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HomeMy WebLinkAboutBuilding Permit 99-0428 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED I'/~'OO 4:oQ ADDRESS 4"ZCoO ~I/lINOOO OWNER CONTR. PHONE NO. PERMIT NO. ?q-4-Z b o FOOTING o FOUNDATION o FRAMING ~NSULATION FINAL ~- o 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 GASLlNE AIR TST o COMMENTS: , ~~c ~ -. ---, ~~ -~~~ )~~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~LL FOR REINSPEenON BEFORE COVERING Inspector: ~ ( Owner/Contr: J CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl ........__ ,.... "_"_,_,,,_,,,__,w._,,'~"~'M'_'''''' "_. ~-,...._.--------,.- -_.~_... -.-..->>--' _.--,._-_."-'~_.+ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATE RECEIVED APR 2 6 !999 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 . .zj~ t/ () ffL./J I/V WO'Oc! /l, I Y 3. LEGAL DESCRIPTION LOT & BLOCK IJt,+ I~ -I- .,4 ADDITIONrr ~ ~ (t.J WO()~ PAR.. K ~OWNFR_- /I /)q / f" 5. ARCHITECT (Nafle) .... . 1. White 2. Pink 3. Yellow File City Applicant Permit No. Olct - 4 U 1. DATE If,;; {;, qq ,QJSD BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES PID~)5 -03f1 -()()t;- 0 (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE <j';UIl Ii r /lINN NrI t,,- >tJ1#k3.f-.;E)/ (Address) . (Tel. No.) PAc117'11.d- ~07' 8 3') . S"Cc::> ~ (Address) ".. (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS ~ - ~1'2...- ....4o-c:l'~51 ftJuJby ~ BUILDl;B... (Name) S{J,w\6 7. TYPE OF WORK New Construction 0 Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck~ Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 13. TYPE OF CONSTRUCTION OCCUPANTS SEATS 17. COMPLETION DATE 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 bUm;J'lding 0 icial can revdl<e this Perz! ~st cause.. FurtIJrT7fore. I hereby agree that the city official or a designee may enter upon the property to perform .nE7ged inspections. xt~/t/)J? cl<~/--U- ~i'~u.99 / Signature U License No. v' Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid ~4. S" t,I Receipt No. 35/213 Date s-/~/lq By ~ Thi~~~ the r uest in the above application and accompanYin..g documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when Sig7 by r~h ;an const~utes a temporary Certifi~7...0!}}.r1JlJ3mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. 7' - City Planner ~~ Special Conditions ff any 24 hour notice for all inspections 447-9850 Front Side Back BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION I . ~ n6 .I"VJ USE OF BUILDING /k'!.. 11-/((, TYPE OF CONSTRUCTION: I II III IV W Occupancy Group A B E F HIM (R) S U Division 1 2 (J) 4 Permit Fee ................................... $ City: Plan Check Fee ............................. $ 5<O.1'=> 3/^ .~~ . 1 () State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ ~,~ ~\# I Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This ~~eco...11 Yo'" Quildin9 Permit VYl}en~ApR!ove.s; 4 By ~ ~ ~ Date -I!- 0-Lf-+- Certificate of Oct:ncy Issued Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY PLOT PLAN o COPIES o Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ SewerTap ................................... $ $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Cfy,~ cq-428 The Crnlrr or the L.kr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ANq\b (DENle:S5) CAWL-6V 4- / 2-~ I qq" I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4Z(;O qgA\ NWOOD ClRC~U:: Accepted Denied Accepted With Corrections ;>( Reviewed By: {li &-F- Date: ((-28 -7/ Comments: I, foaJ ~ ckek hJoJ "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." ~::- /;~: The Center of the Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED r-:':, I "! ,--, i \ C ,\.' I f:~ )\11'" 11- \.....,., \ \....... V " I \. Ii:",. I i ~_. I j J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I i ,", i '\ '. (~- t._) \ 1....,,<, ,'~C Reviewed By: / C).~. ~ ~~dto _~d/L.' ~ ~~ i l/. W- ~ 1-1-. ff-. (jJ~ ~c/ Accepted With Corrections Accepted Denied Date: t/J-7/97 , ~~iu 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." "I ~ '- ,- /,1'/' '. //~ . . .-' ./' .- PRIOR LAKE INSPECTION '4~~~~~~P DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS TYPE OF WORK Dee I\- USE OF BUILDING SF \"") PERMIT NO. C1tt -<-('2R DATE ISSUED L( -LlJ -1..1 BUILDER Gnu"I., '\/ - .' NOTE: THIS IS NOTIA PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT yo/ ~~. INSPECTOR DATE FOOTING~/~'?'~~~>3"" ~ \~~ I Wf I 10- rt~1~ _ - l PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FRAMING @ '411' I (c; -- 1'-1 - CJ5 ANAL I -.. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 \ i