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Home My WebLink AboutBuilding Permit #00-0277 ~ DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, APR 2 0 2Wl TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. OO....Ov 1'7 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 Lj-/~ -00 f(../ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) Ave.... . ~7~ Simpk'fls 3. LEGAL DESCRIPTION I -3 WFJv.tSJ,/,ev , 4. O~R (Name) l..A V ,-d S "'- r'Y\~ ~tSo t"\ 5. ARCHITECT (Name) 12. NO. OF STORIES 2- PtJIJOs PID 25 -30e~ 06l:-fl F/R6 I AtJOAl. LOT BLOCK 13. TYPE OF CONSTRUCTION ADDITION (Address) 1(,.7 7 f{ S I'Mf k..; ~ \ ~,~. (Address) (W) '- - (Tel. No.) 440 - ~ 77~ (Tel. No.) 4'17 - 4/ ~q (Tel. No.) 1'- SliM e 14. FLOOR AREA APPORTIONMENT USE (Address) 1'-- S~M f: 6. BUILDER (Name) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 'D~..J 5A.P7u.elJ~^ SEATS 16. PROJECT COSTNALUE Fireplace)(. Alterations 0 7. TYPE OF WORK New Construction 0 Septic 0 Addition 0 4. el'1$. Deck 0 Finish Attic 0 Ae-roofing 0 Porch 0 Re-siding 0 Finish Basement)( Chimney LI Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 17. COMPLETION DATE 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 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 mentione;jpr: perty 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 buildin 0 icial can rev ~e this perm^f~r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X - r ~ 4-1.2-00 - .......... Signature License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o Front Back Side Side PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION "l.~ 8~ , ~A/~ / PLANS & SPECS 0 SURVEY 0 SETS COPIES USE OF BUILDING 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 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. . . . . . .. . . .. . .. . .. . . . . . . . .. . . . .. . .. . . . .. $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Cily: 67. 2.~ ) Permit Fee ................................... $ Plan Check Fee ............................. $ 2.QO State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ '1-0.00 \*v:~ \. J(~\ Mechanical Permit Fee ..................... $ Sewer & Water Permit...................... $ 4:0. 00 Gas Fireplace Permit ....................... $ Water Tap ............................ ....... $ Builder's Deposit ............................ $ Other................. ........................ $ Total Due ......~................. $ / t? 9. Zb Paid l.b .9. :::J. Receipt No. g ~ h Date 1m] By ! This ~.~ req est in ... above application and accompanying documents is in accordance wlth ... Clly Zonin Oldi.."'" and may proceed as ~. ed. This document when s~nc.~J.: ~ft:ner nstitutes a temporary Ce~fi e of Z in mpliance and allows construction to commence. Before occupancy, a Certificate oe~u ancy must be issued. 7) . ~ V City Planner Ie Special Conditions if any 24 hour notice for all inspections 447-9850 This Application Becomes Your Building Permit When Approved. By Date Certificate of Occupancy Issued (JO -01, 11 The Cenler of the Lab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED SAf//f/5LSON/ DAV 10 4-/2-0/00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I~ /78 5/f1PK/NS AVb. Accepted Accepted With Corrections Denied Reviewed By: Date: 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." ~ 0--;)17 The Ce"ler of the Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED <".....-. · .' .. r ,~ /' " .,...../"r'; /1 t./ c L,...:........ t, /\/ J I ,I ,/2 / /--) f /'(-" r! -r .c:::.. ,_I ../ 1"..1 I' / {,,/ I i V/ I l..) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / ft' -77 6 ,~~~ / ;^-/ j./ )::~-/ Iv 5 Accepted /' ;:}/, C' . v !__ . Accepted With Corrections Denied 1 a Reviewed By: Lp ,- Comments: ~ Date: LJI X/ ()() " liThe issuance or granting of a perlJ1it ,~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 DEPARTMENT OF i BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ~ Sf'~l""tC:;~ NATURE O.F WORK ,l>.~ r;.'v..t-"-' USE OF BUILDING SFD . PERMIT NO. (lfJ - 0 2/1 DATE ISSUED l.{.'ZlD..(Doo , ( CONTRACTOR ~t;>-'"'~to....- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED -0 -~~ ~,0~ ~ 5 ;2.q )01 ~ ~q )0' FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT 1'1 ~ ~. hi UNTIL ABOVE HAS 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. , <&/3/ If) I f . OCCUpy rgr!/l{!dl ill'l)O) BEEN I SIGNED ~ - Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS Ira 77? SCHEDULED ev3/~' ( 1/:3c OWNER CONTR. PHONE NO. PERMIT NO. Z)-;;2?7 o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HO ,UP o PLUMBIN AL o MECH FI o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~~-~,.:~ ?JJ') --_':".~ .,.,.....'~~~. ,.oWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED :S::O~CT WO~ ~OR REINS:::/::~:FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl