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Home My WebLink AboutBuilding Permit 00-0252 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~~ DATE RECEIVED ~122OOl DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12.SITEADDRESS ,,/:7 '7/1 /J L / A ~ )L../~ L OO/Il,/t(t'//! L../I 3. LEGAL DESCRIPTION LOT d BLOCK S C' I"L\T\ OJ),J-- \+1 \\s. )f;;"}k J1~ I 1. White 2. Pink 3. Yellow File City ApplicBDt Permit No. 00 - 0 z.. 62- 1. DATE BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES . p'9I~5 ~ d.KLJ-037-0 8f\.D'1c m5DN ,/::>Add~~'7) /1 / . _ q?'L (~NO.),t:) ~. f,d'.-y /oadtAfW1 }5il 7- /lZY:;7 7. TYPE OF WORK Fireplace LI Septic 0 New Construction 0 ~ ~lte~tlons ~ Addition 0 ChimneyD Misc. _/-I/JJ.;n I ~~ 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. J also certify that I am the owner or authorized agent for the abOVe~entioned roperty 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 ~oke tJIiIfperm~r jusj,p8lJse. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perto21n eded inspecti9(ls. X ~ /~ -b2-orl / -Signaty UcenseNo. ~Dale ADDITION 14. OWNER 5. ARCHITECT (Name) (Address) 6. BUILDER (Name) (Address) DeckC'J Finish Attic Ll 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) (T.1. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS Re-roofing C'J Porch C'J Re-siding C'J Finish Basement/' 16. PROJECT COSTNALUE I / I SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION 17. COMPLETION DATE FOR ADMINISTRATIVE USE Water Tap ................................... If Builder's Deposit ............................ ct Other ......................................... $ Total Due .............................. $ Paid 35". 2.. S- R.c.ip Date / l51J By T.hlS~'S c .~. ,eq~~n the above applicatio~ and accomr;>anying d~ments is in accordance with the City Zonin OrdiJ.nce and may procee sign y t ner utes a temporary Certificate ~?onl~~co'Vphance and allows construction to commence. Before occupancy, a Certific _' . . ,..., -\./ if -r7-1A../ City Planner Dale Special Conditions if any Beok Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 1,"00.0 D USE~:~ILDIBp- !1J- TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM Division 1 2 :3 4 Permit Fee ................................... $ R S U City: :ref. Tlb Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ .SO Plumbing Permit Fee ....................... $ ~1Y;; tttfJ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ ::~c~~ ~~~.~~~;ki~~.~..:.vy~n~ro~d _ By '(J1t;1!!J;J' Date '1' J '1- LPCJC> Certificate of Occupan/ Issued 24 hour notice for all inspections 447-9850 MATERIAL FILED WITH APPLICATION Side SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS C'J SETS SURVEY 0 COPIES PLOT PLAN 0 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn ... ................................ It Water Meter ................................. $ Sewer & Water Connection Fee ........... <t WaterTowerFee ........................... <t o - 2- <;""'"L-- fhr C..lle. of Ih. I..k. Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT M (). 'f l r n.. "\,, I I APPLICATION RECEIVED A pr \ \I I~.; d () () (j) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,G; {1 r. 'hDI\ n o.J.- Cl QL... 4~ ~ Accepted With Corrections Accepted Denied CJ~' j~ Date: Y/I Cf/OO Reviewed By: Comments: "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." ~~ 1<1/ Th..('..nlno' Ih..I..k.. ('ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT tJ\ (1)( l ((1 nt \J /+p~1 i Id- I ~) (1 ( ) APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4~4 0\n r~ffi(:J..f) La n~ Accepted Accepted With Corrections Denied Reviewed By: Comments: Date: "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." CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED L(- 2t, -0 C( r ADDRESS L/3 2 Ll C~{.APc...N OWNER PHONE NO. o FOOTING o FOUNDATION P FRAMING o INSULATION '1;1 .FINAL ~ITE INSPECTION COMMENTS: L \ CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~L Ob - "2~ o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~ORK SATISFACTORY, PROCEED o CORRECT ION AND PROCEED o CORREC W 'PJCALL FOR REINSPECTION BEFORE COVERING Inspeelor: : -' Owner/Contr: CALL -!~J FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQU}JMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY/ INSNOTI PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS t/3 d. t.../ r &/1 Lh I'Y! /-I 11/ La JUe. NATURE OF WORK _nut;e IMe.IU+- F,-II/i$ 11 (f)_J-2CX5~ USE OF BUILDING s: F PERMIT NO. o(")~ ~-)d. d DATE ISSUED tj- I/}-~ CONTRACTOR fYJa v k' (' u . _1../ PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPARATE DOCUMENT . INSPECTOR DATE I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING PR Lj... d!?-O t.f INSULATION I I ELECTRICAL I I HEATING (If reqUired) I I J; . 1/ V COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS /J/~ I,), ... ;;'0 -(j if BUILDING ELECTRICAL T1I!P DO NOT );;.-;)[) ,04 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 ail Inspections have been approved. On buildings and additions where no service cabinet Is available, card shail be placed near main entrance. Pf? , FOR ALL INSPECTIONS (952) 447-9850 DATE T1IIIE CITY OF PRIOR LAKE ,~tok~( INSPECTION NOTICE SCHEDULED p~ 7 P ADDRESS I..(~V OWNER CONTR. PHONE NO. PERMIT NO. 6-2SL D FOOTING D PLUMBING RI D EXlGRADlFILUNG [] FOUNDATION [] MECH RI [] COMPLAINT D FRAMING D WATER HOOKUP D FIREPLACE RI D INSULATION D SEWER HOOKUP D FIREPLACE FINAL ~FINAL [] PLUMBING FINAL D GASLlNE AIR TST D SITE INSPECTION D MECH FINAL D COMMENTS: ~ ~RK SATISFACTORY, PROCEED D CORRECT ACT NAND ROCEED D CORRECT FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL .985 F. THE NEXT INSPECTION 2. HOURS IN ADVANCE. CODE R~ENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI I1tSNDTI