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Home My WebLink AboutBuilding Permit #00-0321 .. rrJ;)~H~I=IVEa, If? ~~---, CITY OF PRIOR LAKE L c, ,,' . r =' I -, -' - ':~'.. . ,:_~'! BUILDING PERMI"[ J , ..... TEMPORARY CERTIFICATE OF .... ZONING C,OMPLIANCE AND UTILITY CONNECTION PERMIT 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' I~ 101'1 1. DATE:'; &!Yb4<1lP I LOT :p~()JJt- ~/o.~ ~ BLOCK 1 ... ~ID Q S- - 2.:t[] - rro4 - Q ,?~OJ")}- ~ ~I\IV\. Al:JDl\J C)!r~JeX -IArndk (~JIe r(!fJ:b:!:;:Y~JfCd1 (Address) (Tel. No.) 3. LEGAL DESCRIPTION ADDITION 4. OWNER',' 5. ARCHITECT (Name) 6:8tJtLDERtJ~..am~ -.J (Addres~ (Tel. No.) 7. TYPE OF WORK New Construction 0 Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck)t Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 10. CULVERT SIZE Yes No building X FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BU}l1ING 4- /. ~t; /IL - . / r TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ PERMIT VALUATION 2'~ _ eC> Permit No. -00- ~ 1. White 2. Pink 3. Yellow I // BUILDINb INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. ~ O~ C~TRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY o COPIES PLOT PLAN 0 lJJ2. ~S- qO. 'If, 1.00 Amount Brought Forward .. .. .. .. .. .. .. .... $ Park Support Fee ........................... $ SAC .. .. . .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ S U City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ ,,-~ 'VJ\~~ ,-) '\ Pressure Reducer .......................... $ Meter Horn ... .... .... ........................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $--L-fJ3. 7.J Paid l 0 ~ 1..{ Receipt No. 37 LIt ~ Issued - Date ~ I crfcm By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as uested. This document when s' th C Planner constitutes a temporary Certificate of Zoning comPlian~s construction to commence. Before occu ancy, a Certificate of ccupancy must be issued. _(*";,~<<J ~~ - e~ City Planner Date Special Conditions if any ~~ ~~ 6_ 24 hour notice for all inspections 447-9850 Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ GaS~ir ce srmit;j;'" .................. $ This . Beco s Y Building Permit ~en Ap\aL.oved. ~ ~~-~~~, Certificate of Occu ancy ( ) 67J w03 z,.' The Center of the Like Country White .. Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ ltc,' --;; , . \hr,.. . ..' /"'1 '. I I ,j \ 1\,_ \ G~_.\_" l Q.... -- ~'^(~-\I C\. I /:J '~.\ -7"'(' """\ ), r--'r(' } 1 . ......,J' ~ ~ ~ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: n\~<1 / ()i\~' (1\: '.,lelAl I /"'\ 1"''< (! _A, \. ~ Accepted ~ Accepted With Corrections '.ifili ~:~~., Denied Reviewed By: ~~ Date: Comments: ~~GwWV ~ 1a4~ ~ A-'qowt1 ;. ~~ :VM.~ J:='oY "6~4 '(,b II~ ~.. k Ie; -=Wt-) II\l tI\ {.:)..~"1 ~~l"".~:~ \, 4~~ ~ ~~ 1>~,^ ~~4l ~4 ~. 8>e... ~~~ th~_ ~ ~ J...t\~L..OV'~ l~ 6N. ~ ~~'t~ ~n~ P~/~"~~ ~Y"L"\}/t"<' ~V-<~tlWl ~T4-?~ ev~. 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.1I - 00-037/' The Center of the t.b Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT An PIc .~ ? r;u.., lfl- APPLICATION RECEIVED __ ~ ().J I 8-01rO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: f1\~C1 ~Oj)"):{klY\-\- ~c~rfl_AI ~_' Accepted Accepted With Corrections Denied Reviewed By: Date: Comments: 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 SITE ADDRESS fl1?q j)~~ ~€.c::l&o~ L", . TYPE OF WORK ~(" \c- USE OF BUILDING '5 Ft\ PERMIT NO. 00 - 032 / [)ATE ISSUED S-q BUILDER ,51.JA--OEK- / ~/7St=C . NOTE: THIS IS NOT A PERMIT FOR ,ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE FOOTING ~ 5~/~ PLACE NO CONCRETE UNTIL. ABOVE HAS BEEN SIGNED FRAMING Rbe. i...'!.klt,'0 t>.rbU FINAL Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPEC'TIONS 447-9850 \ I \ \ \ CITY OF PRIOR LAKE INSPECTION NOTICE SCliEDULED ADDRESS 111 2.. q p~~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBINC:; RI o FOUNDATION 0 MECH RI o FRAMING @ 0 WATER HOOKUP . ~ ~NSULA TION 0 SEWER HOOKUP ~INAL 0 PLUMBINGi FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: ded<-- ~? J ~ ,-- 0;~25 ~ TIME ta".~ o - 3 LJ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ ~~-~- ~ ~tRIt~~._~ <{~c: z= -9ie~ ~ ....---. -- -~------ )()NORK SATISFACTORY, PROCEED I 0 v CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ' J Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTI()N 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PElt~ONAL HEALTH & SAFETY!