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Home My WebLink AboutBuilding Permit 00-0406 DATE RECEIVED CITY OF PRIOR LAKE / ) BUILDING PERMIT, 6 / ~ 0[) TEMPORARY CERTIFICATE OF ZONING COMPLIANCE q,., f/14- AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No.-'JO-04{)(P DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2.S%~~ ~ .Jl'AMu.(C? ~\q.. \/ ~ ~ ~\.. 3. LEGAL DESCRIPTION 1. DATE ) -/$ -t:?C/ ~(w BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT QS - qa6 - OtYI-J J BLOCK h PID k:. ~ l4; 1\ ~ rvt. A::AdJ t\ (IK) 4. OW~~E~ (Name) (Address) 'I\$<?' ~ fL l,L\-NC~'- . ,~( '5. ARCHITECT (Name) (Addre~) 13. TYPE OF CONSTRUCTION ADDITION (Tel. N~J "1 -:,0 -:J -0/)'1 ...... (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS \ ~~$ 7. TYPE OF WORK Fireplace 0 New Construction 0 Alterations 0 { \uM'C7 . Septic 0 Addition 0 9~~ (,dl~Pl. 6-(1, ~~"1 OCCUPANTS . f SEATS Dec~ Re-rooflng 0 Porch 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE 17. COMPLETION DATE Width Depth Yes No ------ SETBACKS: Required Actual I \ FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 USE OF BUILDING Kes A/t2- OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 COPIES PERMIT VALUATION '" /XtJ 0, f) f) PLOT PLAN 0 BUILDING DEPARTMENT VALUATION TYPE OF CONSTRUCTION: I II III IV fj) Occupancy Group A B E F HIM @ S U Division 1 2 f) 4 r~ 5 Permit Fee ................................... $ ~ t 7 :3 ". 89 .qo City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ " ~~ l)J\, ~\)Q -S ,?l' ) \: Pressure Reducer .......................... $ Meter Horn....... .... ................. ....... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee .... .... ................... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ Issued Water Tap .................... ............... $ Builder's Deposit ............................ $ Other................. ........................ $ . Total Due .............................. $ ~ 6'4- Paid 9t/. rtf Receipt t-J~. ~ II I Date ~!z/(J{) BY~ st in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee~~e~. This document when nstitu1es a _rary ~ ~"fJ'an'" and allows construction to commence. Before occupancy. a Certificate of Occupancy musf be issued. City Planner Da Special Conditions if any This~cation Beco~~,r~i1ding PermitW~~ Approved. By .. .. ~ Date 5i z. S/Ob Certificate of Occupancy 24 hour notice for all inspections (952) 447-9850 (f() -0 M (p The Center of the Lab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \-\ -€J2J..f t \o..f'lJA ~ _, {Y\e 9.- APPLICATION RECEIVED M a..A J I S~ Q(J1)() f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4 &/1) CJ I1-1lfnmLrj b; rel } ru J I N [; Accepted Accepted With Corrections x , Denied Reviewed By: Comments: 't? EA I) I N fa (lW\.i't TI D,J ~ ::t~/-J ;])~ Date: 5lzS'Md r N~D-{}q- ANt) AL'- TftG' 1.t+E. Apf'(L{)J5C PL~S, (!)t-.J 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." ~ DD -D4(J~ The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ €D\f t \c~ fV7A Hc5""'me ~ to /' J ~ I-h ---") /: ^() J \ J "\ J ..l'J I ,C>! () Li ) I ' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted II I " " ..::../ /'-; 'I{ /\ . \:.J (, l.,./ / ii, '(llml I J ~~"" j { I J " ' ,- IV!;: Accepted With Corrections Denied Reviewed By: /1a. ~ V'f~ ~~ Date: S-165/QO I Y 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." - . . ,- , ' . :_,_":........-.....:~.~,!~~""~~...:il~...:.^"'"....:.1o.." .~~:,c--:;.,.~"f. ~//.jjl\.~;.. PRIOR LAKE .INSPECTION RECORD SITE ADDRESS '-/ fo~ H U rrtM I ^JG.BI tef) < {fLAIl- tJ, el TYPE OF WORK NCj W J:)eCJ~ USE OF BUILDING ~S . AI fZ- . PERMIT NO. 00 ., 0 LfOro DATE ISSUED 5J2.,,~/~ Q BUILDER .-tl::.Af<.TL~,JD t-\O~' "'(g(~-B~Z.- liaS7 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 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL (If) I 7, ~. oct Call between 8:00 and 9:00 A~M. for all inspections FOR ALL INSPECTIONS 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS L1GfrD 11v~1~ ~V~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULA TIONOI _ I. a;r'FINAL ute o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: 11175 ~& r /~,1 t?)/Jod I ~ //'I ( ( /' ( O.sc " "--- ---- DATE TIME 3-Ll-u~( 11r- [??--C/a o EXlGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~~K, ~~R REINSPECTION BEFORE COVERING Inspector: Y ILl Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!