 4- BLOCK WOODIeIDe,6 It ~~e) (Nam~ ADDITION 4. OWNER ~dfress) ~ ~ 'H, k..., 1" , (Address) . (Tel. No.) '440- J l,., ~q qi1- ~I~~I 5. ARCHITECT 6. BUILDER (Name) (Address) 7. TYPE OF WORK New Construction 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement ~ SEATS 16. PROJECT COSTNALUE Fireplace 0 Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit No. -D.f)-- (JOSS 1. DATE ,---J-O'=J S(- ~J BUILDI,..IMFORMA TION 11. SIZE OF S1JlWtTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 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 th 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 o'Acial c,q revok his pe~it just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed in~ections. X ~ \..L.- -2 - ")-0 '-J , -- ignature License No. Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid.....35 . Z? Receipt Issued - 0/4 Th' . 'fyth . h be I" d . d t ' . d 'th th C~tyatze ~O/d' ~ OdD BYed" /d Th' doc IS IS to certi at e request m tea ve app lCatlon an accompanymg ocumen s IS m accor ance WI e I oOlng r mance an may proce requeste. IS ument when I nner constitutes a temporary Certificate of ZO~Pliance and allows construction to commence. Before occupancy. a Certificat f Occupancy must be issued. . !)./\.IVD- S' ." ity lanner ate peclal Conditions if any Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~. 0..0 USE OF BUILDING ,ee.<;: /A-/~ / , TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 City: Permit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ 3'-1. 1 S- .50 Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ ~v ~, Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This;!!:1if;.ecome~i1ding Permit When ~r~l}.Q. By ~~~ Date ~ - 5 olCCD Certificate of Occupancy Side SOIL TESTS o o ENERGY DATA 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 ................................... $ $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ 24 hour notice for all inspections 447-9850 The eenler or Ihe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST. NAME OF APPLICANT APPLICATION RECEIVED /lNDV SPICH6R- .7 / / / ? 000 . I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7320 /oeONID AVb. 5.S~ Accepted Accepted With Corrections ~ Denied ___ Reviewed By: (/dJJ7) Comments: f(c:'n~ ~ DlL~~~ +~'^\:s~ hO-\N'i o-J:. Date: 2-8-~ 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." '~~ .. Tht ('tnltr of Iht Lakt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED " I / 'I ' --,,'.1. ; / /1 L.I r-," f ._"., /-/'/ \ Lj y/ '-.' ,- L- r I C- "'- .~) I / _/ /' '.I /' .. /,.; .:..- / c:::- c. L I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: //,/ /', "',"/" , / f " t, , / ,,-_./ L~ .I' ,''-..-. // I l -..... . Accepted ;/ Accepted With Corrections Denied Reviewed By: /]. '" {/ Date: 6v 1(9-...-eJ cor;;~~ ~ ~ ~ (~; (f3~ " 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 PR-IOR LAKE ~ INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~ 20 lOl-oV\\-c NATURE OF WORK ~Wl~~ Fi~\~\.-.... USE OF BUILDING 3FD r PERMIT NO. O.D - ()() 5 S DATE ISSUED :J..- S - ~LX::>O CONTRACTOR SO i c\....~- , NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FRAMING INSULATION ELECTRICAL PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS (\ \/') ) 7c Ja:p /tttJ I I (\ \ ~l ( I ~ aj891D7 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS . ~~6-1.. \ \ , 14 0 r This card must be posted near an electrica! service cabinet prior to rough-in inspections and maintained until all inspections have been approved. 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 i.::L4-0 Z- (,320 . I oeoN ( 0 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO, PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~ INSULATION FINAL L..,. l.,. o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: t Ii' ., (')5:. e ~~e DATE TIME 4- " CorD 00 - 005S o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, ALL FOR REINSPECTION BEFORE COVERING Owner/Contr: NEXT INSPECTION 24 HOURS IN ADVANCE. Inspector: _ INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!