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Home My WebLink AboutBuilding Permit 00-0839 5~~ Pa:.t:: POD -07194- DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bonom) DA T~ RFr.Flua=n CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT mv PID Z5-073- O/D-() /57 At::JnN (Tel. No.) q5:J.-'1'!9-j'7~ (Tel. No.) c.. II 'G~','II ~~1 (Name) (Address) (Tel. No.) <j'. '. It:wo S-r~4;1S ~ -~...., ~:;.:'7mll:itiCO Deck 0 Re.roofing~t/t-p?rc~~ ~ " Alterations 0 AdditiOn~ Finish Anic 0 Re.siding 0 Finisn"tllrsement 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I have fumished infonnation 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 above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. building 0 . 'al can revoke this p . for just caus , Furth~'nore, I hereby agree that the city official or a designee may enter upon the property to pertonn n A.~ ~~ q.jS.OO ~:~""i~..::l..? 3. LEGAL DESCRIPTION LOT J 0 BLOCK #/00611/ tJl4k\ U/. ADDITION J/;;:T'>~.AJ / 0/'1 t:=S .111iJ:".... ",.i..tli\>.,er,,-;.."'I ~~'Jle) (Address) fill/PI!.~S . :\AA1~-s / .5~'-A (Name) (Address) 5. ARCHITECT FOR ADMINISTRATIVE USE License No. SETBACKS: Required Actual Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REQ, SPACES ON PLAN PERMIT VALUATION ~_,."... USE OF BUILDING .ee&/lk TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F H- I M R Oivision 1 2 3 4 Permit Fee ....................,........",.., $ S U City: 'fCf .1 ')' ,.~. 8'1 ?'7'l Plan Check Fee ....,........................ $ State Surcharge ............................. ,01: Penalty ....,.".".""...".,................ .It ~Iq.oo ~. Plumbing Pennit Fee ....,..,............... .It Mechanical Pennit Fee ..................... $ ~ ~ I\. '7~. J!'!../ Side 1. White 2. Pink 3. Yellow (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE IS, NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATB 16. PROJECT COSTNALUE 17. COMPLETION DATE MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES Amount Brought Forward .................. It Park Support Fee ,.......................... $ SAC ......................................... $ Collective Street Fee .............,.,.,.,.,. $ Sewer Tap ,.,.,.,.,.,.,...............,.,.." $ $ Pressure Reducer ,.,.,.,...,............... $ Meter Horn "..".,.,.,.,.,.............,.",. $ Water Meter .............................",. $ Sewer & Water Connection Fee ........... $ Water Tower Fee .............,............. q:: 24 hour notice for all inspections (952) 447.9850 Water Tap ,.............."..".."...,.,.... $ Builder's Deposit ............................ $ Other ...............,.."."..".,.,.,.........;: - Total Due ......w..................... $ '61'''(_0 G_ :::ca,eof Occupency P.,d /67 () q Rece~Pt r.s,3e437~ Date t? 'l t? . do By 'f - the request In the above application and accompanYing documents IS In accordance With the City ZOning OrdInance and may proceed s requested. ThiS document when lanner constitutes: temporary C~rtiq7 ~~compuance i!~~<:'s. c~n~fructio to commence Before u cy, a ~c~c~upancy must be issued. ityPlanner Date ~ ~~ OO.()~3j Th~ ("oml..r or lh.. L.kr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -:rsa~ 1) ; tt- VV\fl"tA_ l' - 9 - 'l.OOf:) APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 69 ~ H ldJ€V\. Oo.."'~ Qir. Accepted ~ Accepted With Corrections Denied ~/?~ ~ Reviewed~/~/V ~ Comments: Date: ~~/s-2 c::, s:.b ~'?:t:t. o-o~lf ./:;;r d~~~: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." ~~ 00 'O~37 White . Building Canary - Engineering Pink - Planning Th~ ("~nl~r of the L.ke Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I - 1- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ") \ " I , . . : (\ ,r . Accepted Denied Reviewed By: -~W.-U/~ v Accepted With Corrections Date: q~/~ Comments: 4rv~) ~~ ~.-1e,€~A. ~A. .41~ '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." b -I-L- +7 L~_ '. ~ ~ ~I~ ~ Cc.'so~ ~ k)~ --I-c. ~ ~~. . '. ~ ~~ ~~w(R~ stk' if(c-. o..-J- "-- ~ rv...,'.j ud,'/l k 0 '- c,v.J. We- f-C<- ~L I~ ~ (fb~LLJI'-u.",- INA.J (]~-l , 1-18-0, ~d " ,~ - ,~ " .'. "'.' ....:;.:;.". .' ,.,... . .,... .,C:'..' . . . '.. . '. ..f;, . . . I..' ~ '. . .',". . . . -,' , .- . ,. ... , .; . . PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 5j -;2~ hllrl)A.:~~ (}-.k~ OIl- NATURE OF WORK C'~\J9A- D.Qrk ~... \..... ~t-r'\_",-~ USE OF BUILDING ---SFD PERMIT NO. ()O . O~:3~ DATE ISSUED 9'-/8 - -;/ nrr'l CONTRACTOR ~~ '<\);~MV\ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT r~ ~. INSPECTf~4 fj./ I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I >,-PATE leJi'C FRAMING (~;~) ~ ~ {f-:;... 10/Zo /tTD , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED '-- I I FINALS - /~. /1/'711rtJ I BUILDING e DO NOT 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 all inspections have been approved. On buildings and additions r-here no service cabinet is available, card shall be placed near main entrance. , Call between 8:00 and 9:00 AM. tor all inspections FOR ALL INSPECTIONS (612) 447-9850 Re- CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~-9;:l;:Z OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING @ o . INSULATION Ql.FINAL o SITE INSPECTION DATE TIME . ). SCHEDULED /1- 7-0 l 3L> 1I/lc!E'~ OCR-Ic) (lurl.i=- CONTR. PERMIT NO. O,f31 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLiNE AIR TST o COMMENTs:~mo.te. de.red-o rS / II) ~. Gfrt-: ~."I)~;; T. I ~. ;,... /7 {;flfrVI ~ --... "'" , ~ ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING 1 nspector: - bi.---:- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANC~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl