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Home My WebLink AboutBuilding Permit #00-0339 GATE ~ECEIVED. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant MAY I am Permit No.-.IJO-D33Cj . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) t'''WCJi(o 'S.f<:: 'ruA) t:,..- ?4 eJe.- 3. LEGAL DESCRIPTION I '1 BLOCK ~ .tlf ADDITION \ ~ l~ _ \t\ t.-vJ . ~t- A-{Jj\t\J 4. ~ (Nam1- 5. AR~~l; M (~am~~~ (Address) 1. DATE ~ s-s-~ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT (~S:-14~3'033-{) (Address) (Tel. No.) Lf'f~-?~ $iS' (Tel. No.) 13. TYPE OF CON~RUCTION ',' ,_ ~~~AL-~~ 14. FLOOR AREA APPORTIONMENT USE 6. BUILDEF\. (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE ~/f- 7. TYPE OF WORK New Construction b Fireplace LJ Alterations 0 Septic LJ Addition 0 ",- Deck-d" Finish Attic 0 Re-roofing LJ Porch LJ Re-siding 0 Finish Basement 0 Chimney LJ Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Yos No 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 m~tionec1 t all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the b' ng ci e It for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X s=-S--~ License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS LJ ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING fe:5 A,/ /l- OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION "S{)CJ t) . 8a PLANS & SPECS 0 SURVEY LJ PLOT PLAN LJ SETS COPIES TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ Plan Check Fee............................. $ State Surcharge ............................. $ S U 7i.J. 7S 18, 59 /.50 Cily: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Penalty ....................................... $ Pressure Reducer .......................... $ i ~ PlurriJlng Permit Fee .......... ...... ....... $ ^ nO ~ Meter Hom ... .......... ............... ....... $ Machanlcal Permit Fee ..................... $ t Y'J~~6\) ;e::r ~e:~t~~ .~.~~~~~t;~~ ~~~.: :::: :::::: : Sewer & Water Permit ...................... $ / \ W t T F $ (? a er ower ee .. .. .. .. .. .. . .. .. . .. . .. .. .. Gas Fireplace Permit ....................... $ Water Tap ................................... $ This A~tion Becomes~Uilding Permit W~9. e.Pproved. Builder's Deposit ............................ $ By ~~ ~ ' I- Date 5/'9/"() Other ......................................... $ . Certfficate o. ClooJpar.:y . , Pakj 7Z4"B2f....... ~~:;... $ ~y;f1t Issued ~- Date S} (J7) By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni Ordi ance and may proc s requested. This document when s~ by the Fw P~anner constitutes a temporary Certificate of Zoning complian~ and al.lows cK'structio~ to comjllencl' ...Before occupancy, a Certific e of ~cupancl must ~~tf,?L......... b--~ V~_~.q-~~~~-r-'IO ~~ . City Planner Date Special Conditions if any ~ &.w.... 24 hour notice for all inspections 447-9850 n '633 ~ The Cenler of the Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1(~ d d_ dt5 I~, '~cro APPLICATION RECEIVED ,'A..o...-,~~ / dJ tY/1 fj The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5616 5 ~ i~ AI(ilJjJ~.. Accepted Accepted With Corrections ~ Denied Reviewed BY:~~ , Date: 5-- tl -&)0 Comments: ~cv&~~~~~4~\30~ <;:~0A-~~ ~ ~~ ~1/"tUf (Jt~~c:.w 1..$~~... 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." 00-0330 The ('enter of the Lakt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \DolJ j~~CJY\ ~I ('j;::: I dJ)?) U APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / S 6 J ~ S"\ fz Y } I' f\.L ~e,(ljJe..., Accepted Accepted With Corrections ;( , Denied r-- Reviewed By: ~ -=I.L<..cf2f-J Date: S/9/tJO Comments: J(B/t;O ~~ H~a- 6G(,1 Ma ~LL ~ /NFatt- ~T7o-JJ f),J I1t 15. A-PP~tJe D PLA+Js, 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 INSPECTION RECORD SITE ADDRESS /Sfo/<'.t. ..,IJ<l//IJ.-le AJ~, TYPE OF WORK NeW ~ ~<:::....- USE OF BUILDING ~eS . A/.e. PERMIT NO. no- O?;3q DATE ISSUED S/9/cJd BUILDER ~O[) J'Y/, ~#NsoJ ,. /' . NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR ,. D!,TE FOOTING In.. 1/;-J//t!tJ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S'IGNED FINAL h. , - r/ /5'/(fJ , I Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 \ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS \ Sb 16 s k:.'t l.h!. CONTR. OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING :@ ~ ,NSULATION ~ :INAL o SITE INSPECTIO o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: C ~ ... ~~,I I i!>~ AVL TIME . 6~ (A~ o - 330j o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o )( WORK SATISFACTORY, PROCEED 10'" CORRECT ACTION AND PROCEED o CORRECT ~ CALL FOR REINSPECTION BEFORE COVERING Inspector: ',~ ' Owner/Contr: . I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI