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Home My WebLink AboutBuilding Permit #00-0215 r r"-' .. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS 1. DATE SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (PI,tase Print or Type and sign at bottom) 2. SITE ADDRESS 55~5 /l?f::;.-J:t[)OWV/~ c:r- PtJD 3. LEGAL DESCRIPTION 4- BLOCK PID 25-;~~6 -0/9-0 6/}f / (Tel. No.) ( t,/ J)8-3c> - tI?~ W, 6~..~!t:8~.NO.) '5500 (Address) tiJJlO'(, (,. ''#!.Dip (Tel. No.) w,1i ~ Lt'l6 -ll~ '- LOT ADDITION 4. OWNER. (Name) C (Address) lJV'\d('~ :s "V;'\<..r~..rf/Il' 5. ARCHITECT (Name) (Address) 6. BUILDER (Name) 7. TYPE OF WORK New Construction 0 '" Deck~ Finish Atti~ Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Septic 0 Addition 0 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. 00 -0 2.{~ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 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 entioned property and that all oonslruc~.1 conform to all existing state and local laws and will proceed in accordance with submitted Plan~sl m aware that the building cial n revoke this ermit . t ca~se. ~r:~~~' I hereby agree that the city official or a designee may enter upon the property to perfo~e ed inspections. X .' ~ ___~_ I ..".......,-_.....~ Y/t/i ~ Signature - "- . License No. ' I Date Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. . . . . . . . . . . . . .. . . . .. .. . . . . .. . . . . . . .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Hom ............................ ....... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ .In3. V +'- , Paid / /)3. '7 / Receipt 3 7 i.J12- Date 4-11 0/() D By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdinarle and may proceed requested. This document when sign~ y th Planner constitutes a temporary Certifica. te of Zoning compliance and 9!lows c~nstruc~n to com~ce. Before occupancy, a Certificat of Occupancy must be issued. '-I - II ,.c9Q {...:'~ ~\AAA\ City Planner Date - - Special Conditions if any FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ;l,ct:O.OC) USE OF BUILDING /2e;~ /fIl?- I 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 ................................... $ es;2. 2~ 4 D. "f...t, J .00 Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ...... .. .. . .. .. . .. .. ... $ Mechanical Permit Fee ..................... $ ~ 4' (:J\ Sewer & Water Permit ...................... $ our Building Permit ~hen ApRroved. Date q '-/0-" a-. Certificate of Occupancy Issued 24 hour notice for all inspections 447-9850 MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Thl' Cl'ntl'r of thl' Lab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED &C2-/ {;/eI1Um, A-NOt<6N y/s- :0(') I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~L.[S MuufnwV\~\N C2T Accepted Accepted With Corrections ~ Denied /~()jJ y-- ReVieWedBy:~4/ . Comments: ,. ~ 1Lt Dd=- H-.J2 ~ Date: c/-I"-a-.-~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." White - Building Canary - Engineering Pink - Planning The Center of the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT :r I<! 2 / t:/(~' /1 / i~: I /, I ",F t.. ;-;-/ , , J I '. Ij c: i\ I 1\ ,. I j I ....... r t/. I I \. ,_,_ --..... '-, APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J ",~- Accepted v Accepted With Corrections Denied Reviewed By: ~-~ / Date: L{ -[ ( -f!X) cOT~:ts: ./<Sfr~/~L 'i='~ ~<. t\w-~;-) 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 5S ~5 't-\eo..~ \..liet _ \ ell- r TYPE OF WORK n,c..~ USE OF BUILDING ~~D -- PERMIT NO. (17) --0 Z,/ ~ BUILDER t\'^~ ~ c..~e.l" tI\.\J""- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT r INS~ECTOR DATE FOOTING ~~ 31/s//fi · PLACE NO CONCRETE UNTIL AlO/VE HAS BEEN S'tGNED DEPARTMENT OF BUILDING AND INSPECTION DATE ISSUED t.{-G,-20c:>.o a FINAL f7:;- ~ / / / I ~ / IJrj . . I I Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 Ilu,.()D "3:30 5545 r16H/.XJfI(/Vlb1,'V CA CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION ~D SEWERHOOKUP ~ FINAL O~ 0 PLUMBING FINAL /0" SITE INSPECTION 0 MECH FINAL COMMENTS: DATE TIME () 0 ~ ()Z/~ o 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 WO~LL FO(R REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: / CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!