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Home My WebLink AboutBuilding Permit #00-0281 ~RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, __ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUSTBEFlLLED'tN BEFORE PERMI1: IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS 4575 3. LEGAL DESCRIPTION q' ~~\o \-hll 1. DATE" 1.-/ /24 /UXD S e.t2 '}tL LC C,>t~ ;if. b' , prD d..~S. 3S1-(J l7- 0 LOT BLOCK 3 Q~ AbDtv ADDITION 4. OWNER :' (Name) A (Address) /(/ C_/-//J/ZIJ /vIV!l/i)/1tl6'Z/Z. 5.rARCHITECT (Name) (Address) (1,12..1., W{T1tl No.S" 2. S-9 fLG"JS' J~l2c;'H ~d~ ~aep/.2 ~~~ (TeI.M.IY S!87Z ~ 8. BUILDER S~ /1' (Name) (Address) (Tel. No.) 1/ qSz... - q~~- 0/2- 'I W (~/z..) 9:z,,1-92.s-~ De~ R13-roofing LJ Porch LJ Finish Attic 0 Re-siding 0 Finish Basement 0 7. TYPE OF WORK New Construction 0 Fireplace LJ Alterations 0 Septic LJ Addition 0 Chimney LJ Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Ye!s No 1. White 2. Pink 3. Yellow File City Applicant Permit No. no -QZ8l BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 1~. NO. OF STORIES 13. TYPE OF CONSTRUCTION De..c'~ 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 ~~l~rthermore. I hereby agree 'ha'lhe cily official or a designee may enter upon 'he property to pe~';.'nA;"l~ - Signature (I License No. I Date - FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. USE OF BUILDING Je6S lIR SPACES ON PLAN PERMIT VALUATION #1'500,00 TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA LJ PILING LOGS LJ PERCOLATION TESTS LJ PLANS & SPECS 0 SURVEY LJ PLOT PLAN 0 SETS COPIES Division 1 2 3 4 Permit Fee ................................... $ 4~,so 3(.53 ,75 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 .............................. $ AC> 78 Paid f10.' e ReceiptN. 37 $7 (j Issued Date ~ / z .. / (/U By This is to certi~fythe req~est in the above application and accompanying documents is in accordance with the City Zoning brdinan~ and may proceed requested. This document when signed~' nner .onstitutes a temporary Certifj~~7 of Zoning compliance and allows construction to commence. Before occupancy, a Certificat of Occupancy must be issued. . --;~~ 1I-~/cP City Planner Date Special Conditions if any 24 hour notice for all inspections 447-9850 Citv: Plan Check Fee............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ t~no Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This A~~:es ~1ctding Permit Wh,el) App~oyed. By 7.Jl. .J....J Date J.//2?/ (JO , f Certificate of Occupancy o - '?rt/ Tht' Ct'nlt'r of lht' L.kt' Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1( \ C- \a..l'd "\ I ) fV':. \ ~e'_ r APPLICATION RECEIVED A~n ~L) d..07r0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '-IS'7~~ ~ a..~vl} CA(y \0-> ~ F. - <-> - - Accepted X r Accepted Wit,h Corrections Denied Reviewed By: . Comments: ~ 6'7t-1J /Al~ fl-~Arl ~Al ~~7~/.J Date: 1/Z7MIJ / I (J)e:-CI<. f./ AfJ /:j - 0 IA:') A.LL. '#...e tJ,J A;t-Jl'll-olJeJ r'/<<.,v', 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." o - ~? / Thr ('rnlrr of lhr L.kr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATI,ON DEPARTMENT CHECKLIST NAME OF APPLlCANT-Q \ cj\C\ r c"... \\\ \ ) rv\ \ IY?(,,~ ! APPLICATION RECEIVED ...L\ 0 r \ ;) Ll ) Ii 0 J \ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1J ~- ~-7.. ~ '. ('.t " ) I }' ( " " \ rl \. \ c I "-" _ ') _ '\. ,- \ "-._ \ (( ,,,,--, 1 \,J r. \ ....'-) Accepted \/ Accepted With Corrections Denied C1.t~, ~ Date: -~ ~-OL - ~ =-0uvvl I 'i - :J- 7-C:V Reviewed By: Comments: + Arr{(~ - m~ ~~ ~ ~~4 , 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 Gancel the provisions of this code or other ordinances of the jurisdiction shall not be valid~ II .... PRIOR LAKE INSPECTION RECORD SITE ADDRESS 45 '7 S SEAcG L{,Ll.- C,It.C!-LE Ai. 1;:. TYPE OF WORK N E to J)~=- USE OF BUILDING eES. AJJ./ tCelV-,,~e/ PERMIT NO. 00-02-6/ DATEISSUED 1/Z7/()() BUILDER 7?~HIhUJ ,v{UAJDIIJabK- /' . - ........., NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~TOR ~ D~E FOOTING . . (IV. 5 IS 16 PLACE NO CONCRETE UNTIL AB~ IE HAS BEEN' SlGNED FRAMING ("Be R3fl. E" 1>a:.IU..:li.) ~f I.). dJ:r1 \/ ~ If / () D . . I DEPARTMENT OF BUILDING AND INSPECTION FINAL . fit 1- I 1 - () l-- Call between 8:00 and 9:00 A:M. for all inspections FOR ALL INSPECTIONS 447-9850 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED q-(7 I1-T ADDRESS 4 S 7J-. ~tl wI/ c_ t,,- OWNER CONTR. PHONE NO. PERMIT NO. o - 2~1 o FOOTING 0 PLUMBING RI o FOUNDATION 00 MECH RI o FRAMING 0 WATER HOOKUP o INSULA TIO O' SEWER HOOKUP JIl' FINAL 'fl-<cl .\ 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ()~JL I' f ()rJ L S Crli)~' I / j oSr f-r-t.J~ ~1 di WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION I3EFORE COVERING Inspector: M t.,.. 7 -oL Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl ADDRESS 4"'~7$ DATE TIME SCHEDULED 0 c)g -;;;; fi~ t/ (J~ ~~u9O-(;~5' CONTR.. ~. ~_ ~_/ 77 PERMIT NO. ~ ~.- a-~ I ,..., CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION lid FINAL /0 SITE INSPECTION o PLUMBING HI 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 GAS LINE AIR TST o COMMENTS: &~ IJJ~ '" -L-.r I ~ ~T f.A.JL CJ 2 - L/7 9 L,j &J( /) .... ()J/~ ~J ~~ :t- ~o:-0'L.S )I. WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ^ ~'" l0~ ~-!'-~~-z.S?( ~, ~ ~)-tJ NJ+ dJ-a.~ ~r (j o CORRECT WORK, CALL FOR REINSPECTI()N BEFORE COVERING O:y- , Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI