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HomeMy WebLinkAboutBuilding Permit 99-0446 ~ /:30 /C,77B SIMPKINS A1fe'; CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ,P...JNSULA TION ~FINAL p~ o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~ N~~r ~.. eet:V DATE TIME Q9-cNfo o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o j)o ~-J:; V /' / ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT 1JRK, CALL FOR REINSPECTION BEFORE COVERING Inspector: fX' ' Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~-2.l-'tq A,.- OWNER <;'ry~ CONTR. ~ ADDRESS l (,7 7 ~ PHONE NO. . n~c;nNGA \5Ir'RAMING o INSULATION o FINAL o FOUNDATION o DEMOLITION o FIRE PREVo PERMIT NO. '1q-L./L{~ o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLING o LKSHOREIWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: ~~ ~ J- cl1 Ctmv 'k ok-- ~ - Inspector: Owner/Contr: CALL ~7-4230 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE R~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI T-"-- ~CFIVFQ 4-/Z7/qq CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 'Prior Lo..k-e., MAl S537~ 2. PID 25- ~- ocn-r/<-I I u W5STBUrz...y Po~Q..5 , (Address) (~b""-L) ( ~Y1\ lA..E" l SO Y\ \ (PI:2 ) (Address) 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 -Lt. 778 S;mok,'nJ 3. LEGAL DESCRIPTION "3 /-5r ADD...., Ave. LOT BLOCK ADDITION 4.'OW~ U~v;d 5. ARCHITECT (Name) c...,d Krist: (Name) 6. BUILDER (Name) (Address) ft+ers MiKe 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 1.0ATE 4- ;2(p - 99 (Tel. No.) 4L(o-~ 77~ (Tel. No.) (Tel. No.) Fireplace 0 Alterations 0 LfOLfi 13L/-k s..""'!fb ~95-oI95 Septic 0 Deck^ Re-roofing 0 Porch 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No L White 2. Pink 3. Yellow File City Applicant Permit No. qq - W~ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLt: "UN 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 pro rty 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 j'~1 \;afl ?"O is permit for j cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perlo. rm needed in;p~tions. XC' J~ \. - -.!I-.2~.. 'l7 License No. Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING 2..E=; S Ajrz.... PERMIT VALUATION 2;~o TYPE OF CONSTRUCTION: I II III IV ~ Occupancy Group A B E:E.. HIM "'fir S U Division 1 CY 3 4 Permit Fee ................................... $ ~'J. :L c;- 40.47 1.60 City: ~" ~~:N ri~~4 Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty. .... ........ ............. ............. ~ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ ~:s ?((!tJ~. ~ ...~.~...... ..~;I~i~~.~.e:it When App~~d. By tJf;:~ Date C)- 7-'17 Certificate of Occup cy Side MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES 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 ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ ID,L. -rl Total Due .............................. $ .J 10\ Paid / tJ3. 7 2- Receipt No. "<I!:) /.30 Issued This is to certify that the request in the above application and accompanying documents is in accordance with the c~:;on~~~~: 1d may pr::edJ~ted. T~S document when sig~b~1!1 ~itv Plf1\" ~~s~utes a temporary Certificate of Zoning compliance and allows con~ction ~m~n~e. Befor, CX/fu~an~Certificate of Occupancy must be issued. ~~ f...-L'"'~ cq-~'~'"~~i - City Planner Date Special Conditions n any 24 hour notice for all inspections 447-9850 T :::. I '~.~-:'7~~'j\~,q?~:~~itI!~_"'m(!lv~~_~~~~,,:~n~.~;~~.;r~""-~~~,"""',,:-~_..'i.,~~ "'.-'~". ,~~ 4I>,"_~ ...-,'..:,~."..,....,.."""""",-,,-,,,,~. ~-'. Th. C.nf., of lh. Lak. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ..;. '" '\ 1 L-) f~-\ I I \/ L.- i ',I ,. of.. ~'"_n. i , '. , I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , ,./~ :' ; () I, 1,/ \ I'.. ....' t'..~....., '-.. ~,-/ ~_.~-~ f Accepted Denied v" Accepted With Corrections Reviewed By: ~~~ Date: L'l-Jo-~'1 Comments: i'^ J~O l~-1W~J..( l4~v~~ J.f)P~V,~~n ^-^Prl9V ~ - \ . V U ~ "\ 0 ~~ IS~uaNt/".~ ~ ~u~ ~ I~ V~ '1,k)h-i< ~ ~\~.Q.Q To tI ~~.tv ~ -h/A/ k ~ ~ - - "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." ~ q- 44-C4 Tht' Crnlrr of Ihe t.kr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHE:CKLlST NAME OF APPLICANT APPLICATION RECEIVED DAVID SA.t1UE-I so~ 4-/27/QCj - , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1 to "7 7 8 51 MP~INS A.VE:.. Accepted Accepted With Corrections /. Denied Reviewed By:(;J~L ~ V Date: 5-3~c:r Comments: l. e2AI'L +k--~ dk: k_ 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 1& j76 <"~f<.\~ AvO. TYPE OF WORK ().prk USE OF BUILDING SF!) PERMIT NO. '11' _LI q l DATE ISSUED ~-]'-'17 BUILDER l)a.VI'c.O s...~\, of" \ ~~- _ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE FOOTING I I {) I ~"'Zl...4fq I PLACE NO CONCRETE UNTIL A~ VE HAS BEEN SIGNED FRAMING I I J I FINAL ~ f,f I g I :;/rr I Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850.