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Home My WebLink AboutBuilding Permit #00-0301 ~ DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, APR 2. 1 21Dl TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. 00 -02>0 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 1L/~2S 8Li/4-~'dIJ 'J721f1L- )if q ~7 frY{) l v BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (WIdth) (Depth) 3. LEGAL DESCRIPTION 12. NO. OF STORIES LOT 5 BLOCK ~(U)\;> \-n" s PID ~;;>S - 3\0- tHS-O 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER (N~ ::JO~J>rI I j. fkIUVIM,J 5. ARCHITECT (Name) (Address) /Y)"l>&,;)J[,g,1l/J (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 7l!t #4- '17--w~-();!i6 (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New Construction CJ Chimney LJ Misc. 8. PROPERTY AREA OR ACRES Fireplace LJ Alterations 0 Septic LJ Addition CJ Deck LJ Finish Attic CJ Re-roofing LJ Porch LJ Re-sicling CJ Finish Baseme~ 10. CULVERT SIZE SEATS 16. PROJECT COSTNALUE 9. PROPERTY DIMENSIONS 17. COMPLETION DATE Sq.Ft. Width Depth Vi3S 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 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 building offici~an r~~yerm~r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne~~~tions. X ~l~~. "/~/dt1 / './ I Signature' License No. - Date FOR ADMINISlRA liVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS CJ ENERGY DATA 0 PILING LOGS LJ PERCOLATION TESTS LJ BUILDING DEPARTMENT VALUATION USEOFBUILDIN1~ OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~.~.o , PLANS & SPECS CJ SURVEY CJ PLOT PLAN CJ SETS COPIES 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 ................................... $ Plumbing Permit Fee .... ... .. .. .. .. .. .. .... $ Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. . . . . .. .. . . . . .. . .. . . .. . . . . .. . . . . . . .. ... $ Collective Street Fee .. .. .. .. .. .. .. .. .. .. ... $ Sewer Tap ................................... $ $ Pressu re Reducer .... .. . .. .. .. .. .. .. .. .. ... $ Meter Hom ................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due.............................. $ Issued Paid B~ J' z.. f Date 5'14' ifJD , ? This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr s requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifica e of Occupancy must be issued. City: ffi :2.. e:i" Plan Check Fee............................. $ State Surcharge ............................. $ 2.0cJ Penalty ....................................... $ Mechanical Permit Fee ..................... $ ~ Sewer & Water Permit ...................... $ city Planner Dale Special Conditions if any 24 hour notice for all inspections 447-4230 (5{) ~O 30 I The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATI'ON DEPARTMENT CHECKLIST NAME OF APPLICANT J ()~e.. ph ']' . \4 i\ \ fY\r~ n APPLICATION RECEIVED A P r \ \ ~'7 -t'h) rl 000 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J45QS 1?; u~tir-d \ ',,",Cl" \ ~\ E Accepted )<l Accepted With Corrections Reviewed By: (2f~~ Date: 5-s''200d Denied Comments: ~~ ~ ~.'QA -A \7~~ ~~ 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." 00-'630 - Thr Crnlrr of Ihr Lakr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,::..>. ,--< 'i.---\ ..-........... ~.h I j .....) . I \ \ l \ '<" '\ "'\ r>, \' C\ \~'i. \ 1 II '} t ) j '''-J ' : '; t .,--\ o The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ILl ~S <~ rc.. \( \ \ \ t\\ r:- " Accepted / Accepted With Corrections Denied Reviewed By: ~ L?~ t I Date: J- 2- .. eo COI;;weJ G..r &~ ~~~ ~,O ~k lAkV~1 ~~~I~h_ V-d;h A;~ ~ 3;q ~ ~ ~\M / 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 PRIOR LAKE ~I)EPARTMENTOF . BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ~ as \S\.0e.k1r"c\. li=. NATURE OF WORK ~^cr n~ 4- t=t\A.~~_ USE OF BUILDING SF"D PERMIT NO. 00 - 0::30/ elATE ISSUED 5"-:;2-2.000 CONTRACTOR Ke\\~~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR ~ DATE ) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~~~ ~ ~H FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) ~~~ ~~CU,J. J " J;\ (1 , I r H/)cJ~ 1/ " I () ( ilt-t 10l I , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS 'BUILDING ELECTRICAL PLUMBING HEATING DO NOT /) ~ ~IJ, OCCUpy UNTIL ABOVE HAS ... . J. .. NOTICE , 7/i)/o?/ 7/ IJ-! ();;J ?//)Iov BEEN SIGNED 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 INSPECTIONS (612) 447-9850 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1-1rl-(}/) 1/ '.,t"5JJ ADDRESS _J45'~S' ~)\A.e~~~~ OWNER CONTR. PHONE NO. PERMIT NO. .oO-~O \ o FOOTING o FOUNDATION o FRAMING o INSULATIOrN} ;z' FINAL o SITE INSPE TION COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP~ ~ PLUMBING FINA~ (f( )It MECH FINAL ,<f LL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o /J() ~ r-- V7 /7 ~~ d WORK SATISFACTORY, PROCEED f o CORRECT ACTION AND PROCEED o CORRECT WOR~LL FOR REINSPECTION BEFORE COVERING Inspector: \.. R-. _ Owner/Contr: CALL 447-9850 Z TH'E NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl