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HomeMy WebLinkAboutBuilding Permit 99-0215 SCHEDULED eJz~ TIME CITY OF PRIOR LAKE INSPECTION NOTICE Ii :- eo ADDRESS ~~ OWNER ~ Tn.- PHONE NO. CONTR. PERMIT NO. '1't ' 21 ~ o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING @ 0 WATER HOOKUP ~NSULA TION (..' 0 SEWER HOOKUP NAL :De0 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: f0 ~ ~ ~ !O~ ~ ~a.- ~ ~ /}~ ~~ ~, /~ cfo ('t~ ~ ~ ( - ) '" ~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o 11~ ~,:,... ~; -- o vyeRK SATISFACTORY, PROCEED IB"CORRECT ACTION AND PROCEED o CORRECT WIJR;, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I Owner/Contr: \ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT .251999 . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) . 1.DATE ;<;- 25 -C[~ tZ / ' 2.SITEADDRESS 14247 BLu..Ebittd ,flAIL. fUZ, PID d'J - 337-051-0 3. LEGAL DESCRIPTION LOT i!. ~ BLOCK -tJ 7 ADDITION KN<JB }..IlL\... 2ND Addrl,O/'J (Address) ._ . (Tel. No.) J41.Yl BL\.\.tb,n.J InCA" Y03 ~'b0&3 JLlL~t7dressh/ll\J,;^-J-r~I.1 (Tel. NY03 "bb~~ '4L~dgSi~b;LiT~,1 (TeI.N~03_6bg3 4. OWNER (Name) .:r AI'Y\€.~ N J68E 5. ARCHITECT (Name) .:J P m€5 N I r.,&E 6. BUILDER (Name) J Arn\:.~ N IgBf. 7. TYPE OF WORK Fireplace 0 New construction){ Alteratns 0 Chimney 0 Misc. ~p t=: (_ 8. PROPERTY AREA OR ACRES Sq. Ft. Z 35 Septic 0 Addition 0 Heating 0 Plumbing 0 Finish Attic 0 Residing 0 Reroofing 0 Porch 0 Finish Basement 0 9. PROPERTY DIMENSIONS Width J~ l~" Depth ) Z. I' Yes 10. CULVERT SIZE A 1. White 2. Pink 3. Yellow File City Applicant Permit No. qq~ 2.-15 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) IO'b (Width) Jq' (; (Depth) I Z \ 12. NO. OF STORIES ONE 13. TYPE OJ: CONSTRUCTION Df:c.~ 14. FLOOR 'LR~ APPORTIONMENT USE REc.JlE.f~li /)1\ JJUE 15. NUMBER OF OCCl,!PANTS OR SEATS OCCUPAWS In - /1) SEATS .8 16. ESTIMATED VALUE $ )'100 .,)~ 17. COMPLETION DATE SEP7 J I Jf11'f I hereby certify that I have furnished 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 property 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~ial ca. n revoke th~S 'rr~t ~r !ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X '>4-~yY\~~ ~ N- In()- .<ab 7- LCc/... GSb> \ J - - Signature Ucense No. Date SETBACKS: Required Actual Front PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET .') ^ , -- USE OF BUILDING I<-ILS fi i 1<" FOR ADMINISTRATIVE USE Back Side OFF STREET PARKING SPACES REO. SPACES ON PLAN , PERMIT VALUATION ~. t"lr:; TYPE OF CONSTRUCTION: I II IIIIV6iJ Occupancy Group A BEl ~-.M DIvision 1 04 Permit Fee................................... $ Plan Checking Fee ......................... $ State Surcharge ............................. $ Penalty ....................................... $ Septic System ............................... $ Other ......................................... $ City: (p 2 . ?.. C) Lff'l.ttl 1.00 ('1 ~\llv'" !;f! Check if MATERIAL FILED WITH APPUCATION SOl L TESTS 0 ENERGY DATA 0 Side PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY 0 COPIES PLOT PLAN 0 Amount Brought Forward .. .. .. .. .. .... .... $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ License Check Fee ......................... $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ o Sewer & Water Connection Fee ........... $ o Water Tower Fee ........................... $ total.............................. $ Water Tap ................................... $ T' Ap.' . BecomJ\..ourBYiJdingpermitWhenAPprOVed. Builder's Deposit ............................ $ ~ Date ~ - (L? - '19 Other ......................................... $ " Total Due .............................. $ 106."}2 ncy Paid IO~.// Receipt No. rt)'.{llf[ :i:: to certify that the request in the above application and accompanying documents is in accordance with the c:~on~ ~L~~:~ may pr:ed as rj'~~ ~iS document when sign By City \a ner constitutes a temporary CertifICate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. . ,<,,~-t1i21. City anner Date Special Conditions W any 24 Hour notice for all Inspections 447-4230 9:00 a.m. . 10:00 a.m. Deferred CfI ~s- Th. C.nl.r of lh. L.k. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DE;PARTMENT CHECKLJ.SI NAME OF APPLICANT APPLICATION RECEIVED ~s AJ; l::J(:JL 3 ~J5 -qq The Building, Engineering, and Planning Departments have reviewed the building permit application for constructio(l activity which is proposed at: 14:J-L/1 fJ-u-LtuAcL ~ d . iUS Accepted Accepted With Corrections ~ Denied n/'J// Reviewed By: ~ ~ ----- j/ Date: )-~~7C/ Comments: -,. ~ ~ ~ ~Qd , , "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." i" / I Tht ('tnlt' of tht lIkt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ".., ,/,.... / I The Building, Engineering, and Planning Departments have reviewed the building permit application for constructio[l activity which is proposed at: . . I I t { L., /'( f (, i r' Accepted Denied t/ Accepted With Corrections Reviewed By: ~~l~ Date: j-2-Q"'1Q 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."