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Home My WebLink AboutBuilding Permit 00-0552 DATE RECEIVED &;/;;'/00 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. 00 ~ DSSZ- DIREcnONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS b E 1. DATE b DO PUD BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT 13. TYPE OF CONSTRUCTION ADDITION 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE gva~ &/~ -t/~/- 406 7 New Construction (] Fireplace (] Alterations (] Septic (] AdditiO~ Deck(] Finish Attic (] Re-roofing (] Porch (] Re-siding (] Finish Basement (] Chimney (] Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY D MENSIONS Width Depth 1 O. CULVERT SIZE Yes No 17. COMPLETION DATE 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 p 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 :Uilding off . I ca vok t for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo .:,.e ~ons. License No. FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING 12-, b ~ Back Side Side MATERIAL FILED WITH APPLlCA nON SOIL TESTS (] ENERGY DATA (] OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~~. 00 PILING LOGS (] PLANS & SPECS (] SURVEY (] PLOT PLAN (] PERCOLATION TESTS (] SETS COPIES 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 ................................... $ City: Amount Brought Forward .. .. .. .. .. .. .. .... $ Park Support Fee ........................... $ SAC ..... ........... .................. ....... $ Collective Street Fee .. .. .. . .. . .. . .. .. .. .... $ Sewer Tap ................................... $ $ Plan Check Fee ........ ..... ................ $ 7i./. 7S-- qB . S1 I . ~-O State Surcharge ............................. $ Penalty ....................................... $ Plumbing ~it Fee .. ... .. .. .. .. .. .. .. .... $ Mechanical Permit F~e .......... ;.-;. .. .. ... $ Sewer & Water Permit ...................... $ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni ~ ~.a temporary Ce'2:te of Zoning compliance a allows cons ction 0 nce. ~~ ~ City Planner Date 24 hour notice for all inspections (952) 447-9850 Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee . .... .. .. .. .. .. .. . .. .. .. ... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Issued " ! . ":.1. ...~ '.i: _ ' , ,t' ". .~ .... '.. . '..S'rv . Thr Crntrr or 1M L.kr' Co. nIl')' White " '.. Building . . Canary -. Engineering ,P.ink .." :..Planning .' . , ' . ". " BUILDING, PERMIT APPLICAT'ION DEPARTMENT CH.ECKLIST NAME OF APPLICANT APPLICATION RECEIVED, . . : . , . . .. ' MOn& 13li~\cAer~ '" JUf\e 'Q"d, ....dODO . . The Buildi'hg', Erigin~ering," and Plannih'g bepart'ments have' reviewed the building permit applicatio~ for construction activity which is propo.~~d at.. . . L{o\ OD 'vJ,efi . (~()V~t- .~.E..' . Accepted. ./ ' . . ... . . . . . . . . " ,Acc~pted With Corrections, Denied Reviewed By: . r; fa" I- . aft rI SO YJ . Date:" /3t?/a) ... Co.~ments:@Se~-M~ ':", i/fhrMa.f/ll1. OA 't-A~. reJ/ey-~~ s,clt' oJ . @M/~IIlIA A $:'/ .</'re.' in. 3C21de .'fit-AY . +he . erol'e~tx . r/Ji~~lrke,$~~/~e~-sj,~4M . be 41..~~.e,x'$?~r7~~~~' .s~~ . .a /lttt/tl11t'ltk: ...1. '10A~ ....r; rtt.!, 'p y~.;,f;h '. .7A~~h'DJ-'. .'. '.~., Ert>Sit?"dl1.J.~~J11tuP/l'f 3, - b;'/~J1~"In/.P/~ . . " .".. . .' . I'The' . issuanbe' ar' granting:o.fa ,perm.it or-appro.val', of plans;, 'specific(:itio'ns and cc;>mputatians shall nat becanstrued to. be a perini~ for, ar an approval af~any violation' of '. any of . the provisions of this code '. .or o.f any other-ordinance 'of the jurisdiction: Permits presuming to.: .give authority to. vialate .or cancel.the.provisio.ns af this. cade or . ather ardinances.<>.f the jurisdictian shall riot be valid~ II' . . . '.. '."; ,,::;',,'',:- -,j.;; \.,:.;-'.:' ),.~ ;,', ,:, ~. f' t >'":.::'."'.} ~,;;"",:~ ":.:::,<,'.",',";';' -':' ." .. ::;/'~;,"I 't,i~:~~f:~;:~\~'{ -".- . " ,-' " ;,,",:,:::':'.--::.:',:':':;~""~"<:,:'.,'}~:::'-:> ~.... '<'-:)' "'_:': -,"; ~, -, ',: .,'. 'i,.<: ":';'~'::;("; \,,^ .;' ; ',;f~' .: ,'; "~'.,':', ,", '.- '-:, '-, - ". ,;' - ' ;;, ",. ,<.;.;\~:t:~:~\~;::,;,:);' :.:i:,J:J;:t'. ;~,;';~::,;'.;\f'! . ,,:; "" "': .:",:,'~~.;\(:j: "-'::, ":. . . .' .....~:, ..' .. '<:;;(~i{:,> .':. " . ; i.:;., "'.NAM~OFAPptIOANT .~''&.Al~~'. '... ".." ......... AF>~"'!I~~CEIVED..:r\. ) ('lEt". Qt'().,~() () ()' . Accepted With Corrections' , ~ ~'.: ',,:- t. , .~..~ ThfJ~uildj.og"Engineering" andPfanning..gepartments.have 'reviewedthe'building"permit', .' ~pplicationf()fconstruction activityvvhich is proposed at:, '." , \Jp\OO vJr~f'l( ..Durt~E Denied,":' Revie~By: ~ W-~ Date: ~ -~.' '~',,':iMtf1i{' , '/, ~~~~~~~/' i ~j ~ ~l9Y\ fu b lD~r ~bo..ck:: fft:M-\ ~ E~ "f2> LtA~_ liThe issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, oran 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 DEPARTMENT OF - ... BUilDING AND INSPECTION SITE ADDRESS _llDlro Wtrn GO-n-\- NATURE OF WORK .N~w ~ Atlt:A\A USE OF BUILDING . Sf-A- PERMIT NO. ()t) - OSS-2...- DATE ISSUED (;- 7-~-.J CONTRACTOR --1:1o~~ ""'B\ACI~. ?R6tJ&-- 1./1./17 -l.{"CJ~ 11 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING , FOUNDATION (Prior to Backfill) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED __ I I FINALS DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, car.d ,&!;lall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 CITY Of PRIOR LAKE INSPECTION NOTICE _ ~lfEDULED ADDRESS JUEtJ t. )rl t' ( T OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING (jJ INSULATION FINAL ~ SITE INSPEC ION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: "J~l!K 1.-1, 6- 552 o EXIGRADIFILLING 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: ~ ' Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/ CITY OF PRIOR LAKE INSPECTION NonCE SCHEDULED ADDRESS /'/60 WltY1 C. -I.. OWNER CONTR. PHONE NO. D FOOTING o FOUNDATION o FRAMING o INSULATION ...&HINAL o SITE INSPECTION PERMIT NO. LI PLUMBING RI IJ MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: If/I,-&f:, , DATE TIllE I ~ -;). -QJ Mo H5 J3vI iduJ b6'~S-L ~ILUNG - 0 COJjjJlXfNT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o CL-, ~ ~ XWORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING InSpector;d' ~ OwnerlContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNVIOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!