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Home My WebLink AboutBuilding Permit #00-0199 ;l~~7~~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. 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 77 1. DATE y 3tJ -00 /:-/ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION b 12. NO. OF STORIES LOT BLOCK KNOB / H/l/L, PID 25-3Lf'1- 005-0 3/21::) /"12.. 14. FLOOR AREA APPORTIONMENT USE f1l2- 0 J-}7 ADDITION bl J -tfil7-O ~ (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS New Construction 0 Fireplace 0 Alterations 0 Septic 0 Addition 0 Finish Attic 0 :5 /eM..s 9. PROPERTY DIMENSIONS Width Depth Re-roofing 0 Porch 0 Re-siding 0 Finish Basemen9( SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft 10. CULVERT SIZE Yes No 17. COMPLETION DATE ished 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 at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the t for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. z.o J b :13lY7- 3 - .3 t;) --00 Signature License No. Date 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 OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES USE OF R&ING A /!2- I 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 .. 0 0..0... 0.00..... 0 0.0.... $ SAC .. 0 0.....0.........0.0...000.... 0...0.... $ Collective Street Fee ....................... $ Sewer Tap .0...0..............0....0.....0.00 $ $ Division 1 2 3 4 Permit Fee...................... ............. $ 7 C/. 7~ Plan Check Fee .......00.... 0.. 0 0.00........ $ State Surcharge .......... 0.... 0 0 0...0.. 0.... $ Penalty .... 0 .. .. .. 0 .. .. .. . . .. .. . 0 0 .. . 0 0 . .. . 0.. $ Plumbing Permit Fee ....................... $ I.so 40 . 00 ~ Pressure Reducer 0......................... $ Meter Hom 0.0....... 0.... 0...... 0 0 0.......... $ Water Meter................ 0 0............... $ Sewer & Water Connection Fee 000..00.0.0 $ Water Tower Fee 00.. 0 0.. o. 0... 0.. 0 0.. 0 0.... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ............. 0..... 0.. $ '-10 vb 0 This By our Building Permit vr-n ~roved. Date - -~ Issued 24 hour notice for all inspections 447-9850 White - Building Canary - Engineering Pink - Planning The Cl'nll'r or Ihl' take Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~o C/::- ee& 6~ H(j1'16S 3/301{10 / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4571 flUI1r1/NGj/3/RD 7E_ Accepted Accepted With Corrections .r- Denied ~ Reviewed S(. /J... Comments: Date: L/..~- ax::>o ~ 4 ~sa.4... .Jrl;~,~ ~~ 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." The Center of the L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .i<~ . ( (f I:.~~~,# (.~':l_':./.'(.... (. ,l'_/' ,/ ..." .,i~~ t' '. " ~'-" ,,~...,-i_"'" /'-f( ./ t/ C~-_\ --? 1':,:;'0'. ; /r I . ',.' J I ;, .. ..'- ~.._.' (./ ( ,. . '-,," / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: //... .......~-....~ .7 " " . ~~~_..f ! / I ,~--'" ,l. /i"i /. i /' I i., / .'.~.-. / . ;' :. . . . ,- / '.. ..'.1 :'! f I i \ I.,.. J (./ ,. /... L../ I ;' /"i I ;.::.: Accepted v Accepted With Corrections Denied Reviewed By: ~ ~ Date: L/ -S--t9() - ([) (.-OMPl~"\€- Ld~~ ..~~ L~Tie..-7 f?o-v- ~~ZCe ~v.k-~lt4 [2 ~\Lte{) UiM!S Me- pW1M.rrreJ iv\ ~~ l {jt~~ZR, 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 BUILO'NG AND INSPECTION SITE ADDRESS 4577 HultYlrM,'~Io,'d I~I NATURE OF WORK N~t.d ()~~\-r C~\"Ov\ USE OF BUILDING ~ PERMIT NO. ~~.- 01 ~ATE ISSUED ~-6-7.t9CJtF CONTRACTOR ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT -- _II PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE ~ ~() FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN 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 bep!aced near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 DATE TIME SCHEDULED ~ a: c5l:l thJrf\ Y'f\\ ~bf r-fi CONTR. PERMIT NO. - 0 , q q CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS Lj~~rt OWNER PHONE NO. o FOOTING 0 PLUMBING RI o FOUNDATION @ 0 MECH RI o FRAMING 0 WATER t:lOOKUP ~. NSULA TION 0 SEWER HOOKUP .. FINAL L.l. L. R f\~h 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: JJ-~~ I ~WORK SATISFACTORY, PROCEED ( ~v CORRECT ACTION AND PROCEED LL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI