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Home My WebLink AboutBuilding Permit 00-0431 ~ DATE RECEIVED CITY OF PRIOR LAKE ) f BUILDING PERMIT, 5 ~5 (J{J TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. tJ(y043 I . 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 h31l(;, 3. LEGAL DESCRIPTION LOTQ BLOCK c ou:t:l\ ~ 1. DATE &18.S-!OO BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) ADDITION \li.r hrf"\'(). .3 (). ~ () ~ J:-.i \ AJ.,/r & (Addre:..Js) /b3.7t (' ,( )rv~ 12. NO. OF STORIES , PID Q S. - ?~- Oot;1-O- (~ A.Jf\N 13. TYPE OF CONSTRUCTION 4. OWN :oil ,(Nam~) J. 1 , bll 1'1 k' fL Y""1, ~ 5. ARCHITECT (Name) ....) (Address) \ ,(Tel. No.) (/ , . r 1r ')/ J 0, rcJ' I I r (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE +''I7~;2DJ- 6. BUILDER (Name) 1\ I d;\1!e~ ~O 1'",..) ~ ~ t) r; V ( ~...J l If Ir 1< i': Yl,' C-". (o/'~7- 720 b Fireplac~ Septic 0 De~~ Re-roofing 0 Porch 0 Alterations 0 Addition 0 Finish Att( 0"- Re-siding 0 Finish Basement 0 ~ w/ tu~ ST'J'I'~S (Address) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS DOt, ,\v1 7. TYPE OF WORK SEATS 16. PROJECT COSTNALUE New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE 17. COMPLETION DATE Yes No 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 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 official can revoke this permit for jus~cau. s e. F , I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ./' 5-;;">"'00 Signature '-_ ) -.A ~ ~ License No. CIte -- I FOR ADMINISlRA liVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 USE OF BUILDING 12ss, A/IL OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 COPIES PERMIT VALUATION .2-000 ' &J-O PLOT PLAN 0 BUILDING DEPARTMENT VALUATION TYPE OF CONSTRUCTION: I II III IV ~ Occupancy Group A B E F HIM (8) S U Division 1 2 (1) 4 (, z. z S Permit Fee................................... $ · Plan Check Fee ............................. $ 10, L/ (e, State Su rcharge ............................. $ I, tJ 0 Penalty ....................................... $ Plumbing Permit Fee ....................... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Gas Fireplace Permit ....................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ ,/ tJ.,3. 7 J Paid / ():5./ / Receipt No. 37~ z- I Date ~ lv/a 0 By ~jb.. This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as'requested. This document when si . Planner constitutes a temporary Certificate of Zoning complia~ and allows co~ruction to commence. Before occupancy, a Certificate of Occupancy must be issued. ~ b- \ -~ "..Je-.' "< t..l.e.r\Mi'\ ~~c..a-~1"1 ~ ~~ ity Planner Date Special Conditions if any ~~ ~ l-t!...IA 24 hour notice for all inspections 447-9850 - ----.-- - ~ t ~~ ~oO u'V Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ This 2cation Beco~s Your Building Permit When Approved. By ,......we.. 7~LI Date "LLI OD Certificate of Occupancy Issued (jlJ -043/ The Center of the Lake Country White - Building Canary - Engineering Pink - Planning ~"- ,j;,. , BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Ur0Y'\n r'Y"-') I \ .... 'K(:, ACYll( '''''', ; 1"\ \ /~J- I ,- .. \:- ,,, . I ',^, I \ , (~'" .~ r \ 1'\/ ,A ;\,.,,- ~ \ \ ,f, '" /1 \'..,j APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ':- -1 /" , / \ \. ! '-:---,.1 \\ \ C. ..\,1.,"'''''''\ ..l f t ".' ".. (? ,_ . \, ' .J'-.,' !. \1' '-- Accepted v Accepted With Corrections Denied Reviewed By: 1~ Comments: ~<~~~)~~~~ ~70 l5~VCvv\?e- . Date: 6-1-&0 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 valiq. II ~ 00 - 0 t- 3 _' Thl' Cl'ntl'r of thl' Lakl' Country White - Building Canary - Engineering Pink - Planning BUII_.DING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~;n \<.~Am~ mCud 8s {-h , ;J (Jl) 0 - - APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J bO~C; V~ r~('L G....r-r\fL Accepted Accepted With Corrections X Denied Reviewed By: ~ -:t~ f- Date: Comments: ~(;J ~~ Ht+tJo,..au:r THe /N~~n(),J ~rJ frilZ ~// ItJo . , ~ 0 AL L- APf'/2otlGtJ f/LMs ~ 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 Ic.o3'7Co I)/CTOIL/A CUfGVb TYPE OF WORK 1JE IAJ -:Dt;-r!-I<-- USE OF BUILDING ~e-s, A / R. PERMIT NO. ()O - 0431 DATE ISSUED t:,j / J l1 0 BUILDER "d)Ar<./tJ - I{EItvt./Cj :tl L.jL/7_/~2'O~ NOTE: THIS IS NOT A PERMIT FOR ANy OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPEi\: DATE I FOOTING' . ~ ~~ l Z~ . PLACE NO CONCRETE UNTIL ABOV~ HAS BEE S~ED v FINAL A If:r , . , rlf/ do . ,., 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 I C:;:' ('1, 1. c.. Cb' f ki r{ OWNER CONTR. DATE TIME l/~ --3' OV (JJrv-e- PHONE NO. PERMIT NO. en)- ()Y s I o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING @ 0 WATER HOOKUP ~NSULA TION 'JA ~ 0 SEWER HOOKUP FINAL ()5c...\, " 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: ~ lJQ ^1 ,- /' ~,' o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ,J Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI