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HomeMy WebLinkAboutBuilding Permit 99-0334 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED fo-J7-Cfj q ;-00 ADDRESS 45 Cj I o VOr look l:l..vN(, OWNER CONTR. PHONE NO. PERMIT NO. CfCJ - ~) - 3s4 o FOOTING o FRAMING ~NSULATIOrDA FINAL o FOUNDATI o DEMOLITION o FIRE PREVo COMMENTS: /~~ o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL y~ 0 ;'="ON o EXC/GRAD/FILLING o LKSHOREnNETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o 1~~ J ~ :l-tAtJ (1~ ~~ I t! 7~n / ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT wW FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: V CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI T" CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 3. LEGAL DESCRIPTION LOT -:.e.- 1 BLOCK ttkd"r 4. OWNER . (Na.lJ"lV $"~<- ~d~ 5. ARCHITECT (Name) /..JW.U k: P 6. BUILDER (Name) /2 (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS .--:k.tt r/el/2- L!C{O-3S((p OCCUPANTS}tf\' 7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ Re-roofing 0 Porch 0 SEATS New Construction LJ Alterations LJ Addition LJ Finish Attic LJ Re-siding LJ Finish Basement LJ 16. PROJ~ COSTNALUE Chimney 0 Misc. 9f' / ~CJC) 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT ~ 17. COMPLEtioN DATE Sq. Ft. /~ CO/ . Width :f-rre~t/~ Yes ~ t.. -/9 _ 99 I hereby certify that I have fumished information on this ap~cation 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 al nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildin . ial revoke this perm' or just ~urthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ~ ~A ~q-99 ""1S\;;;;tur ~y License No. .' . Date' DATE RECEIVED . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2'4;9/SS rJJ<'tt-r~k 'G. ~ ADDITION ~9 ~h PID ~"d (Address) ~#~~ (Address) 1. White 2. Pink 3. Yellow File City Applicant Permit No. Y/- 3:)~ , 1. DATE 51-~9 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Hej,gh9 rN~idth) Depth) q -r. a...,.-- 12. NO. OF STORIES ~(Pr 13. TYPE OF CONSTRUCTION ~Q.C' k 14. FLOOR AREA APPORTIONMENT USE (~r;'~r /VI'! Lc.:J.f/'o /I (Tel. No.) ~'/?-//J/ (Tel. No.) SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OR:~I~DIp- / ~ t TYPE OF CONSTRUcnoN: I II III IV ((i) Occupancy Group A B E F H I Q' S U Division 1 2 6)4 Side MATERIAL FILED WITH APPLICATION SOIL TESTS LJ ENERGY DATA LJ PILING LOGS CJ PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY LJ PLOT PLAN 0 SETS COPIES City: I.nm .00 PERMIT VALUATION PermR Fee ................................... $ '34."1') Plan Checking Fee ... .. .. .. ..... . .. .. .. .... $---2 '2 . '5' ~'i ;.50 State Surcharge............................. $ ~J!I I' V) Penalty ....................................... $ Septic System ............................... $ Other ......................................... $ By Subtotal............................... $ mes Y~r Building Permit.When Approved. A- Date c:-( '2 -7'1 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ License Check Fee ......................... $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builders Deposit ............................ $ Other......... ................................ $ Total Due .............................. $ &)l.!iS L/ Paid 51..l; q Receipt No. ~518-Y Date 5-il-ctC, By U-~ This i~~. .~ at the req in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as reque~ed. This document when sigPlld ~~wnner nstitutes a "'t'u,,,ry Ce5-.iJl!!t!f::_Pliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. .- .I City Planner Dale Special Conditions ~ any Issued 24 hour notice for all inspections 447-4230 ,-.. _-L..-.... -..~. .... ... , -,- .. , . " Th. e.n.., of lh. Lob Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CI1.ECKLlST NAME OF APPLICANT APPLICATION RECEIVED / ! The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted / Denied /' /]I A Reviewed BJ j.0'l') .. '- J~ Comments: JLJ;' ~ ~ vu Accepted With Corrections S--1/-77 ~~~. Date: "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." 9q - 334- Tht ('tn.eor of Ihe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED STev6 R,c;6Tz=;- 4//~/qC; The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections <' " Denied fL (!IJ/ k-- Date: 5-/2-9( Reviewed By: 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." ,- ._'-~-----'-'~'-"'---""'-'-.._""'--"'-'~'~'-'-""",~",'--~'- PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS As-en O\Jedoo\c-. ht-~ TYPE OF WORK D~c Ie USE OF BUILDING ~~D PERMIT NO. q1- ~3L{ BUILDER . ~~~ 'PtC4. h.- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE ISSUED S- -[ 2,-'[7 , ,...~ INSPECTOR DATE I FOOTING I %t- I ;-1.... '11 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ,~ , I I FINAL Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850