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Home My WebLink AboutBuilding Permit 00-0496 ~ QAIf RECflYEQ. r,lq joo CITY OF IPRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. ()O-{)4!jfa . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 1. DATE 2. SITE ADDRESS /J 1'1332- Dl-UMIUJ ~ r 1211/'- 6,-7-00 K--/ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION It- ADDITION J4.h JJ 12. NO. OF STORIES LOT BLOCK I fly L- L. '117+ PID -.2~5-.3b2- 0/2- (L 13. TYPE OF CONSTRUCTION 4~WNER f (Name)) UJ~i( ,~ lJJ~ 5. ARCHITECT (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Address) (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) 39~'/ 4/PbLf,J,)', PI., 952- 1/ "'7- P1s5' 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS t~{P~MA&J' 7. TYPE OF WORK New Construction 0 Fireplace 0 Alterations 0 Septic 0 Dec~ Addition 0 Finish Attim . Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE 17. COMPLETION DATE Yos 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 an a nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the e this p i ~s cause. Furt. ore, I hereby agree that the city official or a designee may enter upon the property to perf~ need.ed inspections. ~-z"oJ~'2,.~ ~ -7-(}0 Signature . License No. Date - 11- FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUILDING ge.s ~/~ I OFF STREET PARKING SPACES REa. SPACES ON PLAN PERMIT VALUATION "'Z,t}tJo,oo PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES TYPE OF CONSTRUCTION: I II III IV c2J. Occupancy Group A B E F HIM ~ S U Division 1 2 @ 4 J - ", '5' Permit Fee ................................... $ tl!.-V ' Z Plan Check Fee ............................. $ 40. J.!t; State Surcharge ............................. $ I. IJ () Penalty ....................................... $ Plumbing Permit Fee ....................... $ Cit:..~ ~()U Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ..... ............ ........................ $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Sewer & Water Permit ...................... $ Water Tower Fee ........................... $ Water Tap ................................... $ This A~tion BEl comes YO!J'.Building Permit When b2proved. Builder's Deposit ............................ $ By ~ ~ Date ---':1(Y/~ Other ......................................... $ Certificate of Occupancy pai~ T(On3 .::ii.............~~~~~;~o$ ~ ~~. ~ f Issued - . l. Date <o! d 41Io By ~ 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 a req ested. This document when sign e' Planner constitutes a temporary Certificate of Zoning compliance ,r~ ~"~WS cons~~ to c'1::~Cy, a Certificate 0 upancy must be issued. ~-\~~ ~~~~ - ity Planner Date Special Conditions if any Gas Fireplace Permit ....................... $ 24 hour notice for all inspElCtions (952) 447-9850 The Center of the Lake Country DO~041~ White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED IC OCt::- {!/266,i::::.. /-IOH b S fa/9 /00 -I' / The Building, Engineering, and Planning De!partments have reviewed the building permit application for construction activity which is proposed at: / 4332 (3L,U6~511GO /~/I Accepted Accepted With Corrections /' Denied Reviewed By: Comments: R ~o I ~ ~It. fVv\Tt orJ ~ 7~f.- Date: ~ /9/ a[) , , :De-elL rtA:ND- D~ Mo kL ., ff~ ON Ttt f:: APPC2.olJE"t:> -PL..~S, 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 06~o4qc'o White . Building Canary . Engineering Pink - Planning The Cenler of lhe Lake Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ',,'./ ..r (.-~ .I/~' /.... ( .... ,:c..~_ C.('." -'.....~' .r~'-- i!:~'- /' (::."', :~-_- I I ,c' ~,",' 1 / j /1 u The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4 .~.;~ ~:~, 2 I . I C-" , I I I I, Accepted ~ Accepted With Corrections Denied Reviewed By: ~~ Date: --.Ii ~ l (p ...,&i) Comments: A;v~ F~ ~)e.r~ '" ., 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. II '----- PRIOR LAKE INSPECTION RECORD SITE ADDRESS I t.J$3 z- :f:>LllG' 8/ fi!.tJ / !lA:./'-' TYPE OF WORK Ne-w /i)E~~ USE OF BUILDING f:J.:::/~, Alt2-, PERMIT NO. ()O' 0 Lf9& DATE ISSUED 1.0/9 /()~ . =*- / r - BUILDER e.oG[L. 6-et::~ ~~S ~S2..- '-147- 0'155 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTI,~NS BELOW THE PERMIT IS BY SEPARATE DO~~~NT , . D\TE / - FOOTING . ( \ v . ~ '},!/ Ji'd PLACE NO CONCRETE UNTIL ABO\~ HAS BEEN \ SIGNED 'v Wd;/; ,5, F ~ .'l-7e~ )'YJ1'f Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 DEPARTMENT OF BUILDING AND INSPECTION FINAL