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Home My WebLink AboutBuilding Permit #00-0351 !' - i(~t~fv~r~,-~\ CITY OF PRIOR LAKE , It' : I : BUILDING PERMIT, , 1; :~. ..~.uu 111~~ORARY CERTIFICATE OF \,1 f '. L~UjPNING COMPLIANCE ;~tl \L-..-~---'- -.- ANB'It1f~LITY CONNECTION PERMIT i i DIRECTIONS . L.~",,~___f- SPACES NUMBERE() 1 THRU 17 MUST BE FILLED IN' BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS Itf/~5" flPfALocSA TRIIIL AlE 3. LEGAL DESCRIPTION 6( BLOCK ~ PID ~~ S - i~ 4 - nOl3- () y Q.~. .;)I\G\ ~J 4. OWNER (Name) (Address) rn ,'K f' ... AYJ', 1)1 :r~l>/\J / S/4C WA '''&A 5. ARCHITECT (Name) (Address) 1. White 2. Pink 3. Yellow File City Applicant Permit No. 00 -035 L 1. DATE '1.- ()7- DO BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT 13. TYPE OF CONSTRUCTION ADDITION (Tel. No.) 'iYllVe- ~-ylptJ,,~,O (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SfVHc fl-s ovJllJe:R 7. TYPE OF WORK New Construction 0 16. PRO~CT COSTNALUE blCkJO 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. . Width Depth . YEIS No . .::riA I ~ ,1()/JO 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 Um the owner or authorized agent for the above mentione property a d 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 0 . oke thi rmit for just use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck)( Finish Attic 0 RIHoofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS Chimney a Misc. x Signature License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING As Alp- OFF STREET PARKING SPACES REO. SPACES ON PLAN PILING LOGS 0 PLANS & SPECS 0 SURVEY 0 PERCOLATION TESTS 0 SETS COPIES PERMIT VALUATION ft 2000, E) C PLOT PLAN a TYPE OF CONSTRUCTION: I II III IV €l Occupancy Group A B E F HIM ~ S U Division 1 2 () 4 '2. ZS Permit Fee ................................... $ ". J/-().~fp I.(j() City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . . . .. . .. . .. . . . . .. . .. . . . . . . . . . . .. . . . . .. ... $ Collective Street Fee .. .. . .. .. .. .. . .. .. ..... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Plumbing Permit Fee ....................... $ Meter Hom ................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $-Lf).:3. 7J Paid /'0371 Receipt~. 374~ Issued .- Date ~-b ~ ;;r7J By 411<-" This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi~ may proce~ requested. This document when sig~ the C"1 !.Ianner constitutes a temporary Certificate of Zoning compliance.~ allows ::onst~on to compe. Before occupancy, a Certificate of Occupancy must be issued. (~~~ ..~L~ ~ () "'eity Planner - '- Date Special Conditions if any (~~ Penalty ....................................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This ~cation Become~ YO!-l! ~~i1ding Permit When Ap~ved. By It... .. it.. ~ Date.5j I". Do Certificate of Occupancy 24 hour notice for all inspections 447-9850 ~ )0 -056' Tht' Ct'ntt'r of tht' Lab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT fV i I<~. ~ Ptr\' to._ -Y'MSOn APPLICATION RECEIVED "'o.'i <6 t-t\) ~U 0 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5/C1..F) AppaJ DO~Q . h.'o:, \ ~ ~ Accepted With Corrections /" Accepted Denied Reviewed By: Comments: R.eA (::) 0)&"<!IL IJJFOIt-~nD,J oJ IH IE ~ =(~;J' Date: 5/10/00 }{If\/4o.J 0 - (!) u...r AN 0 ALL Pi-AJ.J<s , rHG"' APPfUJtJ~ 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 '-0 3~ I Thl.' Cl.'ntl.'r of thl.' Llkl.' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT r\ \\~. ~ APPLICATION RECEIVED V\r}." 1 - I 1\0"tO_ VCLfSOY') vt-.t) --"l . ' 0 n ) exl) 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at /S);:)F) ~. OCl.',o.. - hY)..'\ \ N E V Accepted Accepted With Corrections Denied Reviewed By: c:'-;:tA- ~ Date: 61 tl~dlO 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 valiid." PRIOR LAKE INSPECTION RECORD SITE ADDRESS !,5/r? 5 IlfP A L tJ ()5A l,e, N" E,. TYPE OF WORK NbtU ([)Ec...JL USE OF BUILDING I<ES AI k!.. PERMIT NO. 00 - Q35 / DATE ISSUED sl J 6/ 0 " BUILDER rv1,i<-€ ~. AN t',A.. .ItlAt2..SlJ,..J NOTE: THIS IS NOT A PERMIT FOR ANY OF~THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCU NT INSPECTCI \ pATE FOOTING fL_L23 U;n PLACE NO CONCRETE UNTIL ABOV~ I-~AS BEEN SIGNfD FRAMING 1<e-QlAlflt1)CBc~l-~~) f2;1:) 0(;3o/th> - , DEPARTMENT OF BUILDING AND INSPECTION FINAL ~ t /O/tll /07- 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 ~!LlID-z. /67Zs ~ "L~ SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. c:w- -SS-l o FOOTING o FOUNDATION o FRAMING ~ 0 INSULATION _ FINAL i SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING /1~~ . Inspector: ~ ~ Owner/Contr: V' CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl