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HomeMy WebLinkAboutBldg Permit 00-0239 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS I, '130 'R..~~ o OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~SULATION ~ ~~NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ... (~(~Q." -!-p"'l ~(~, do-t~ ;U DATE Ll/I~/oa f I TIME l;>o-07-:1i o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST .0 ~.. n.~4"v~ <-r / {I )( WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORREPBRK. CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: ...y CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/ QATE RECEIVEQ. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant III , 2 2000 Permit No. OO-()z3l . ill~ GT. ~..r-. 1l;/&D ~J PID QS-0A4-0a7-6 ~ MOl\] BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS I~SUED (Please Print or Type and sign at bottom) 3. LEGAL DESCRIPTION LOT / n BLOCK ADDITION lJoocln~ Name) I 12. NO. OF STORIES ~ ~~ t-oJ-v 13. TYPE OF CONSTRUCTION (Address) tJ\?()~.n.yY~ c'r (Address) (Tel. No.) ~ (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS )~f., . ., , "(. i\J'\i(." . ... "."5 Fireplace 0 Septic 0 Dec~' Alterations 0 Addition 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Yes No 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 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 building official can rev~' ermit for ju cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ~ ~. ~ '~iG:<.""." c...;. . License No. _ FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~O.O 0 SURVEY PLOT PLAN o COPIES o USEOFB~~G ~ TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Permit Fee ................................... $ Plan Check Fee ............................. $ 4a.so 3\.S3 . ')S' State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Pressure Reducer .......................... $ Meter Horn ..................... .............. $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Issued Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid t80. 7 ~ Date 4V7/dV By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinanle and may proceed s requested. This document when ~ by th~lanner constnutes a temporary Certificate of Zoning compliance and allows constructi~ commence. Before occupancy, a Certifica of Occupancy must be issued. ~.I~ J.,. Ul< - . ~4:~60 ~~ ~ I\.t,..<:r-- Cny Planner Date -...... Y . Special Conditions rt any r Building permi'l/hr ApglQv~d~ _ Date - '1-~ Certificate of Occupancy 24 hour notice for all inspections 447-9850 The Cenler of Ihe LIke Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ "(}_~J\ ~. R 0.' \ e..- '" APPLICATION RECEIVED A- \In \ \J \ d CJOf) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \'7~~() 1<\r\~e.\f'JOod CT ~f: Accepted Accepted With Corrections ~ Denied e Reviewed BY? a....O ~ Comments: Date: 4-/2-2aCG I, f?eo.J. .t-~p Ueck \A~~ "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 Country wCf! ~- ~u::J Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT S'rV) \1\1 r\ -PR (\ \ \ f2..-"-J APPLICATION RECEIVED A \1() \ Id \ ;; 00 b The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \ 'l2:;,~O \2. \ (\~~\J\/ aoe, C.1 Sf: Date: L{ -I f-.{-,&O ~ Accepted With Corrections r Accepted Denied . Reviewed By: ~~ u.--~ Comments: ~p~ ~ "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 SITE ADDRESS ~ ':\(') ~iJ.~l~ OJ. TYPE OF WORK ~ck USE OF BUILDING S Fb PERMIT NO. 0-0 -Q23q DATE ISSUED t./-r~"Ax:> BUILDER S kQ.\Al '^- ~o.i\6 NOTE: THIS IS NOT A PERMI'14:0R ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE ~ FOOTING tJ(J /~, I 4-18'~()() ~ PLACE NO CONCRETE UNTIL ~BOVE HAS BEEN SIGNED FRAMING \J/~ t.J:r I J./"" Zlv MJ I I FINAL ~ Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 C'. ..