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Home My WebLink AboutBuilding Permit 00-0398 DATE RECEIVED 5~(P/oO CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. ~o ..0398 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 ~~ 1. DATE s-'-/(, -Dc PtJD BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION LOT 5 BLOCK 3 ~/NA'6 eI.J:)tiJb 12. NO. OF STORIES ADDITION PID 2.5-3()Z- 036-0 2..NO ~{)()N. 13. TYPE OF CONSTRUCTION 4. OWNER (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS New Construction 0 Chimney 0 Misc. Septic 0 Alterations 0 Addition 0 1JGWDec/<.~ SEATS 16. PROJECT COSTNALUE 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS 1 o. CULVERT SIZE Yes No 17. COMPLETION DATE I hereby certify that I have furnished information on this ap. ion 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 con Ion III c form to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offi . n revoke this pe for just e. rt ore, ereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ~/~.~ License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING /2,e5.-4k.. / OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS 0 SURVEY 0 SETS COPIES ~ ddtJ,Od PLOT PLAN o TYPE OF CONSTRUCTION: I II III IV Occupancy Group A B E F HIM WJ S U Division 1 2 (i) 4 Permit Fee ................................... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. . . .. . . . . . . . . .. . . . .. . . .. . . .. . . .. . . .. ... $ Collective Street Fee ....................... $ Sewer Tap ...................... ............. $ $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ 37.2,5 15 t, · 7 I 21 () () Sewer & Water Permit...................... $ ~ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ Paid q , Gas Fireplace Permit ....................... $ This Appjption Beq:>mes Y.2.\1 B/Jildipg Permit Wh~'}A~royed. By ~ ~~Date 3/'1'2..;LOO Certificate of Occupancy Issued Date The Center of the Lake Country 00 .03~B White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~p S APPLICATION RECEIVED ~ ~crn:)-h-v cJ-i UY\ ) b ~ dJJrJO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: SS53 ~~ 0+('e~ Accepted Accepted With Corrections V' Denied ~ '=I~{J Date: S//9/tJO I , Comments: Re-A-t:) (j)EC,t<::. III1AffJ-(!)U( ANo ALL THe II\/FBILYJ'lA-TllJrJ CJN TffE A/,IJ~tJtl67J fJLANs. Reviewed By: 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." ~ · 6,~ { The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ A P :s APPLICATION RECEIVED MO.....""I (C)Yl:)h-u ( jh (lY", ) b t,'h d (X'uO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1:.......r- ,..-_.,--" .,C"', ,~,).!:;),~)..:5 I'-~I r~S(\,r--\(l rn. :~')t'('e e'+ Accepted / Accepted With Corrections Denied Reviewed By: qf11- j~ Date:. ~2Y?/oo Sdba.cirltJ ~ QiL Comments: i 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." /' /' . /' / P R I 0 R LA K E DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 5553 C;C~SSANj)I2-A Sf; TYPE OF WORK /'fetAJ Oe:(!,/cS (2 L.das) USE OF BUILDING ((~. A/~ ~ PERMIT NO. ()O~03i8 IDATEISSUED SII'lloO BUILDER MArs C..o~csT, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ,J{~ I /~, 6~6~ I _PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED . I I I FI NAL I.~' I ?LSL~ Call between 8:00 and 9:00 A.M. for all inspections ( FOR ALL INSPECTIONS 447-9850 \ I , \ \ \" CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 5 5 ~.3 Cv-oss d.Y\.&.v a J:t.~ TIME wq:~ ~r '. OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI ~F MING 0 WATER HOOKUP D. SULATION @ 0 SEWER HOOKUP FINAL 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: dJ ( .L- tJ - sCJ r o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o CP~ ~~ "" ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING &:r, Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI