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HomeMy WebLinkAboutBuilding Permit 99-0006 SCHEDULED ~;;k TIME CITY OF PRIOR LAKE INSPECTION NOTICE /it .r1o ADDRESS/72 S 0 76rotVfa .M..- OWNER CONTR. PHONE NO. PERMIT NO. qq~o(P o FOOTING o FOUNDATION o FRAMING W ",~SULATION . ))! ~~NAL o 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 GASLINE AIR TST o COMMENTS: ~".....I.~ (~",;;' ~_.~~ ~ "'--- ~ .-lIP . '"..., L ",' ".- tf~ ~ ~WORK SATISFACTORY, PROCEED ( 0'" CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~I ) . CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Inspector: Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. DATE /2b~/9f 2. SITE ADDRESS I A c ~ I I Wt5LT D'Y'tht<Jn <::f\V 11 W 1< I 3. LEGAL DESCRIPTION lOT &) ~ ~_BlOCK. ~. A PIDZ-52/fl/OC,40 ADDmON (jj/flJ?l.-A'!!f74Jf111i>J :.(ML 40WNtI,; (N~ ~ /~i;.~Av ,~ 5. ARCHITECT (Address) DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) l/!lli:JL! (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) Ow/1<<' DEefS 1. White 2. Pink 3. Yellow File City Applicant IC' . ......l\,.., I"''"'''''' qy,.boot ~ Permit No. 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 7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ Re-roofing 0 Porch 0 New Construction 0 I. Alteratiol}" ~on 0.. Finish Attic 0 Re-siding 0 Finish Basement 0 1 ~"pROJECT COSTN ALUE ChimneyK' Misc. LA Jvu , J... ~ II' I~ot> 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE Sq. Fl. 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 mat I am {he owner or authorized agent for the above entioned property an at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the :uilding Icial n revoke thi It for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe10? ~e;~ys. License No. ~....- Jll"ate FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN ~~ "cu(!) C} PERMIT VALUATION ~l) USE OF BUILDING ,'(IfS p.J~ TYPE OF CONSTRUCTION: I II III IV (~ . Occupancy Group A B E F H I M-<R S U Division 1 2 G) 4 Permit Fee ................................... !to MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA CJ PILING LOGS 0 PERCOLATION TESTS CJ PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES 10.3. 71.-- Plan Check Fee ............................. $ ~2."2.c;- QO.47 I .0" Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ... ... .. .. .. .. .. .. .. ... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ....... ............................ $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid '/ C; 3> i"7 L Receipt No. "3 4 '2, (.) "7 Date ,/tfhc, ByfZ.OY-, This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin6 Ordina~ce and may proceed as requested. This document when sign~ thft. City PI n constnutes a temporary Certi1'ficate of zoni~mPliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. '---.,j . ~ fL'" 2.!l ~ (/ Ily p nner "Date Special Conditions n any City: State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ ''1 \~).:(4t ~y\\1 I." \ \?o \" \V MeChanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace pe.rmit~... .................. $ nv6'2~ Becom Your Building Permit When Approved. B~ ~ Date I 2..- 2A..tf8 Certificate of accl:ancy Issued 24 hour notice for all inspections 447-9850 IOd.72- Tho Conlor of Iho lIko Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ct.rI'jt.A fl ~ APPLICATION RECEIVED 12 - 2 3 -~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J'72~ I&~ Accepted Accepted With Corrections >< Denied /)';/ I Reviewed By:lftl ~.A-- Comments: I. &J !-Ix /J~t I-f-JJJ Date: I 2.. - 2~ - 7', '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." White - Building Canary - Engineering Pink - Planning The Cenler of the like Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Ih4^ foZc~ APPLICATION RECEIVED J ),..--7-'2.,... qf/ v- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: l7J-SO ~oVt9v\\D ,~ ~ ~ Accepted V Accepted With Corrections Denied Reviewed By: ~~~ Itmv~ tw ~~. , Date: t2--2-3r?;g Comments: "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."