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Home My WebLink AboutBuilding Permit 00-0054 5~~ .0411= J:U:r.I=IYI=..D. 2-/~/OO CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1 D;j cfl ()() 1. White 2. Pink 3. Yellow File Gty AppliclUlt Permit No. 00 -0054- DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUE~ ~ease Print or Type and sign at bottom) 2.SfTE7Z7-'~ ~.;'l"-' 3. LEGAL DESCRIPTION .." ~ LOT 3 BLOCK;z.. ADDITION~ P-n./ 4.QWNER (Name) ~~ ~ (Address)_ c..n(~S ~.~ ' 5. ARCHITECT (Name) /' ~ - ""- '{'" ~~A" '- PID 2S-33PJ-DII-O ~(so BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) -- 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE , (Address) (Tel. No.) 6. BUfLDER (Name) 6i1t..-e:5 7. TYPE~~., Firep~S ~::ticO~" ~CkO ~Ref:g~ po!~" s" New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Rs-siding 0 Finish Basem~ Chimney 0 Misc. (I) R~Jf!!.o(:JM, (I) 'BIf7'1-IAYJi:Jfr1 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width ~Pth Yas No I hereby certify that I have fumished information n t . ap' 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 r ~t all tructi all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the ~Uilding official ca . pe for' cause urth hereby agree that the city official or a designee may enter upon the prope~~p j~~~ "'/ /' ,~ /' ~ - LiOO",'NO.,.::L. - (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual Fronl Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS LI PERCOLATION TESTS LI BUILDING DEPARTMENT VALUATION USE OF BUILDING p~c: ~jp . ~ , OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION _~. PLANS & SPECS LI SURVEY D PLOT PLAN D SETS COPIES TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ............................... .... ~ S U City: Amount Brought Forward .................. t Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... t Sewer Tap ................................... $ . Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ (.'2.'2.';- Plan Check Fee ............................. ~ State Surcharge ............................. !t 1.00 Penalty ....................................... ~ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... ~ Gas Fir Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ '-.3. ?5 Paid ~ 2.S' Receipt No., .3" '0" Date2/!,!()c. BY~ J at the request in the above application and accompanying documents is in accordance with the City Zoning Orclinance and may procee requested. This document when lanner constitutes a temporary Certificate of ZO'~i~compliance~ allows struction to comm nee. fore,,?CC n~ertificall!l"..Q.f Occupancy must be issued. "2 .'1-ou - ~ ~ 1"""'.,dI~t-t<wA<. . Planner Date Spedal Conditions if any - - ng Permit When Approved. Date '2 -7-'20a5 ~ Sewer & Water Permit ...................... ~ This By Certificate of Occupancy Issued 24 hour notice for all inspections 447-9850 00 "oo5t> The' ('C'nll'rof lhe> L.kr Counl!'}' White - Building Canary - Engineering Pink - Planning WILDING PERMIT APPLICATION DEPARTMeNT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~~t,d;. Z/4-/00 . , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /(#7/2- ~ ~ ~~ 56 Accepted Accepted With Corrections Denied ~ I/J n Reviewed BG p( & t./~ ~. Date: -z - 7-~~= Comments: eQ(N)J ~ p,. M ""t- +;:-~. ~k "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." , --' ,/j'./ The {'enter of Ihe Lab Counlry White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPliCATION DEPARTMENT CH~CKLlST --...' NAME OF APPLICANT APPLICATION RECEIVED ,_1_- I' '..-- ( The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..-.-./ , ,-, I I " I//L___ , ~/~ ........- , : (;' z,. \....~ Accepted ,/ Accepted With Corrections Denied Reviewed By: qA.JI" ~ Comn ents: t~u.d1 ~ q'~I'.1.9k fYLR Date: ~ tt:J-eID ~~~~ ~2-.'~/'~ hw-~h ~ I'~ ~'" V' " "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 lI,r7l1- 1S\iIAl~ ~ \\- NATURE OF WORK -.J?,rM......9.:- ~.. ,~- '",.",. USE OF BUILDING c:;~() PERMIT NO. 00 - ()Of)4- DATE ISBUED :l-? -2000 CONTRACTOR C:1.eo ~Jl ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I kfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~ I.A z./II--/lo (If'j) ~/ It-I/!? / 4< 'Z- / j(,/(./~ !.'fJ z..,) /I,/~ u I/' INSULATION ELECTRICAL PLUMBING HEATING (if required) --. ~I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I..-.a BUILDING ELECTRICAL PLUMBING HEATING DO NOT I FINALS }. 1 ~:' '. 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