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HomeMy WebLinkAboutBuilding Permit 99-0460 9h/~ 2:30 5(0/0 C-EOflRWOOO-ST. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL ~~ ~ SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~~ &.a Y\-O ~ ~. DATE TIME Q9-4(po o EXIGRADfFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ LK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT Wf)-K. CALL FOR REINSPECTION BEFORE COVERING Inspector: fJ=+ ' Owner/Contr: - / CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl QAIF RECEIVEQ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT APR281999 1. DATE 5T /(/j; '1- 27-'19 PUD LOT / 3 ICCI PID;;;5 -J.llf -6(j s--o Addt1, ADDITION (Name) DM>r~ 8- (Name) (Address) SAtt1 e (Tel. No.) ~96 -10/7 4 (Tel. Ng,J, _ o'S -t;XR 2-~ (Tel. No.) (Address) 6. BUILDER (Address) (Name) 7. TYPE OF WORK New Construction 0 Deck 0 Finish Attic 0 GAeA60-E. Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Fireplace 0 Septic 0 Alterations 0 Addition 0 D~-H};D Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No I. White 2. Pink 3. Yellow File City Applicant Permit No. qq - 4~ 0 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. 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 prope 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 :uilding o' can r .,k ~e. Furthermore. I hereby agree that the city official or a designee may enter upon the property to p~.: .2:7~~ r \ Signature .__) License No. ~ Date ____/ FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING {2sS A/t<. . PERMIT VALUATION Q . (;(9C'J . ~CJ GJ-, TYPE OF CONSTRUCTION: I II III IVC;;) Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PlANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Plan Check Fee ............................. $ State Surcharge ............................. $ S(J) I '3'1. 'Z. ~ 8~ .2.'L li.C)a Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ ~ 0\/t Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $~. 4-1 Paid 230. '-1-7 Receipt No. 35/ '-f.t./. Date 5);/91 By ~ the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed arrequested. This document when e porary Certifi~lfI~Pliance and allows construction to commence. Before occupancy. a Cert~icate of Occupancy must be issued. Da Special Conditions ff any Sewer & Water Permit ...................... $ Issued This~. .~request Signr b:;r ~~er . {J City Planner 24 hour notice for all inspections 447-9850 'j- . qq-L/-W Th. C.nl.r of lh. Llk. Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED M/~HA~L DODqE:: 4/2S/QQ . I . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5~ l 0 (~DARV\fOOD 5 I N E Accepted Accepted With Corrections Y Denied Reviewed By: {;)flLJs - / Comments: Date: S-- s- - '7 ( "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." ~_.__"___________'~__'.'____'___"_'_'_"_"_~_M_"__'__-.-"---.---.---.-.,-...-.-..-.-...-.-------.-~--.-"T""."-'~-_""_-,+--~,-_.,..~-~._--_...,.- ........-..... .,.,.-...----~,.,.,.._,.- ^"~~'<~'r%-,.r~'l"~~""-;;;v.f'-'"i':'~~.I<i.~",,~~~"'" .......,..-w:""'."'7T....-.-~........'""';:;....\....,,,....-~..:,.,...,n;".-'-..,,,'."*.;-:,"".,.,i'~_~';o.j,,.~.i,~"i'''".....,_,...~W ...,!;,,;...,.._,.....,...~'"'" (7('1. L I r;(> l r r Tho Contor or Iho L.ke Counlry White - Building Canary - Engineering Pink - Planning .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED '. '/' , 'I i I/-'\r I I ", .' j" /- .- ;- If rl!- l !( . i )('" ......... .f I ~., "-",,.......-..,,/ '_.'~" ,....,./ '--""" , f .I .-, /'.. Lj I .~; &- I (. f' .....',. . .-", (--."i . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: :~ .~ J t.{ , . .... .,', ; ; ". . j" . .- -". .t"'. l~ '. ~ :-"".... . I. I I I (' ),..... \ ,.. ,( f 1) , , j..... \___) ~....~' I \-j L... 1. <,_.', i<.... \ \1 \,._._' ,_.j '....../ ,,,,-,,,, . .1 ~-J \.~, Accepted (/ Accepted With Corrections Denied /'\ /J; Reviewed By: ~ V/). ..inJ1'JAJ Date: 'f)! J-/ I o/'j Comments: Lr\ ~()f) AU;;/?k,.,Jz;-J AM( ~ -~ i/:" u . U ,".IAn ~ - O~a.fj()/7~ CfJrrt ~ ~ 'f'u I . U 'UL7 I U ~ f~ 1 ilLiUeJi//)- WJ .~ WavJd.4J<~ a f~ riff vlc,Uo.--,. a~ .91.M Illl iAJctftk.,- JY~cI. ~ -1D ~ ~,sfind- Yu~. 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." P.RIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION 'r SITE ADDRESS NATURE OF WORK USE OF BUILDING PERMIT NO. DATE ISSUED CONTRACTOR NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~PECTOR DATE I FOOTING (LJ) ~/~qlF 9 ,I " I FOUNDATION (Prior to Backfill) I '0.../ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED WALLBOARD I I FINALS YJ7 B~E/99 GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING . DO NOT &;, 9 -j .-91' I'~' I OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE J 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. 4 Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850