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Home My WebLink AboutBuilding Permit #00-0243 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT PID Q,5" ~ ~'(4-()5:i-O ('~ t?JJ1\ ~ l-t1 \l~ 1 ()~ A-Df)fJ '0 _ 4- (Addressl ~ " I DtA1\.. ,..((~ S (Address) DATE-RECEIVE-Q-- APRI2am 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 4, ~ ~ ~o~t~ ~ti~ ~~~~ 3. LEGAL DESC~TION LOT BLOCK n ADDITION 4. OW~ (;.. ~ (Name) 5. ARCHITECT J (Name) 1. DATE l-.\ - I c.. '"' 0 ") (Tel. No.) CC'bo1vv~ ~~ (Tel. No.) 6. BUILDER (Name) (Address) \1'.1\" M ,-~~~r ~ 't 01 0 E: '\t\ r ~ 7. TYPE OF WORK New Construction 0 Fireplace .- Alterations 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish BasementJr Septic 0 Addition 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Yes No (Tel. No.) l-{ L(') -Gyq 0 1. White 2. Pink 3. Yellow File City Applicant Permit No. 00 -OZ-~3 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 I ~. 03 b 17. COMPLETION DATE C~ 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X\'" ~ ~v:::2- a;- i~- ~O Signature License No. Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 2 (')dt".) . ~ l!) . :V;:'lDI~ TYPE OF CONSTRUCTION: I " III IV V Occupancy Group A B E F HIM R S U City: Division 1 2 3 4 Permit Fee. .................................. $ l6 J. t 25' Plan Check Fee............................. $ State Surcharge ............................. $ Penalty ....................................... $ , .DD Plumbing Permit Fee ....................... $ 40 t 00 1 nOo~ 'Yn' 00 t~ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ i/O.OD Ing Permit When App'rpved. Date Lj::J!I-2.ct:>~ Side MATERIAL FILED WITH APPLICA nON SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES 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 ............................ $ Other......................................... $ Total Due .............................. $ Paid M3.? t:;; Receipt . Issued fi" Date za 0 By This is to Ic~.~~~est in the above application an.d accompanying documents is in aceo_co with the City Zonln Ordis!!. aM may proceed signed bye T j;;;;J0:O~ 47l~!?1..<;r'ia"'" and allows const",ction to comme"", Setore occupancy. a Certtftcate 17 e"rty P(anner D te Special Conditions if any ! 24 hour notice for all inspections 447-9850 ~ White - Building Canary - Engineering Pink - Planning The Cenler of Ihe Lake Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ ~fr\ ~~+rucf; ai'\ APPLICATION RECEIVED Apr\ \ I~ I ~ 07J,Q The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Lf J Z:O CoOGn r1\11]\ --R.~.. Accepted / f/\ /JJ J~ Reviewed By: '-I ~ Comments: Accepted With Corrections Denied Date: L-/1J5j 00 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 ...... 5J ~()U? The Cenler of Ihe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 'l4\ ,rn (CJY'\~t-rucM (J'{) APPLICATION RECEIVED A-"O n \ t ~ d (fUO , .., - The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: q ( ~ S Lo0.0-')rNAJ) ~i/ Accepted Accepted With Corrections ./ Denied IF) // tJ / ____ Reviewed By: 1;;::1/ I,f( -r~ Comments: Date: '-/-It.{-2CJoC) I. ~ ~ J5~ t::~J.. ~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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~B:) (\O"A"~~~ '-oft.. NATUREOFWORK J3~- ~~ J USE OF BUILDING S~JO. .. PERMIT NO. n() -1U3 DATE ISSUED 4-1 Cf~ ~ CONTRACTOR . P\ Jr. ~_ ~ ~ ' NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~~ ~, 4'"2J-M; ~( Lj,. 2.,( -eo 61r, 1"' ZI-(1O - {br. ~-u-oo - (?i-. tf-2A ~8-0 ;t ~ 4- 2,/-61; COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED WALLBOARD FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT 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 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 4183 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING l- . 0 ~SULA TION . JIlI FINAL o SITE INSPECTION COMMENTS: /;0'0 \1 ~ ~ // ~ /( \ DATE TIME SCHEDULED ~-l-Q) ( O-:co ~'h.~ CONTR. PERMIT NO. ()- '2-43 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 l&, /r4t: V /" J.--? () # ~ EED CEED FC 'R REINSPECTION BEFORE COVERING Inspector: I Owner/Contr: CALL ~7-9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE. CODE iEQUIREMEftS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! V INSNOTl