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Home My WebLink AboutBuilding Permit #00-0285 ~ 37~~i;; ;z.. ? f""tM 1\1 S CITY OF PRIOR LAKE BUILDING PERMIT 61)~iI:it wf TEMPORARY CERTIFICATE OF po ~Ut~ ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT @TE S-):~-OO ,le1.sD DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ~RE PERMIT IS ISSUED (Please Pont or Type and sign at bottom) ( ~E ADDRESS \51 \ 1 VV\\~L.~\\ L r- SE.. 3. LEGAL DESCRIPTION ./4- BLOCK t1171! 4E1A.- LOT ADDITION -- ~WNER . !l W\( ( lo.~ 5. ARCHITECT (Name) . :r 1\~\W\e~ (Name) ~ILDER ~." W,\\ i",VV' ::r 7. PE OF WORK Fireplace 0 ew construction~' Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. (Name) {\~, W\I3 ~ 2- PID 2b-155-0'''-O poAf 0 , (Address) \ 51\ 1 Ml ~,,~t' (Address) (Tel. No.) t:. r ~f;. L1 yo :~ 7 33 PGe ,,~e~NgJ7(P~ (Address) (Tel. No.) 'IV\.\~e,,\\ ~ Deck" RIHoofing 0 Porch 0 Finish Attic 01 Re-sidiing 0 Finish Basement 0 y POe.ett 9. PROPERTY DIMENSIONS 10. CULVERT SIZE Width Depth YEIS No \51\ 1 Ll4 O.~133 1. White 2. Pink 3. Yellow File City Applicant Septic 0 Addition 0 Permit No. O();oU5 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 furnished 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 ment~'on property and that all co. nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. lam aware, that the building ~ffi?(ayc voke this,.. _ ,..~ just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform n~eded inspections. X VV. ~~ ~~ ( / (Signatur~ License No. ( Date ) '" - SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING ..- RES FljR- 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.................. .... ......... .... $ Plan Check Fee............................. $ State Su rcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ FOR ADMINISTRATIVE USE Back Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 5,ctD .CD --.....-. MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o 99 ,'15 (p'l.a~ -;2.s0 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . . .. . .. . . . . . . . . .. . . . .. .. .. . .. . . .. . . .. . ... $ Collective Street Fee ....................... $ Sewer Tap .... ............................... $ $ City: Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ ~o k. ecomes Y r Building Permit ~hen ~p~ Date C/"~' /- Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Certificate of Occupancy Total Due .............................. $J(,7. Oq Issued Paid I ~ ~ q Receipt No. ?, 7 ~ <)( ?:, I Th~ ;s 10 ceroty lhat lhe request in the atxwe appllcatioo and accompanying documents Is In a''''>rdance with lhe c:;onf:../t!lt.~d may p~ A) signe y the C' anner constitutes a temporary Certificate of Zoning complian~nd allows construction to commence. SeLore occupancy, a Certificat t.{~J..:fro.O <;...,o~ f~... ~ck~ ~ . Ctty Planner Date Special Conditions if any 24 hour notice for all inspections 447-9850 s. "I r ~ ~ ~ ~ ~ r " t l .... ~, ... The Center of the Lake Country oo-o'Zg~ White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1-) S:5J Iti 6 S'; It .I C L 111/\.."1 /I 13:/r)() / .I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;'.5 '7 / --7 / ~ / / Ii? 1/[/ l C.. i~.i 1:.., \' ?-:- ....J \.......-. Accepted Accepted With Corrections V Denied Reviewed By: ~ Date: /-(~LI-t!90 1 4 Comments: ~~~tA~<1~v 1 .j 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 oo-o-z,~ The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT A 55/ JVl6S1 W/("'~/A M A!3h:/tJD I / APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /57/7 f1//611G(/~ ce- S t:/ Accepted Denied ~ Accepted With Corrections Reviewed By: Date: v- 2/2-~ comru f7k~ 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 DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 15'1 IS- M.~c~\ c~ NATURE OF WORK ?~ ~ t)~ USE OF BUILDING ~F\J PERMIT NO. OO-OZf'J"C:::::; DATEISSUED 4-;)'?-~ooo CONTRACTOR A 'SS;~4t~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING ~. tp/;?/tfi> PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING _ J /.! /I. I ) 9 /U:?/~ L . ELECTRICAL COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ FINALS '1 12Jd /\)0 &=-6~/L/k J J '1 ICe) / CO BUILDING a.I:CTRI CA"L .. DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECrlONS (612) 447-9850 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED If. zo. (jf) +: t/V ADDRESS /~ I /7 ~1/~u-IbvL., CdIZ- OWNER CONTR. PHONE NO. PERMIT NO. () ~ 2-85' o FOOTING o FRAMING rf) o SULATI~ ,., U FINAL rl>e~ I , ~~UNDATION o DEMOLITION o FIRE PREVo o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPE:CTION o EXC/GRAD/FILLlNG o LKSHOREANETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: . F" t2- --4-. /Y\ / Ale:, / r:=-l ~ t · p~<~ t .- ... ... NO 12C6:;;r f2-! c;t11L GLU ~ORK SATISFACTORY PR~CEED jI 0 CORRECT ACTI~N D PRbcEED o CORRECT WOR . C L FO t REINSPECTION BEFORE COVERING Inspector: r~ Owner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl