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Home My WebLink AboutBuilding Permit #00-0253 . "-r",~,~".'0A~"R~ 1 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT .,2m . 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 1. DATE If //1/00 1<-1 'at..fQ5 sPI!-tJe6 1/&'1/L- 3. LEGAL DESCRIPTION LOT 5 BLOCK 5 SUNSt;, I J-I/(J('s PID 25- /72-- (}foq- 0 /lVo/J . ADDITION 4. OWNER JV\'~\ 5. ARCHITECT (Name) S \...v~:e, \ (Name) (Address) 3 c.r1 S 'i6>rv< e T 1'Ct; \ (Adaress) (Tel. No.) Lit/, -~co'i (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) f\\ \c.~O\.e \ 7. TYPE OF WORK New Construction LJ <;-i-f v ~e \ Fireplace 0 Alterations LJ ira, 1 1..[ lJ7-81S"""l Re-roofing 0 Porch ~ Re-siding 0 Finish Basement 0 ~ "lC\S Sffl.,,~~ Septic 0 Dec!<'Jt Addition LJ Finish Attic 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. -.1)0 - 0 z, ~ 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 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 ~Uilding Off~::;;:r t, pe~. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ,://J;d 1becos. ( I .-"Signature License No. , ~. FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. USE OF BUILDING /::..6 S 1'1/,e... , SPACES ON PLAN PERMIT VALUATION ." ,. (,OOO."" 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 ................................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS LJ PLANS & SPECS 0 SETS COPIES SURVEY 0 PLOT PLAN 0 Plan Check Fee ............................. $ //2,,25 72. 9 ~ -S,oo Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. .. .. .. .. .. . . .. . .. .. .. .. . .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... $ Meter Horn....... .... ..... .... .... .... ....... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due.............................. $ Paid / I Date 00 By t;.. 0 ~at tho request in the above application and accompan~ng documents is in accordance with lhe Ctiy Zoni" Onli nee and may procee s' ed Y PI ner constitutes ~ temporary certificaie of~ninQ.. compliance and allows construction to commence. Before occupancy, a Certifica . "'7' . 4 ICj t.,) City Planner I ate Special Conditions if any 24 hour notice for all inspections 447-9850 Sewer & Water Permit...................... $ Gas Fireplace Permit ....................... $ This ~~o~ecomes Your Building Permit When AEProved. By , -:1~f-' Date ~- /'1- ~4 Certificate of Occupancy Issued /' / BI;J. 2r J # 7/9~ ~ 6'J-D~r;) Th~ C~nl~r of Ih~ L.k~ Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT M \ cm<:.. \ APPLICATION RECEIVED A opn \ S \ flJ \:.~ \ \~) c90uo The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~L-{q ~ ~plU c....e. \ \r.-L' Accepted Accepted With Corrections /' Denied Reviewed By: :/;OlIJt6' ;:;'/J., Comments: tf~p l)~ r.J/f-rVo -l)tr( 1) N ~ I?..o tJeIJ fl. ,v Date: '/-!'-k/ntJ ;.:.,vI> ALL I!J I7J IUt\AJ7 aJ 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 (f1J 1)&(3 The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~~ \ C'-..\'\i)J' .\ APPLICATION RECEIVED A. PI I \ S-t.(,\.) \K-~ \ \ '~ r~) () (~) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~:y:.-t C,\ (~ (LJ (__~ \) .~ \ Accepted Accepted With Corrections 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 shall not be valid." .- PRIOR LAKE INSPECTION RECORD SITE ADDRESS 3L-J 95 S'fJtettc.b I RAIL TYPE OF WORK j)~(!,K ~ S~eJG'{J (1;/2.CH USE OF BUILDING __ ~ A/I&. PERMIT NO. -'2/J-~ DlTE ISSUED ~/ /~/ b:?oo BUILDER tv1. /rlha. ~ / ~<Jf rZ u Ke ( 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 tf:r. 5/(/~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING'~"~Jt5~l~~i2i' 6=t-. ~k" ~ ~. 5/P5/0b ~ , . "~ .. " FINAL V~~ /7J;r &/ &/tJt) Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE DATE *- Z4QS ~fYVCL.~ J (oj I TIME SCHEDULED 3':30 ADDRESS OWNER PHONE NO. CONTR. PERMIT NO. ern - 6 ~ S3 o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING ~) 0 WATER HOOKUP o JNSULATION ~ 0 SEWER HOOKUP ~FINALDtC\(/D()~ 0 PLUMBING FINAL 1/ 0 SITE INSPECT~:)tJ 0 MECH FINAL COMMENTS: J~ ~ ~~ / &,~ ~O-) I o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o --- ~ ~ \ (~ "---- ---.--.---------- --..,. . '. ~. -7' dJu ) --~ )(lORK SATISFACTORY, PROCEED I~~ORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~. r Owner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl