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Home My WebLink AboutBuilding Permit #00-0272 QA TE RECEIVED APRI,m CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. DATE 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 ~OS-~ ~. ~\\ \i ~--\), ( PID 6l S- -3b 0 -(J7) ')- 0 f\.)crr~f k JtTrd nO 4 <c. 6+oJ.~~i 2>t" -- - 4.0WNER \)~ ~>~ (~d~ess) . ( (leI. No.) t'>e~ ~~o4(. ~\--A-':.l~ ,~<; (p~ "'\VW-:t..,'~ ~ Septic 0 Dec~ Re-roofing 0 Porch 0 Addition 0 Finish Attic 0 Re-siding Cl Finish Basement 0 3. LEGAL DESCRIPTION 3 BLOCK LOT ADDITION 5. ARCHITECT (Name) ~LDER ~me) ") y~\.4 ~..., -' -<- 7. TYPE OF WORK New Construction 0 Fireplace 0 Alterations Cl Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. /7 ~ ~-/f-49P (Tel. No.) (Address) (Tel. No.) 10, CULVERT SIZE 9. PROPERTY DIMENSIONS No Depth Yes 1. White 2. Pink 3, Yellow File City Applicant Permit NO.1JO... 02-7 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 Width 1 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 , wiU c to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the m . e, I reby agree that the city official or a designee may enter upon the property to perfo~i~s~n;;s, ~ License No, DIle J" SETBACKS: Required Actual ~ Front BUILDING DEPARTMENT VALUATION USE OF BUILDING ~ ,eG5 A/A!!- I TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM Division 1 2 3 4 Permit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit...................... $ Gas Fireplace Permit ....................... $ FOR ADMINISTRATIVE USE Back Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN . PERMIT VALUATION ''I Ot}O, 1)0 MATERIAL FILED WITH APPLICAnON SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES B?, LS 5~. 71 2., Of) Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. .. .. .. .. .. . . .. . .. .. .. .. . .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ R S U City: Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ ~~ This ~come~~(u~luilding Permit W~.~ e Ap!'roved. By ~ ~ Date ~- zc- ZDDD Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ iota I D~ .............................. $ /45. rb Paid / L/ (~ q b Receipt No. '3 7 ~ KC) Issued .- ~ ~ ) Date (~ I By ( ThiS~'S t e 'fy 1he requ,", in the above applO:ation and accompanying documents Is In accordance wilh the City zon;;;girdln ce and may proceed ;. esled, This document when sign y ~ ' ~ner Cf ~rary c~~omPliance and allows construction to commence. Before occupancy, a Certificate f 0 upancy must be issued. '-11 ., City PI~r Dale Special Conditions if any ~ 24 hour notice for all inspections 447-9850 Certificate of Occupancy (JD~ ?/]v Tht' Ct'ntt'r of tht' I..kt' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT V-,,-- h \}. l:S~. \ (\ C. APPLICATION RECEIVED A pn . LJ ) d 00 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 30ss- ~N)l ~\~ D('~ y€,... Accepted With Corrections ~ Accepted Denied Reviewed By: Comments: /-t.J. (: ~ -:? ~ IZ-:J Date: 'i -;2-() - ~ hulv ~-~ ~ ~ ~~ ~,~.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 Thr Crntrr of thr takr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST I I ; j \ l 1. '--, , \ \ \ ; "L. .~ C) NAME OF APPLICANT APPLICATION RECEIVED \ ,. _,,~..,,". i The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (' c; - \' '\ { \ \c\ \..., 'f _~'\r \ Y €-.. Accepted ~ Denied /' I Reviewed By: (I/~- ~~ _ Date: t-f/~v:kk? - !/~/k~ '.D ~ ~ 9*-f~ ~~ff \ l",.:, 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 30 rs s ~No L L e f DGc DR-, TYPE OF WORK NE (k) -n<::.~tL USE OF BUILDING ~6.5 .4//2- PERMIT NO. (J() - 02--72- DATE ISSUED '-1- 20 - ZOOO BUILDER :DA.HLE 1St2-IJS, /}J(!." NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION 1 ~ INSPECTOR J DATE FOOTING. >>'~ '~. 51<f/~~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL ~ ~~ 1 ,;1..1. () 1 Call between 8:00 and 9:00 A.M. for\.1I inspections I l FOR ALL INSPECTIONS 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE 1~~;OI .J ~ ~'J) ./' " yt 0 . rt (' ( CONTR. TIME SCHEDULED ADDRESS ~D ~ ~ OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING it 0 ~SULATION ZFINAL 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 GASLINE AIR TST o COMMENTS: o-K' /' ~RK SATISFACTORY, PROCEED '0 CORRECT ACTION AND PROCEED o CORRECT~~,IfALL FOR REINSPECTION BEFORE COVERING Inspector: t) 4. _ J ~ Owner/Contr: CALL 447-9850 FOR TJ: NEXT INSPECTION 24 HOURS IN ADVANCE. , CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl