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Home My WebLink AboutBuilding Permit #00-0262 47, R"4-70o 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. 00 -()Z)P~ 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 ~" OA"'V'NM..., 1. DATE 3. LEGAL DESCRIPTION .J/ f2-,~ -rAA-l J.... Z ~/AI~ K../066 /~/ 800N. (Address) $lilt ~UJ1k-- R~ (Address) If/ I Ur fa() PUP BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT BLOCK PID 7L~-Zq9- 03)-Q 13. TYPE OF CONSTRUCTION ADDITION 4~R 0 (Name) ~ r ..$u.u...,vMJ 5. ARCHITECT (Name) ~aF 6. BUILDER (Name) (Tel. No.) LfJ./1-fJ II 0 (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS ~ E1-F 7. TYPE OF WORK New Construction CJ Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Fireplace 0 Alterations CJ Septic 0 Addition CJ Dec~ Finish Attic CJ Re-roofing 0 Porch 0 Re-siding CJ Finish Basement CJ SEATS 16. PROJECT COSTNALUE 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE Sq.Ft. Width Depth Yes No 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 th I c truction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the :Uil~ o:icial ca rev pe J t use. ermore, I hereby agree that the city official or a designee may enter upon the property to pertorqJ/:l ~1ons. License No. ~ '" FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA CJ USE OF BUILDING L!..e5 A/ ~ / OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 COPIES PERMIT V ALUA TION (3000,00 PLOT PLAN 0 BUILDING DEPARTMENT VALUATION 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 ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Division 1 2 3 4 Permit Fee ................................... $ .,,1./, 7S 4& 59 (, 5"6 Plan Check Fee............................. $ State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... $ Meter Hom ... .... ..................... ....... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This AooIicati~m8~y~_BJ.:#!ding Permit When A!>.Proved. By ~).~ Date t.j-/7 -00 Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ /z.4... 64- Paid I 2-A-30 f$ 4- Receipt No. <..-, t'\ '7 Dated/"'\, I ' On By ~ I~ I t the reque t in the above application and accompanying documents is in accordance with the City Zoninb Ordinance and may proceed as requested. This document when I nil( c stitutes a temponuy CeJtificate of zon7X!J'iance and allows construction to commence. Betore occupancy. a Cenificate of Occupancy must be issued. 11\ c.1/'}I(\!. . ... er ~ ~ \ SpeCial Conditions if any Certificate of Occupancy Issued 24 hour notice for all inspections 447-9850 00 .,OZ(P ~ The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~~ / I I /. I / J)\. / -.7/-1 Ii/IlL. / t:..-.J ~. ..j ,~/., L k I - / I Co'"" I / f~ / /",~j.../ / ///// L/ j ---,' / t.-r-. L' / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ._:;'..''(1 / / j.t/ /.'l-, / !\/;- C- /". /.L./ (~l E'" .-7k.. Accepted / Accepted With Corrections Denied C},~/~ Date: L-J/JD/DD , Reviewed By: 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. II 00 -OZ(02,- The Cenler of lhe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 6ULUt/ANj · /liOHtJ-S 4//4-/00 I / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: c.!;;> q / / C/J;eOI NAL !e/DGJ6 /12-~ Accepted With Corrections / Accepted Denied Reviewed By: Comments: e~ ~ ~ ~ ~dP Date: J./-/j-tJCJ ~ -(j/~J2,- ~ ~ oLe ~ b;- ~ ~. 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 5CJ I / {!ARO/NA~ RI666 '/ f2..A./~ TYPE OF WORK NEW :bECK- USE OF BUILDING K:F~ /1/,e- PERMIT NO. t90 - ()2~ / DATE ISSUED ij"-/9 -CJ() BUILDER THtJm..^S f? S'u l-t- /IIA-~ 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 ~ 6/t./let illitE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL ~ /1 btJtJ1 Call between 8:00 and 9:01b A.I\IJ/ Tor all inspectio~s ,- T FOR ALL INSPEC nuNS 447-9850 ". .. ADDRESS ~-c;l/ DATE TIME,--. SCHEDULED II~ J(;, -0 I tL.. I - ~J R,-4-~ u CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. D FOOTING r@ o FOUNDATION D FRAMING ~SULA TION . ." J/ ~ ~~NAL 'f-IC- D SITE INSPE~ PERMIT NO. Q-~~ D PLUMBING RI o MECH RI D WATER HOOKUP D SEWER HOOKUP o PLUMBING FINAL D MECH FINAL D EX/GRAD/FILLING o COMPLAINT D FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST D COMMENTS: ; ~~/~ I,: .. ...' , . '" >' WORK SATISFACTORY I PROCEED o CORRECT ACTION AND PROCEED D CORRECT WOR~' C FOR REINSPECTION BEFORE COVERING Inspector: I Owner/Contr: CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTJ