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HomeMy WebLinkAboutBuilding Permit #99-0311 CITY OF PRIOR LAKE INSPECTION NOTICE / iT; ~ A.\]". 4 /ZA- /2./ts~ t2/De&-10 . ' L TIME SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. iCf-J// COMMENTS: o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION ~ '#' d' o EXC/GRAD/FILLING o LKSHOREIWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o o FOOTING o FRAMING ~ o INSULATION ... ' FINAL, J)f; "- ~FOUNDATION o DEMOLITION o FIRE PREVo o WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PRqCEED o CORRECT WORKMC LL F~ \ REINSPECTION BEFORE COVERING l( ,- Inspector: ~l \' Owner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! T DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED //-01'/-7<( OWNER y/ ~ l' IC.-~ ~o IJ". CONTR. ADDRESS PHONE NO. PERMIT NO. /9-3/1 o FOOTING o FOUNDATION o FRAMING P. INSULATIO~ /) ~ FINAL c::adl 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 GASLlNE AIR TST o COMMENTS: t"~ p6 o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ Owner/Contr: Inspector: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI INSNOTI '1't . S 7/ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS t/ wi ~. ..k1 4 .~fIj (<( j 3. LEGAL DESCRIPTIO~ I ~J.:\ . . LOT \.. "'5 BLOCK ~ PID ~ 5 I 31>)( j () U:;. ,1 dJ} cL .Af1 d 'A) 1,') ~'P' Ilj 4~ . 4..~ER (Name) (Address) (Tel,~~.).-~ (pJ-:S.., tn, c...\t\CI.€ \ 1'\ ,C'rlc.L\.p. l.t 1),,4 ~~~ 1~1'c.4R (lJ 5. ARCHITECT (Name) r (Address) ,J (Tel. rfo.) DATE RECEIVED IIR'_ ADDITION L White 2. Pink 3. Yellow File City Applicant Permit No. ~.qq-311 , .. 1. Dl\TE 4/~~ 1(1 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 6. BUILDER (Name) ~ez-F (Address) (Tel. No.) Wt fJ/~~~C:.-~ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPEOF~K New Construction D Septic D Dect<Jt Addition D Finish Attic D Re-roofing D Porch D Re-siding D Finish Basement D SEATS 16. PROJECT CUi) 'l"AWe ' Fireplace D Alterations D Chimney D Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 17. COMPLETION DATE 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 property a d that all struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building o.J!iIJial ~e this e It for' s cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perto#de;1 /!spections. X /~/} . ,~~ S License No. ~ SETBACKS: Required Actual FOR ADMINISTRATIVE USE Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ /); i .5' I Total Due .............................. $ '-"I '-1 ~ Paid ~ 4. set Receipt No. ~"4'~; Date +- r t Co {10, By (2..0 (4- T,fJ' ~~at the uest in the above application and a. ccompanying documents is in accordance with the City Zoning Ordinance anJ may proceed as requested. This document when s' ed I 0/1 ~I -c tes te porary Ce~r:r-I1 ,mPliance and allows construction to commence. Before occupancy, a Certilicate of Occupancy must be issued. City Planner 0 e Special Conditions ~ any 24 hour notice for all inspections 447-9850 Front Back Side BUILDING DEPARTMENT VALUATION USE OF BUILDING ->>S 811'; OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION " fo'f'Y!.. t1[") L""' TYPE OF CONSTRUCTION: I II III IV ~ Occupancy Group A B E F HIM 'W S U Permit Fee ..........~~~~i~~..~...~.~... $ S'{.. ./ S- S'L,.~1 .10 City: Plan Check Fee ............................. $ State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ t ~ ~{\ \\ ~ /' V. '>: \( V Sewer & Water Permit ...................... $ ";&~rl):li.~:::~".W't.,7'-'t7 Certl cate of occupanrJ! / Issued Side MATERIAL FILED WITH APPLICATION SOIL TESTS D ENERGY DATA D PILING LOGS D PLANS & SPECS D SURVEY D PERCOLATION TESTS D SETS COPIES PLOT PLAN D 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 ........................... $ ~ /1 j// Th~ Crntrr of thr Lakr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I l , " ,/ /. " I . / " "'.' ," / . ',-. ,<", /",//~// /' (/ ,r; / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: "<// t/ ,,' / // i,' .': ' ,/ "j-" ^-_ L i,.-o l' .r , I i./ ,,'. /'~ / /' r (". ,'- .,' :) /'~; ,.,.-/' \. r ,1 ... Denied / ~ tJ;. d~ Accepted With Corrections Accepted _ Reviewed By: Comments: Date: ~0 )fCJ'1 "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." r 0-3// The Crnler of 'he t.ke Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED Y1ucJzad 'I-Li~9 ~~ v The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ^f1J-~ ;(CLSP/wU>;f x:~ I?d Accepted Accepted With Corrections ~ Denied _ / Reviewed By: / //7f_ /l~ ~~, J/ Date: '1-(2-(7 Comments: I. (ZeJ +f2 .0- ;r;}?e-( '" ~~ , . 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.1I 0-3// The Ct'ntt'r of tht' Lake Country White - Building Canary - Engineering Pink - Planning mJlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED \, /J (; (' I/CtL-( L/--/( -99 ~-fc~~ .. Accepted Date: L(J~/cr~ 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." --