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Home My WebLink AboutBuilding Permit #00-0154 ;7,R;700 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. DATE 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 I t.l2( 8 e.ot> '. I- 12.. cl 3. LEGAL DESCRIPTION ~ ADDITION \::n.Q.h ~~ L l .3-) ? ..-.00 55312- fl.1 \A~) rh~ PID .?&;-,~~c;-0.30-0 LOT NE... \ {)v-~ e-v BLOCK 5 2~ .(\Jd~~ (Address) \42.,~\h.~ ~c... (Address) W. (Tel. No.) to \2-'-40 ~ -,et Oq crqtJ ~g'q2- (Tel. No.) 4. OWNER (Name) ~cd;:t- \JLS~ 5. ARCHITECT (Name) 6. BUILDER (Name) (Address) 7. TYPE OF WORK Septic 0 Addition 0 Deck~ Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Fireplace 0 Alterations 0 New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. ~ 'Z'l()~ 9. PROPERTY D~~.ij.SIONS 1 O. CULVERT SIZE Width I~Cf.55 Depth ,42.foI,-lz5 Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit No. ~o -DIg/-- BUILDING INFORMATION 11. SIZE OF STRUCTURE lt~~. (i(h 12. NO. OF STORIES I 13. TYPE OF CONSTRUCTION t~ (Dep;h) (I. I I~, 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. Ji.ROJECT COSTNALUE 1t3500.t)O 17. COMPLETION DATE 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 :Ulldln .cia revoke th~~? I haraby agrea that the cny official or a designee may enter upon the property to perl3:;S-~ ~ectlons. ~ture License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING USE OF BUILDING as F1/~ SPACES REO. SPACES ON PLAN PERMIT VALUATION -:!,~.OO TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U " MA TERIAL 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 Division 1 2 3 4 Permit Fee ................................... $ -,'t.le;- qs . t:.;J /.'50 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. .. . .. .. . .. . .. .. .. .. . .. .. .. .. .. .. .. . .... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: Plan Check Fee............................. $ State Surcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Sewer & Water Permit ...................... $ ~o '3V Water Tower Fee ...................... ..... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $--1Z#-. ~ Paid Receipt No. 3'/1 08 ~ Gas Fireplace Pennit ....................... $ This ~~our Building PermjLWhen Approved. By ~ Date 5 - 2Q:2.Cto C> Certificate of Occupancy Issued Date 'S ~2')-~D'~ By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when s. t C' Planner constitutes a temporary Ce~cate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ~~2..1~ .. City Planner Date .~ Special Conditions if any 24 hour notice for all inspectjon~ {lJ - 0 /5t{/ The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /1111 / I I ES I ,e;:; K-6 . 3);1 /00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /427P:J eDf3LN RO Af6 Accepted x Accepted With Corrections Denied Reviewed By' ~ Date: 3'--4:>-'ZOo0 Comments: ~fhL Dedc ~ 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 SITE ADDRESS /427B KOI5/A/ R-D life TYPE OF WORK DEc,,1::::- USE OF BUILDING K6S;Q / IC- J / PERMIT NO. no - 0/ 5 4- ' DATE ISSUED 3/ Z 7/0 0 , I BUILDER H/lI !/f:,SIIe/l,K:.0 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION , ~PECTOR J qATE FOOTING' No I.AJSP.R65rp6--(2al:)?Jv/~ \ (7 LJ/7/0lJ PLACE NO CONCRETE UNTIL ABrflVE HAS BEEN SIGNED v /J , J FINAL (0 Lf/7/1t/ Call between 8:00 and 9:00J.M. for all inspection~ ' FOR ALL INSPECTIONS 447-9850 ~'.. -.,., ""~.~"''''''''''-'.i'''''' ,~ ", , .. . ;P'. . '..'. , . ~, , . .' :,,'.. ~) ,,'1":. ___'T.J.' ",~- ,_ I (;lJ ,()) 7; ~ The Center of the Lab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /Ii//l"/ / --'E'S/ k}fiK6 3//7 1(0 I ( The Building, Engineering, and Planning Departments have reviewed the building permit application ~or construction activity which is proposed at: / L;L ;:/'7 y) . / I 'II Ii , ' , .. ,< .~.. ., .; 'V /::.'4./ I. ,. ....-- /\/ ;..- \.._-"" Accepted V Accepted With Corrections Denied Reviewed By: / ~ rJ..~ com~ent~: RyfJIV~ p ~ Date: ,~ - 2- 7- t9t:J Lb F~ 01 l P; ~r ~.-Ik liThe issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a per:mit 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 vaHd." . /u;s jLJd7'6 ~h~n 1?(Ij CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. ~~OOTING-DEGK o FOUNDATION f>' o FRAMING o JNSULA TICJt! (' \L ~ ~FINAL-UE,-~ o SITE INSPECTION COMMENTS: r-(\~ O~ {~ OK- 0p1) SCHEDULED CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL Iv ,.ee- / / l '- (':;! ~ '-- - ------- - oo-o\~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ------... -~ h,e ') -~ Owner/Contr: ,E NEXT INSPECTION 24 HOURS IN ADVANCE. CO E REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl