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Home My WebLink AboutBuilding Permit 00-0467 . 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 ''3~~\ 3. LEGAL DESCRIPTION LOT ~ BLOCK Uj'\. \ \ ~:'\ \ ~ DATE RECEIVED (,/1 /00 'B:..&SvJ~ ADDITION ~ ~cJl. \\e~ , 4. ~ER (Name) ...J~e... 6: ~\C\.~~c, 5. ARCHITECT (Name) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. DATE ~f ~-l- oC) ,€/ - PID Z5-//(J - ()()q-O A.R.. ~ . (Address) ~( &~~r (Address) (Tel. No.) 440-"4*, (Tel. No.) 6. BUILDER (Name) J D~,,-~. ~ OO~~~.. (f.ddress) _. _.. 4 4:)q ')' CO~.~(X~ C,... r (Tel. No.) 1jt(D - S I f2lb qt.ID - 7/0" 7. TYPE OF WORK New Construction D Septic D Addition D Fireplace D Alterations D Chimney D Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Deck ..-- Finish Attic D Re-roofing D Porch D Re-siding D Finish Basement D 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit No. 00-04&7 BUILDING IfIFORMATION 11. SIZE OF STRueTURE (Height) (WIlIh) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. ~JECT COSTN~ 17. COM~E 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 abor menti ned p operty 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 ficial revo e is pe9\it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfc;rn needed inspections. X ~ \.' ~ _ L{~I eo-I-a::> Signature License No. Date SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING e~ /t~ 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........................... .... .... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ FOR ADMINISTRATIVE USE Back Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ;2,~-o~ MATERIAL FILED WITH APPLICATION SOIL TESTS D ENERGY DATA D PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS D SURVEY D SETS COPIES PLOT PLAN o ('2.Z.S' q () l/1I , -00 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. . . . . . . . . . .. . .. . . .. .. . . .. . . .. . . . . . . .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: Pressure Reducer .......................... $ Meter Horn ............................ ....... $ Water Meter............................ ..... $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap .. . .. .. .. .. .. . .. .. .. .. .. .. . .. . .. ... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $-L..Q3.lj Paid 11J5 71 Receipt No. ~ 7ft5>-q ~v It uilding Permit ~;~.ER~ Date . (oJ Issued Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordinance and may procee a equested. This document wh8{l signe9.hv the ~. lanner constitutes a temporary Certi%cate of Zon!ng,. comPlian~:ws ~stru~o commencl. ~ efor. e oc. cupancy, a Certific e Occupancy must be issued. / ~ O"'8'-C9Uv~~j,(.. ~~ 0~~~c l) ity Planner Date Special Conditions if any .... 24 hour notice for all inspections 447-9850 The Cenler of Ihe take Counlry o 0 - 0# 1 White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ..j ~ C!'A';l:.-al\Ul"'r~ ({l}'fVh 4-. APPLICATION RECEIVED Ju""NL, \ ~~) AOOO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3511 ~s\^..nV(' U('C/O_-' ~ Accepted With Corrections Accepted Reviewed By: Date: ~ -~. z.a:,o Denied Comments: ~ ~ Da1: ~J- 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 rD -ol~lD1 The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT '-~) c:r\ T"l ((;l ~ ((J\(' 'f [\.- (~('\(\ ~ +. APPLICATION RECEIVED J\Jr\~ \ ~+) ';~OOO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -co..,.., _ .'. ...--:---. .. . [ '-.... t:-" \..,/ I' \~'" ~" \: .... \ 1-0'7 -1 (""" I r.......,/ '...j C \ -.--" t...\. .2>"::) ~/'-. ) {J (" . ',__.-11 ( L L ./ Accepted v Accepted With Corrections Denied Reviewed By: Date: U - ~ . C9C) Comments: ~lJ.~/tJ~ 1SM~ L,e~ {)/~1. ~ 4-,9t~\.4e ~ U~ ~t-c- ~~ y~t~ ~ ~ l\A\\A.J\IV\MN\ ~TbkLl<. '\~ ()eL-~O 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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 3S.A1 ~~tI~ ell, TYPE OF WORK ~k USE OF BUILDING S~D PERMIT NO. _ (5 0 -0 4(P'1 DATE ISSUED (, 'G. - GOOCl (' 1 I ,.). t.{ C/o · ~, 9'e - BUILDER ~'^'^ Co..~~ Q. ,.cl~ .7Lt2.t1.'~.\f!'i\ , NOTE,:. THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING tJ~~~, ~/(3/m PLACE NO CONCRETE t)NTIL ABOVE HAS BEEN SIGNED ~ FINAL Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 > ~~~ TIME CITY OF PRIOR LAKE INSPECTION NOTICE -Ar SCHEDULED &S5 wood G. ADDRESS "3581 CONTR. OWNER 0- 4ro 7 PERMIT NO. PHONE NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o FOOTING o Fo(JNDA TION o 1ft4MING l' NSULA TION ^- FINAL ,~ SITE INSPECTION COMMENTS: ~~ -~ /~) ({\ \ l /.()~ ~ . ~ 'vI ~. (ir/ "'~ ..l1ro/ J . v - / ------ - INSPECTION BEFORE COVERING Owner/Contr: Inspector: EXT INSPECTION 24 HOURS IN ADVANCE. RE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl