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HomeMy WebLinkAboutBuilding Permit 99-532 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME S-/&/(j) , } /.'/~ ADDRESS /4-704--IK.OI/6KS /K/1IL OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION ~ 0 SEWER HOOKUP 'g.. FINAL P€c.1C- V!f) 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: &-..- ~,/) · , qq -05'3 2- o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~. - " r2~ MJ1__ -- ------------- f)~ ') ------- 0(e~ ~ ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED :,:::CT ~~ FOR REINS:::::FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! //-a73- rr /<;701 I~ ~ t'RIOR LAKE cCTION NOTICE .~ SCI:IEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~ ~ FINAL /.J6c/r ({!J o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL DATE TIME 79- 5~ a o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ .~ .j;jfL~ ~ err- ~ k /..1:~ /~(' ~ ~ ;B( WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: M-l . Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl --.------~_....~-~"~"--_...,~_._,_.... . DATE RECEIVED 6'"/II/ClCif CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 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 14104 \\-v~rs \~~~\ 3. LEGAL DESCRIP:ION /"II I LOT cL e, BLOCK '1\' ~ ADDITION dAJetel rt~6 Hfds ..3Jec) 1. DATE S/l~ /"''1 J2./ PID 25-300-045- 0 1'1 DON. 4. OWNER \Cs (Name) (Address) \4-1D4- (Tel. No.) TwJk.s T\C.<11 441-1.51( (Tel. No.) ~n'(eI\A 5~ECT (Address) 6. BUILDER (Name) ~~ (Tel. NO'440-11S0 -:IW" . \Stlbb B~ \:>0",- S'-<l~ Septic CJ Deck ~' Re-roofing CJ Porth CJ Addition CJ Finish Attic CJ Re-siding CJ Finish Basement CJ (Address) ~~r ~'5~ 7. TYPE OF WORK Fireplace CJ New Construction CJ Alterations CJ Chimney CJ Mise, 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit No. qq-532- BUILDING INFORMATION 11, SIZE OF STRUCTURE 4lHeight) ~ (Width) ,-l (Depth), Z ( 12. NO. OF STORIES 13. TYPE OF PONSTRUCTION ~~Vt 14. FLOOR AREA APPORTIONMENT USE \44 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE "ZttO. GO 17. COMPLETION DATE '$ 144. ------- ----....... ished 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 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 is permit for just cause. Furthermore, I hereby agree that ~~,i6 es rOgnee may enter upon the property to P1]3; r;;;opections. Signature License No. . Oate 5/11 ht:} I hereby certify that I have f the above mentioned p building official can rell X 1/ SETBACKS: Rtfquired Actual FOR ADMINISTRATIVE USE Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION .-. USE OF BUILDING 12&5 ,I'i//L- 1.7(')('). O~ TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U MATERIAL FILED WITH APPLICATION SOIL TESTS CJ ENERGY DATA CJ PILING LOGS CJ PERCOLATION TESTS CJ PLANS & SPECS CJ SURVEY CJ SETS COPIES PLOT PLAN CJ Division 1 2 3 4 Permit Fee ................................... $ cJJ \o~~~ Amount Brought Forward .................. $ Pari< Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid (p 7. 0 I Receipt No. 353qq Issued . Date (0 /~ /qq By ~A---- This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi~ance and may procee4'";;uested. This document when '~VJ'rn: City PI er constitutes a temporary Certificate of Zoning;:,W1pliance and allows const tion to commence. fore ugan_ Certificate of Occupancy must be issued. ~A._. ~ .5\ {0}''1f1 < rtlP- City lanner Dale V'" City: () () . C .c;-- ~(".l iL . ( ,,(L Plan Check Fee ............................. $ State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ............ ......... $ GaS~ir.~a P~'" ...... ........... $ -- This .. n ,mes uilding Permit W)fen.J.R~~ By Date V -' L -7') Certificate of Occupan:/ . 24 hour notice for all inspections 447-9850 (;1. 0 I ,~'-:'.F''''''''''''''''<-.-~''-9'~_>e:_~:''\:~'~-""",.$'~'''''~_~'~1':''~~~~;~"~~~~ ~.'~'~;'i.'i,:*.-~ ,,~._,.;,. 1...;,.-.>,,,;,,,. "'.;'l"',;-"\,-.:;-',"~~'^ '~-:.;"/.''r;..c'_,,~~ '---:""<"_'" ~....,.,...-. to>. '-l:".~,o..~{:,!" ~~~ ..'l" _,~~ ~ Th. C.nr., of lh. Lak. Counlry White - Building Canary - Engineering Pink - Planning J3UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,/,1 i '. r' ....... : t--~, . i , / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /' .(.'/....' i Accepted v- Accepted With Corrections Denied Reviewed By: ~14.,~ Date: l<;~ /0 - ~~ Comments: ~\u~ /!<..J, lk- "'G LBu:k. (rlr~1 '1, rV&\<..J~ ~'\t.L14 &-.-- 'S10-~( '\0 V~1 (~re-<~ ~~~ \fa ~/' k:o klBld k:~,le.<.<;. I~~ VerJr.J~';~ "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." qq--532- Thr (',nlrr or the Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PI< ON 77 6Je.. ClJAI S-ne- . 5/II/QCj The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4-704- lleo'/ / EI<.S /KA-/L Accepted Accepted With Corrections /Z Denied ~ 7// Reviewed B~(:/ tL,./ ~. Comments: Date: ~ - 2-7; ~ ~ cPQrk ~~ "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 /</7 o~( {;.;:;fu;-~ ~ d TYPE OF WORK U<2cK. USE OF BUILDING SF fj PERMIT NO. 0,1 <132 _ n U BUILDER +r.a,--h'~ Co,~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE ISSUED t~2-{7 I INSPECTOR I FOOTING (/v ~(1/~q I I PLACE NO CO~RETE UNTIL ABOVE HAS BEEN SIGNED rR~G I I I DATE FINAL I /IIlP II I'.J. 3kq ~ , Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447..9850