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Home My WebLink AboutBuilding Permit 00-0218 ~~ cc-;rI':-JI\.T6fECEIIlEI>- CITY OF PRIOR LAKE . V" . ',. BUILDING PERMIT . , .', :,... TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . A~ UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBER EO 1 THRUn MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) I ~~hE,_ 0 U Pf'$'I^/ A1-fcJ? PID ;Jc:: - ,~<'f1- O'JS-() 2 SITE 11r.~t IL ~~I.)tfcl 7rL 3. LEGAL DESCRIPTION v LOT f<.. BLOCK S 1 ADDITION -h.M. S /1.( 7 J2!'- 140:VJ~~~v..' f~";.trsll L/t~' JJ..7::'f4}~M 15. ARCHITECT (Name) (Address) V 6. BUILDER (Name) (Address) fit.V1tP '7k.tf'flV- cP~ 7. TYPE OF WORK 'Fireplace LI Septic 0 Dec~ Re-roofing 0 Porch 0 New Construction CJ Alterations 0 Addition 0 Finish Attic 0 Ae-siding 0 Finish Basement LI <.f<lf~N~ Z~ ( (Tel. No.) (Tel. No,) / ,8&7-37Q7 1. White 2. Pink 3. Yellow File City Applicant Permit No. 00- z /0 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14, FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16, PROJECT COSTNALUE 17, COMPLET~~ s:-- 50-0\1 Chimney LI Misc. Ie. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I have fumished 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 above mentioned pro rty and 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 official ca e thi~~r just cause. Furthermore, I hereby agree that the city official or a designee m~ enter upon the property to perfoj19 needed inspections. X 'AJ "7~ "7n6~SO&-'1 9'-1.'0-0 , Signature License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO, SPACES ON PLAN USE OF BUILDING PERMIT VALUATION 3.NY.J. c9l"l . TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U . Division 1 2 3 4 ,4 '1 - Permit Fee ................................... $ . ~ Plan Checl< Fee ........................ $~'" .s-9 State Surcharge ............................. $ I . c:.;-O Penalty ....................................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS LI ENERGY DATA CJ PILING LOGS LI PERCOLATION TESTS LI PLANS & SPECS CJ SETS SURVEY PLOT PLAN LI COPIES CJ Amount Brought Forward .................. $ Park. Support Fee ........................... $ SAC .........................................$ Collective Street Fee ....................... It Sewer Tap ................................... It . City: ~& Pressure Reducer .......................... It: Meter Horn ................................... <r: Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... It Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ .. ........... $ This By i1ding~:~ttr~~~ Certificate of Occupancy Issued 174. f34- ..371(;7 Date This is to certify that the request In the above application and accompanying documents is in accordance with the City Zonin Ordln ce and may proceed Sign~d.b~he CfYllanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certlfic ~..:..__..-.C~ 4-lh5V ~\,<~ V Cijy Planner Date Special Conditions if any 24 hour notice for all inspections 447-9850 ~~ 00 -02-( ( Thf (-rnlr. or Ihr I.akt ('ouolry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~C"\~ \h. ~ vY\ r?-,OY, (. ~s:-m }C.Ji rf'() APPLICATION RECEIVED Afi'\ \ ~ ++\ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Lj C-.. -:)~ ttv fY'Irn; ~b; n:-J T ('(\ i \ Dr: rn- La.. ~ e_ Accepted Accepted With Corrections x Denied V/Ih ~ Reviewed By: ~ l / Comments: Date: l(. I(-?txx;) ~..~cn.~ "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." ~~ [)ZJ -{)ztf Thr("..nf..rOrlhrl.lbCounlry White - Building Canary - Engineering Pink - Planning .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED , \ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , (r" Accepted v-- Accepted With Corrections Denied Reviewed By: ~A~ ~ Date: L{- L I-&{) c04;t?1~ ~ Y:)~ k ~ "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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Ll (o'3U t-\ UlMlIAl\AC&\D\'d \;'". TYPE OF WORK ~l~ '-J USE OF BUILDING ~FD PERMIT NO. Af).- 02/A DATE I~UED r!-/{-2o=o BUILDER ~~cv-, c._'_ X NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE , FOOTING rJ/~1 r~ I G~~ , I , PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~ I I r FINAL . ~ I ~( IS/r~ Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 /7 DATE CITY OF PRIOR LAKE r-kt..... INSPECTION NOTICE SCHEDULED ~ ADDRESS 1'~3fc; ff(jftl'1/ t./(~I?I /JO TIME +!Afl) OWNER CONTR. PHONE NO. PERMIT NO. ntJ, () 2/8 o FOOTING o FOUNDATION o FRAMING o INSULATION @ FINAL oee.;::.... ~SITE INSPECTION 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 GAS LINE AIR TST o COMMENTS: ,tAU ~~~L~ ~J~ J ~ ~ ~....~\ r(ltl~ Jch. ') ,I ~--- ~ " ~-- ------- ---.----...~-.. ~ WORK SATISFACTORY, PROCEED I 0 CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTJ