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HomeMy WebLinkAboutBuilding Permit 99-0399 ADDRESS I t,R'IS-" DATE TIME SCHEDULED I~ ~-CJC) ~;cJ.2J L.vl//(Jluuocd CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. C?~-9q9 o FOOTING o FOUNDATION o FRAMING o INSULATION /f\\ FINAL ,-" /..... l!:!J ~~ITE 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: ~-~- '\ ~ l WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED :.:::CTWO~~OR RBNS:::::FORE COVERING / CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI "_H-Y-""""'" DATE RECFIVFD CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant qq-3qq APR I 9 ~ Permit No. DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2.SITEAODfIIf:SS Itog'-/.5 Wil/owU/a()o/ Ct,~ 1'~7tO /qq ~U PID~5 ~(p' O()5.o '31"'& - (Tel. No.) 4lf7. If 9:~ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION S 12. NO. OF STORIES J Ij)-esfbf.J~'f fI~ 4. OWNER I' ANam~ " D (Address) . J~rf -(~IIW~ 5. ARCHITECT (Name) (Address) LOT BLOCK 13. TYPE OF CONSTRUCTION ADDITION 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) (Name) 4~t"J;c.k (Address) (Tel. No.) 44'7, 701L\ 6. BUILDER --- /:~ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. P'ifJECT COSTNALUE 500 "" 700 17. COMPLETION DATE 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. Deck 0 Finish Attic 0 (~/J .[..: , 9. PROPERTY DIMENSIONS Septic 0 Addition 0 ~iu. Re-roofing 0 Porch 0 Finish Basement 0 Fireplace 0 Alterations 0 p G~ HJw. I J (5^,~ 8. PROPERTY AREA OR ACRES Sq. Ft. 10. CULVERT SIZE ~ Width Depth Yes 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 construct' . I conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the :uild~n;~')hi~" . F ermore, I hereby agree that the city official or a designee may enter upon the property to perfoZ/ lz~e/r;;;-tions. Signature License No. Dele FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION -.EOIL TESTS o ENERGY DATA o "-- Side Front Back Side PILING LOGS 0 PLANS & SPECS 0 SURVEY 0 PERCOLATION TESTS 0 SETS COPIES BUILDING DEPARTMENT VALUATION USE OF BUILDING ~ K- OFF STREET PARKING SPACES REO. SPACES ON PLAN 2, (9t<)n . ~-6' PLOT PLAN o PERMIT VALUATION TYPE OF CONSTRUCTION: I II III IV (,vl Occupancy Group A B E F G) I M "'U\' S U Permit Fee ..........~~~~i~~...1...~...~..~... $ (q? .'25 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee .... .. . . . ... . .. .. .. .... $ Sewer Tap ................................... $ $ City: Plan Check Fee ............................. $ 1.00 State Surcharge ............................. ~. Penalty ....................................... ~. Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ .\ - ., V.I} L..I ~ ~~ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ _ " Other ......................................... $ rJ / ?"":./ Total Due .............................. $~ Paid ~1:z3. 2.SReceipt No. ~ S"" 1'70 Date 5/1~)t'1 By 1JA- e application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~ requested. This document when . mporary ce~! of zm-comPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ~te Special Conditions if any uilding ~:tr;it v-rr- ~~~9 or Issued 24 hour notice for all inspections 447-9850 White - Building Canary - Engin'eering Pink - Planning Tho Coni.. or Iho Loko Counlry 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: \, ~ I' Accepted / Accepted With Corrections Denied Comments: C,:IX- ~ '1- Date: 4jn)Cjtj Reviewed By: '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 '/ f ~\t f' '*rl . :t \,,,., I CJUl~3qq The Center of the L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHecKLIST NAME OF APPLICANT APPLICATION RECEIVED JeFF TOLA.Ef-SRUD 4-/ {C1 / q q , I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (&64-5 WI~OW'v\lOOO ~1J2:CLE S.E:. Accepted ><:::'/ Accepted With Corrections Denied (/JJ ~;h -- Reviewed By: Date: ((-2"5--'T7 Comments: I. R-eeu:t -tZc ~e---~ -'~l-~ ~ '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 /(o~"\Lf c:;- t.A) ~ t l~LU ~oJl.. vCr. NATURE OF WORK -Pnr-{"J ~~ -J<< "","'~ USE OF BUILDING SF D PERMIT NO. C;C;-3rr DATE ISSUED 4- --:2"5-7'7 CONTRACTOR .:k:rF ~ 1I .pr~t- u~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I ill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) W -spr W ,,6r (/ cH/ S /d'J v COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT h-~ /t)/~/~ 8~ e~ OCCUpy dNTIL ABOVE NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. HAS BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 I