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Home My WebLink AboutBldg Permit 06-0042 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 "] if Z-"5' 3. LEGAL DESCRIPTION LOT J BLOCK ADDITION 0l.+,J'~ 4. OWNER (Name) g~ 5. ARCHITECT tf-lame) 6. BUILDER (Name) 4~~ 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. DATE RECEIVED CITY OF PRIOR LAKE 1/, B. as BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. 0 (p . 004- Z 1. DATE J;x. h:../ 1</ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) }Yr..:1 12. NO. OF STORIES , ( 1'1- PID Z5, 37&. 003.0 ~I.- 13. TYPE OF CONSTRUCTION 1f:::oRA~~R':N~ Jk nil ( Iv-.. (Address) (Tel. No.) (Address) * ~ tJtVJ!!.rf.D (Tel. No.) t,/2. 3(,9, /3U. (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE e~- 17. COMPLc: IIU,'oI DATE (Address) I CI' et, ~'"" t/1uc- S L f!,:, rvr,L I~ 1J..."l<. ~ ~ Fireplace J Septic LI Deck LI Re-roofing LI Porch LI Alterations 0 Addition l'C.. Finish Attic 0 Re-siding 0 Finish Basement 0 frl 'o/'(cr 'I.Ff~ .... 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE 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 abo. ve mention:r. pro rty 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 officlar~revo th rmit for just ore, I hereby agree that the city official or a designee may enter upon the property to perform l)8eded inspections. X / .' 1 L, 200"30'1 z... III~/'Y \...;V" Signature License No. . Date SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUILDING FOR ADMINISTRATIVE USE Front MATERIAL FILED WITH APPLICATION SOIL TESTS LI ENERGY DATA LI PILING LOGS LI PERCOLATION TESTS LI PLANS & SPECS LI SETS Back Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN u PERMIT VALUATION ~OC) tJ, tJ 0 SURVEY PLOT PLAN o COPIES o TYPE OF CONSTRUCTION: r II III IV V Occupancy Group A B E F HIM (J!P S U --- --~ Permit Fee ................................... $ u~.c I 73. 7~ 1.17.''1 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ...... ................. $ Sewer Tap ................................... $ $ City: Plan Check Fee ............................. $ State Surcharge ............................. $_'. 00 Penalty ....................................... $ Pressure Reducer .......................... $ Meter Horn ........... ......... ............... $ Water Meter ................................. $ ~ Sewer & Water Connection Fee ........... $ WeterTower Fee ........................... $ Gas Areplace Permit ....................... $ to Water Tap ................................... $ This ~lIcation. Becomes Your Building Permit ~hJl" Approved. 13. ~ Builder's Deposit ............................ $ BY~ r::p ~J... Date ~/1J t. " Other ......................................... $ CertWicate of Occupancy Paid TJ~..~)~..9......~:i~;~0~ 1~q'1- Issued '. Date /--;:)-7- h By ~ This is to certify that the request in the above a,.~I:....~on and accompanying documents is in awv.';"nce with the City Zoning Ordinance and may ~.w......: as~. This document when S~lQned . ~rary CertifiCfe of Zoning ~~ance and allows ,truction to ~....ce. Before ~nCYV;te of Occupancy must be Issued. /-/2",- ~e.~ c--W1dI"~ -r- citY P r Date Special Cond~ionSilii 24 hour notice for all inspections 447-9850 Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ ( "nit, - Rulldlnti) Canary - Engineering Pink - Planning BUILDING PERMIT APPLlCATIQN DEfARTIWfNT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /iN oeeso;./ F/t /"11 t.-y' H ~1'16S /1.8.05 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3425 Fox miL ~/L- Accepted Accepted With Corrections /' Denied r Reviewed By: ~ ~ Dale: I' 2;fo l, Comments: V~H .J) QJ yf)---/ ~ ~ C::;--.L? I'-CJ ~I I J ~ --- wr ~ ~ 30 ~~.I"'~ ~ ~ ~ ~ ~/4<L.L;""~ ~ _c::!)r:;' ~.,.. I.-,,~;.J "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 -EnCjlllneerlng. ~nk - Plannlnq) ~.<<- BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / i i-',r'} / i / L.- ;- / '/ , e, ~- /I. :-./.r::- '1lJ,.,. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .. /- it:. ,., ! '-- I /- r{ I L- Accepted Accepted With Corrections x Denied Reviewed By: ~ ~ ~ Date: /~ / Comments: - //fax en~l'"~iWlI!II't.- ~ yc.st:rU /nb ,;u- /e -hMl*t >-"/~A.ei t::~~ ~eJ $I).s,-& - /#I\I~ ie iN'*- a.s ruU-d ~ 011 s~ i / '., .J "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. II I - ~ \ / PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 31..125 flbJ( 7 A;L TJtAJ~ TYPE OF WORK ~ ~, VUrt/-;hu!tf: 6-t~ zs' A<<r6-.eft. (Fiu,tr) USE OF BUILDING ..~ F'. f), PERMIT NO. (Jr;. 0042- DATE ISSUED 111'31e~ BUILDER ~$''; ~"';,., Ildlt,~$ PHONE #1S2 ~'1"t7... ~-~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ./.500nN~ airfif-k1 '$'fq;1' "'M' ....ftt" I om PLACE~ NO ..CONCRETE UNTIL ~BOVE HAS BEEN SIGNED I FRAMING ~ ~~~i u.J '- I ;rn_ J .I!"! tJ e- ()/) . FINAL \f f) I 7/10/11 . r 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 3 4 '2..15 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING p..)NSULA TION ~INAL o SITE INSPECTION COMMENTS: ~ DATE TIME SCHEDULED 7~ fix: J~' TJ CONTR. PERMIT NO, W -OCt{ 1.-- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o G\o~ ~ t l,o o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI INSNOTl