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Home My WebLink AboutBuilding Permit #00-0162 DATE RECEIVEQ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant .23m Permit No. () 0- 0 I (p, Z-- DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUYO (Please Print or Type and sign at bottom) 2'//b/SS$;tIUI/),OJ/'L, ~r L 3. LEGAL DESCRIPTION V ro BLOCK / ADDITIO~ J /~N (J A H / Lf-, 4.o~~;S:~;;1 ~1/r1'~ (Address) 5. ARCHITECT (Name) /Z) 0 )/.. / / . I<.~ r I? C,. LA /' c:.... BUlL" INFORMATION 11. SIZE OF S"I"AUCTURE (Height) (Width) (Depth) A!6 12. NO. OF STORIES LOT PID 25-3LI9- ~-O -.-3 RD #~-;;'t:5R 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE (Address) (Tel. No.) 6. BUILDER -Vetil (Name) (Address) f-nR~ ~ &R-N (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. Fireplace 0 Alterations 0 Septic 0 Addition 0 1 i Dec~ Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 17. COMPLETION DATE which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for rm to all existing state and local laws and will proceed in accordance with submitted plans. . I am a re that the e, I hereby ar:Jhat the city official or a designee may enter upon the property to p~ ~~ed ~ ';tions. License No. 7~".. , FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION Front Back Side Side SOIL TESTS o ENERGY DATA o USE OF BUILDING / eE5>~ OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 2, O~. rl::) PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. . . . . .. . . .. . .. . . .. . . .. . . .. . . .. . . . . . .... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Division 1 2 3 4 ~22-t) 40.4(", { . tJCJ Permit Fee.................. ............. .... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Sewer & Water Permit ...................... $ .~:~ .....~~~.~.:~~1lI' ,~roved ~ DateS .l31.~ Certificate of occupancr Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ /03. 7 I Paid to '3...., J Receipt No. 31 , \~ Issued Date "3 !~~ I o.."J By '(L/) tt This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce and may proceed as requested. This document when ~. the '.~' Planner constitutes a temporary Certifjca~ of~o}ling compliance and allOW, s c nstruction to commence. Before occupa~ C,:rtific;15 ~ ?:c~Tncy ml!st be .iSSUed. '~ 3IZ!J/~ ~.... _ C.)A4..,~'~~_~r\l8A~, ity Planner date - Special Conditions if any 6 '7 \'(IV , Pressure Reducer .......................... $ Meter Horn....... .... ..... .... .... .... ....... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ 24 hour notice for all inspections 447-9850 ~ ({7) -O(lJ~' Tht' Ct'ntt'r of tht' I.akt' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I?~ !5f/,e6Sfj 3j? ~/tJ () The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 467/IIIJ/'1I'1/Jl/613/K?-O //L /VG" - / Accepted Accepted With Corrections Denied ~ ~ ___ Reviewed By: ~{fl '3;~ Date: -:? -'2 q~ 2f:X::XJ Comments: {. ~o.& -'~ dece /l~ oJ-- liThe 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." ~ 6lJ'- O{lRV Tht Ctnttr of tht Lakt Country White - Building Canary - Engrheering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT A:>j (~l-f;tlKO I:! (/ ~ &Sf!' '-2 I?-? />1 /) . ....;.-'1 t:---," I (J V / I APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: t:~:J.~5'7 /',/~,~>'/i-//t//J'l/ ...(.;:/''/;:::./..-/' -~?7<! ,/V C Accepted ~ Accepted With Corrections Denied Reviewed By: StAA..-~~41 Date: 3-Z~-@(J Comments: AfiV~ ~ ~k, ~~~ ,~~ .s~oj ~~, ~~~d pv~~ f1r~ ~ ~lWt( + ~\AI<e..- b9v- a,; ~Q.~ \.t D' l),,;w8 ~ Se 1~~ k &t- I S ~ r TD I tf. Ft '" liThe 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 l/S'V tlUtM\Mi\AJV>I'r-oQ . \ h:t,\ TYPE OF WORK ~('i::: _ USE OF BUILDING SF\:> PERMIT NO. ()()-- (2/ h Z--- DATE ISSUED 3-;23-2oc:>o BUILDER Fi=e.Q..~C41- /) S G\ e~~ NOTE: THIS IS NOT NPERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTIN~ ~ ~ INSPECTOR 1-\ \1\ 00 DATE _CE NO CONCRETE UNTIL\~BOVE HAS BEE\}SIGNED (K) ? \:)%' ~~~e~~~ 81:~~;~~~~~~~~~;~;;~~ .' FINAL o FOOTING o FOUNDATION o FRAMING ~SULATION L AL r, o SITE INSPECTION CO~ I~: ( \ ~ V'- C)~? ~/ ~/ /' CITY OF PRIOR LAKE-__ INSPECTION NOTICE ADDRESS 457/ OWNER PHONE NO. 'V ----- / / D~TE TIME -----~ SCHEDULED 5 3.~ ---..~ I ( ~- l-.Utn~db('y- J C~N~. lo:s:;, PERMIT NO. 0-1(,2.. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ \ ----....... ('1~ ~~k ') / ----------- OR REINSPECTION BEFORE COVERING Owner/Contr: THE NEXT INSPECTION 24 HOURS IN ADVANCE. TS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl