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Home My WebLink AboutBuilding Permit #00-0130 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 ~B5 3. LEGAL DESCRIPTION /4 LOT ADDITION 4. OWNER (Name) G~6/\1 5. ARCHITECT 6. BUILDER 7. TYPE OF WORK New Construction 0 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Permit No. -b 0 -0130 1. White 2. Pink 3. Yellow File City Applicant .,3m 1. DATE W/L,D6,eNb55 / WI f-,O 6I2A16 55 TJefi / L,., :3 - ~ - ;laX:> :5E BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 1<150 12. NO. OF STORIES BLOCK PID 2-5-3/8- 014-0 PaNOS 13. TYPE OF CONSTRUCTION (Address) (Tel. No.) 9.s;:2-~ilt.> - 5'1/3 (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE SIM (Name) (Address) (Name) (Address) (Tel. No.) Fireplace 0 Septic 0 Alterations 0 Addition 0 3 I!-I1S . Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basemen;)( Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 17. COMPLETION DATE 10. CULVERT SIZE Yes No I hereby certify that I have fumished 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..l?ial can revo~ just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ' O~ 3-/2-2.~ Signature License No. Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 USE OF BUILDING BUILDING DEPARTMENT VALUATION PLANS & SPECS 0 SETS COPIES ,l2e5 A/,e , OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION o SURVEY 0 PLOT PLAN TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . . .. . . . . . . . . . . . .. . .. . . .. . . .. . . . .. . . .. . . .. $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn... .... .... ..... .... ........ ....... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ :~1 ~ 11:1s Division 1 2 3 4 Permit Fee.................. ............. .... $ Plan Check Fee............................. $ State Surcharge ............................. $ ~.~ -:, I.g) I 0 pI ,1 O,J)We,~ fJO It Penalty ....................................... $ Plumbing Permit Fee .0. Q:-:: .130.. $ i/.o. 00 Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Certificate of Occupancy Issued ur Building Permit )C!hen ApRroved. . Date ,5--13-'2ccx:::J Paid Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zon g Or nance and may proceed requested. This document when sign b the C' lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. 3-li~.-eo Date Special Conditions if any 24 hour notice for all inspections 447-9850 130 Thl' Cl'ntl'r of thl' Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED SIr/ON,. qL-GA! 3//3/ Q() I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: If?; 6B5 WILDERAl56S 71<11/ L-. Accepted Accepted With Corrections ~ Denied ::d /J Reviewed Be --v (b;A- Comments: J. ~J ~ ~Q.sQ.\M.~ ~~\..~ l::lc-~~ Date: 5-) :S-2ooe 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 I~ The Center of the L.kl' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ':~~--_: / /-- / (' /\~ (:.:.] L. (;:~/y . '''''', /"-' / / /' ~__'--, / /...:~ {j U ! I APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /' /: t.-;' y t~). " ':;' j ,) j::: jj Iv.: t' ~ ,<~. c-:" -;7<..'/ ~/; I / .-. I,;- (,/ u....- . v' C.-.L/ t .... r-- _/ ,_,J ..........J 1,___ Accepted v Accepted With Corrections Denied Reviewed By: ~ ~M41. Comments: Date: <3-1 ~-~ 0~~ ~IN~~ 10 iVVLJck ~i~ -R.~, ~V~ I t3~ + ~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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS \~S1S Wi\A~rne.-==.~ \;~d NATURE OF WORK Bas.~~~ ~'k.~~ USE OF BUILDING ~ ~\b ~ PERMIT NO. fJO --O/3eJ DATE ISSUED S -1"3 - 20CD CONTRACTOR S 1 \'\An1/\... NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~ I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~ ~-.-. \ ~ ~..._h_"_~ __ FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) "Z(-UO . '1- tl-~o r.- f" t ~J.-.- t -11f7lJ -ZI -(]1J - ZI -t:J1) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT 2," 3D - 0 0 ~ ---- ~ . ------- - OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical 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 9:110 A.rJl. for all inspections FOR ALL INSPECTIONS (612) 447-9850 _~ ."...,,~~._~. ,,,_.,~_._,<"'~'O_M,_~~'M""_~"""""~'_"<'~___~_~____.~_~"-'._.~._..--_...~<--->"-~---------_._--,._' -- ~ SCHEDULED /;2j~~el? j(PBB5'" t.,J1~~ ~, CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER TIME CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING lVNSULA TION ~ FINAL o SITE INSPECTION COMMENTS: ba-S. ~ ~/ ~. 4:7 / /- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOO/ o PlUMBIN o MECH EX/GRAD/FilliNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT OR CAll FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! /NSNOT/