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Home My WebLink AboutBuilding Permit 00-0539 ~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT tJ7i~~ 1. White File 2. Pink City 3. Yellow ~t 00. ().,,3Cf Permit No. 1. DATE re,!ILi/(JO DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 2. SITE ADDRESS ~ ~ 'LlbifC, A~ 'L~ 3. LEGAL DESCRIPTION ~~_ JJE PID as-.... 310-036-0 12. NO. OF STORIES .3 h Kru)h - - BLOCK t\-\ , \ LOT ADDITION 13. TYPE OF CONSTRUCTION fI~llll-m,'" (Name) (Address) ~ I ~(Tel. No.) y~)...- Ow. " (;ll4Jt.y J~u c-K .j- ViVI/I 1/" ~t. tf)/ f /t/6V1 I~~~-~o~ It V 1--' x: 5. ARCHITECT (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE ..r~i' (Address) (Tel. No.) /MVtl/l- 6hv,e Na '/~ - 1":./0'.- WI,,- 1"1I1J. IJ/l. €/t" ~p JJI~,c. C.. Jive //631.- 1/""14'1' A"'- Ii t..rl... ~n" 31e; L- 7. TYPE OF WORK Fireplace CJ Septic CJ Dec~ Re-roofing CJ Porch CJ New Construction CJ Alterations CJ Addition CJ Finish Atti CJ' Re-siding CJ Finish Basement CJ Chimney CJ Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE (Name) 17. COMPLETION DATE 1 O. CULVERT SIZE 9. PROPERTY DIMENSIONS Width Depth 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 Offi~, r~v~kj th~or j,ust ca, use. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform need, ed,. ,insPectionS. X _A/~.~, ~i/ v--c,l~N~ ~- /.,"-.-:D ~ '" FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLlCA nON SOIL TESTS CJ ENERGY DATA CJ PILING LOGS CJ PERCOLATION TESTS CJ Side Side Back Front BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. PLANS & SPECS CJ SURVEY CJ PLOT PLAN CJ SETS COPIES USE OF BUILDING fu A:-~-'2.. SPACES ON PLAN PERMIT VALUATION WL/.{) DO, 00 , TYPE OF CONSTRUCTION: I II III IV ~ OccupancyGroup A B E F HIM ~S U Permit Fee ..........~~~~~~...1...~.~~... $ B7. Z. S" SIJ:J,71 2. l) 0 Amount Brought Forward .. .. .. .. ... .. ..... $ Park Support Fee ........................... $ SAC .. .. . .. .. .. .. .. .. . . .. .. .. . .. .. . .. .. .. .... $ Collective Street Fee .. .. .. .. .. .. .. .. .. .. ... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Ham.. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ City: Plan Check Fee ............................. $ State Surcharge............................. $ Penalty....................................... $ Plumbing Permit Fee .. .. .. .... .. .. .. .. . .... $ Mechanical Permit Fee ..................... $ ~dJ /j1J Sewer & Water Permit ...................... $ Water Tower Fee .. .. .. .. .. .... .. .. .. .. . .... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ..... ............ ................. ....... $ P' ~otal Due .............................. $ /I:.f~_ Paid P L!::1,S <:( , Receipt No. 37 ~ 3 Issued CoJ 3 . Th;s Is" cer1Ify 1hallhe _ in lhe above applicaIion and a~ documents;s in acconlance _lhe ::'ing oi~ may ~~, Th;s document when ~~a~~t~~~-~~~~~. City Planner Date Special Condition~r~ Gas Fireplace Permit ....................... $ This J;icatiOn pecom Building Permit ~Iin ~pr9ved. By ~... ~ '- I- Date 4 ~/"e Certificate of Occupancy 24 hour notice for all inspections (952) 447-9850 oo~ 0531 The eenler of Ihe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED , /)~ ~ oooe CO # ~ fp/I+!OO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4~8q ~()5ef\lOOD t:2LJ N6 # Accepted Accepted With Corrections ,~ Denied , Reviewed By: ~ 7~1-J Date: Comments: ((r==1\:J) :Dt:l.-AL J-\.A:ND-Ou..\. TIt~ (~~R fl\..A::t"1D..J Or-! lEtG ~~CS. ~/z~/~o A:.N 0 A:.LL ~f'f!-otJE: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." ,it> 00 -0531 The Cenler of lhe L.ke Counlry White - Building Canary -Engineering Pink- Planning BUILDING PERMIT APPli'CATfbN;!.O~PARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ;') I:., (~i I(~': r; 1../ C /::-- '-" &//4/()O / / I' (~" 0 . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 4t: c'9 K/:/~:E/v c C U k-'U /\/ E , Accepted Accepted With Corrections ~ Denied J * Reviewed By: q~~ Comments: ~U~/C)~ ~ ~_,. Pr~ ~ ~ _ ~ tv\Ivj ~~ .\ <>- ~Cc..<<:- '\Q ~4 4- LOr::\ Mivti~ ~ihd<_ t-V$vt'\ .p\f"~ GiAP /~... . '- (9:..wv"io ?~ .~~ ~~/G"~~ ,fJ/~ ~ 0 VS~../vtiJ" ~-..I ~J~.4e' 6 Date: r;-l!-~~ 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 r'~ S' - ... ~ ... : PRIOR .LAKE INSPECTION RECORD. SITE ADDRESS 1~1 ~CJse tJOOD R.tJAD ,J, r;. TYPE OF WORK NeW l)67!~ USE OF BUILDING ~E5,' A/12-, PERMIT NO. 00 - 0539 . DATE ISSUED t:, /2.0 I (J 0 'I ,A _ " .. c. ( z.. - i''S 0 - - z. ~ I S BUILDER I t-\E ~l.... ~ 1)dD~ (2!)~f'rtNV, 4 (.51 - L(S( - 31fJ2.. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW . t?1.'!f~E PERMIT IS BY SEPARATE DOCUMENT u~~, . /J INSPECTOR DATE ~ FOOTIN(.1 i/'{! fJ}, 'lls/(JtJ o-~ PLACE NQ CONCRETE UNTIL .A'BOVE HAS BEEN SIGNED Jt!' l~ 'Il(~ /f1;t i 1/7 / /YO Ao P'^ ~t. ~. ~. d/I:(, 7/(l/~l) FINAL /(fi,- . 7/ It /~ - . .. Call between 8:00 and 9:00 A.M. for all Inspections FOR ALL INSPECTIONS 447-9850 DEPARTMENT OF BUI~DING AND INSP~CTION CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME 70//.00 I:~ ADDRESS /4't,eq l2OSew()t)L) eo I OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING <B) 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP ~ FINAL ~ 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL (JlJ .n53q I o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ ~~ -~...~~ ~~ ~ ^r-~"~ r .--"~/::7'~/ll ..",.,.....,';.,";".:.,.:.. I " ~. L ,\,f, , '. n_ _ A f' I:::f!'V"' ~. ~ \ - c.J ,,::; ~;f" ~ )g(}yORK SATISFACTORY, PROCEED / 0 -CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ' Owner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!