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Home My WebLink AboutBuilding Permit #00-0233 ",.DATSRECEIVED 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. OO'Ol33 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 /t,5tt:itJ, IeA/"1Se.'f /1V'€,NU€ 3. LEGAL DESCRIPTION ~~7 /00 Jet :5D MeTes 4~WNEf) (Name) rAvl C~Il'j.j..e"St5AJ 5. ARCHITECT (Name) (Address~ / t,r9(P t(A"'S~] ,4t.J~ (Address) (Tel. No.) BUILDING INFORMA liON 11. SIZE OF STRUCTURE (Heiilt) (Width) . ,.L' Ii 12. NO. OF STORIES ONf- 13. TYPE OF CONSTRUCTION --r:R EA-kJi lU Oo/J 14. FLOOR AREA APPORTIONMENT USE ~. ~ c... t.€ A4, 0 ,J (Depth) I J% LOT BLOCK I AI 130UA! DS PID 25-()94- 030-1 ADDITION (Tel. No.) Z b oc) S. 5 /....()~ b If... t-11..- i tfa -/2 1 't ~ SEATS 7. TYPE OF WORK Fireplace 0 Septic 0 Deck ~ Re-roofing 0 Porch 0 New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PR1ECT COSTN ALUE ~ ChimneyO Misc. Z'c>o. 60 ~3007 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLEjlON JATE Sq.Ft. Cf~30 s~. ft. Width7Ji"" Depth /2./.01 Yes No G/I !tJo 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 offici I c revoke this permi~for j t...:.use. }urthermore, I hereby agree that the city official or a designee !"rY enter upon the property to ~.'. . ". eded~spections. X ~A. ~ dlO/7e:<1?""1'.i.~.." .,., 00 Signature License No. Date (Name) K.+ 5. 1/ J::.. (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS 6. BUilDER ~ --r---'/ OJfl OCCUPANTS 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 USE OF BUILDING J€l5S Ale. I OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION '2~o. ~ ~ PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee................................... $ City: Amount Brought Forward ... . .. .. .. .. .. .... $ Park Support Fee ........................... $ SAC . .. .. . . .. .. .. . .. . .. .. . .. .. .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ ~ ,. ,C;- '( 0.'4 l., 1.00 Issued Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due.............................. $ Paid L.O;3. 7-1 Date 4-/1"7 Lt;v By This is to certify that the request in the above application and accompanying documents is in accordance with the City ZoningUrdin~ce and may proceed requested. This document when s~l\. P p~laa_nnnn?err co connststitituu1tes a temporary Certificate of Zoning compliance an~lIows c~nstructi~ to commence. Before occupancy, a Certifica of Occupancy must be issued. ~~ '-f.,.tl-BcD V~~~ f~'r"" - City Planner Date - Special Conditions if any \100 '-k 13 " Pressure Reducer .......................... $ Meter Hom ........................ ........... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Sewer & Water Permit ...................... $ Gas Fire lace ermit.. .~..... ............ $ Thi A . ecomes Y. ur .. rmit When ~pro~d. By _ Date-'-t-7-!~ 24 hour notice for all inspections 447-9850 White - Building Canary - Engineering Pink - Planning Tht Ctnttr of tht Lab Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED KrJS/1 e/C 110M - 4-/6/60 , I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /h59h J(;L!fV/So/ /f1I6. Accepted Accepted With Corrections ^ Denied ~A. /' Date: f{ - t -2"0 c) Reviewed By: Comments: I. ~ ~ t.k-k- ~J 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 Cenler of Ihe Lake Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1'/ .t /'" C Lj fi/(""" /"--7 '//1.//,) /'.., /_.J/ L. , '-/ . l / I 4/1' / .--',' / .... u' . ',' (" -. . ,~ ..,' I f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / (;: 5 9 b /\/./ J /i- I~.; L)..f/ /-/ V 6' . . .I Accepted l/ Accepted With Corrections Denied Reviewed By: ~~~ Date: U - I ( - tfX) Comments: ~~~~ ~~ ~~~. 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 shaWn<?tb~valid." 'it. PRIOR LAKE INSPECTION RECORD SITE ADDRESS - ~5 q(g !<aW\~)1u.Q TYPE OF WORK ~c~'-. USE OF BUILDING SF..D PERMIT NO. 00-0233 DATE ISSUED t/- 7-2~ctT BUILDER-'o~ ~a~,_ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE FOOTING W/~ b. 1-dO~a:> , PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING &.:r. 11 /;t, !~O FINAL .JJ,,~ i3.:;.~ 5// I () 0 Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~/tJ~ //:00 ADDRESS jl.JJ 59 ~ ;(~t:Y A1J~, So, OWNER CONTR. PHONE NO. PERMIT NO. DO- ~G.3 3 o FOOTING o FOUNDATION o FRAMING @ o INSULATION ~FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ ~ c1~ ~/ /~ " ----- ---. --..... ~.~~) ~ ----- 'WORK SATISFACTORY, PROCEED /0' CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ 1 Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI