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Home My WebLink AboutBuilding Permit 00-0776 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~1 .QATF RFr.F"IV';,Q S./B'OO 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 n _ n 1548'S IU...G{ On k.-<.. Y2..,.,.,.,. /JJ 3. LEGAL DESCRIPTION 1. White 2. Pink 3. Yellow File City Applicant Permit No. OD-6710 1. DATE ., }:;:u) un . 1 kL1 ill BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT :5 PID dS~ IQ4-003-0 M~n 13. TYPE OF CONSTRUCTION BLOCK I. ~~m'~, l'i:.t 4. OWNER / 1,1~"Y'J) './ ;,IAddre,,) /r'l'8~ 44'" U/"///tf!JYI l2f?fd-/",f( O..J.-f 1T'a s"f'. 5. ARCHITECT (Name) )(Address) ADDITION 6. BUILDER (Name) (Address) 7. TYPE OF WORK New Construction 0 V De?lP\ Finish Attifi D \ Rs-roofing 0 porctJ" Re-siding 0 Finish Basement 0 OCCUPANTS SEATS 16. PROJECT COSTNALUE Fireplace 0 Alterations 0 Septic 0 Addition 0 (Tel. No.) Lf'l7 .-<(,<( ,t.) q' (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. 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 me 'oned 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 c re !bis permit for~u-" ~rther.t:#ire, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections. X t ?;'~?.::- /\ Q7J/L ,R. /7. t16 Sign.~ License No. DaM 17. COMPLETION DATE MATERIAL FILED WITH APPLICATION SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT V ALUA TION Side SOIL TESTS o o ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS USE OF BUILDING &<1. , nil< / OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION .'1./Y'Y':)..~ Water Tap ................................... $ Builder's Deposit ............................ ct: Other ......................................... $ Paid Til.D;r0?-..........~~~i~it~!ft~1 Date "'.30.cfl./ ByA~~ This is to certify tha- the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may prOCBedJ's'requested. This document when ~by the. ianner constitutes a temporary Certifi~ of,ZlJling compliance and allows construction to commence. Before occupancy, a Certificalof Occupancy must be issued. - ~'"V''''''' /l;'1}1/~ ..,ny n ef l "Date Special Conditions ~ any 24 hour notice for all inspections (952) 447-9850 TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Permit Fee ..........~i~~~~~...l...~...~..~... $~S- City: Plan Check Fee ............................. $ '1A .S'1 I.SV State Surcharge ............................. $ Penalty ............................... ........ $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ ~ it ~~~..t:...;~i;~.;e:lt ~en ~~rp~ed ) ~ Date _Jif ,. 'LI.I ~d Issued SURVEY PLOT PLAN o o COPIES Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee .......................4' Sewer Tap ................................... $ . Pressure Reducer .......................... $ Meter Horn ................................... c;: Water Meter ................................. c;: Sewer & Water Connection Fee ........... ct: WaterTowerFee ........................... $ &~1 00 . 011(; ThO' Cenler of lh.. L.b Counlr)' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T NAME OF APPLICANT ( A. ) il \ \(\ m '"12). (' 1 o.uck... llur~~ \ "I Drll) ( .) APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \S~'iCC\ Q.u:1 (lo..k~ ~ Accepted Accepted With Corrections <- Denied Date: "'-'2 (~ Comments: /l ~ A~ fIe~/~ ~~/ "The 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." ~~ White - Building Canary - Engineering Pink . - Planning The Cenl... of Ihe L.k.. Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST: NAME OF APPLICANT ( .l L \ \ \(\m~J. (\ (al _ l l UA1,.)'_' J,;rt.. \ r:f \ !::> () (J ( .J APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \ C ! I Y .~ Ii ) I 0 1- . I d _"'\ ; j) C\ \ \ ( k.."'---" .2_.(') c'-- . Accepted Accepted With Corrections '~' Denied Reviewed By: /~~ Date: .~/;zi;/(k;).- ~ CO~~;"'l_~ f>~Cl~K.~. /.x'-. ! . - " ,// ". "The 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 ~lJ8t.? M t:b.~ I2.ofl NATURE OF WORK - ?"'~ ll..X. \ 'Z... r+ D2c 1-- {g Xt2.- USE OF BUILDING SPD PERMIT NO. ()fr iJ 71 (, DATE ISSUED ~-2Jl-'?.a=n CONTRACTOR (\(~i NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING I ) l ,---, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 6/:ECTOR DATE l Win FRAMING vL rJr-r. I /tJfr/% COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I j FINALS ~ /~I/i//i() 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, card shall 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 DATE TIME SCHEDULED IO'II.dO I'/~ ADDRESS /::,4-es- ,e?-b-o O/7;t::; ~ OWNER CONTR. PHONE NO. PERMIT NO. () - 77 ~ o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATlON~O SEWER HOOKUP ~ FINAL 1-"0 0 PLUMBING FINAL , cr SITE INSPECTION 0 MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: /).oAM I ) -.....,./' ,....- ~ORK SATISFACTORY, PROCEED 10- CORRECT ACTiON AND PROCEED :S::O:ECT W~A:L FOR REINS~::::/::n::FORE COVERING / CALL 447-9850 FOR THE NEXT INSPECTiON 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSJVOTI