Loading...
HomeMy WebLinkAboutBuilding Permit 99-0533 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS '34 7 f OWNER PHONE NO. DATE TIME Rclt~ Lf4C; ~. 3:00 SCHEDULED CONTR. PERMIT NO. 9 9 ,- (j s: :s.3 o FOOTING o FOUNDATION o FRAMING o ,INSUL}{.ION It:'Y't tv' FINAL \.Je...c.L U:Y Y01mE INSPECTION COM,~NTS: fiJ ~ ~~, I ~ ~j cil~l ~~ I U~ J o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o fJ~ ~: .-.=- --- (~ C&?k~ --- --- )( WORK SATISFACTORY, PROCEED 10" CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ Inspector. ~ ( Owner/Conlr. _,J ~ t r h LJ. CALL 447-9850 F~R THE NEXT INSPECTION 24 HOURS IN ~DVA~CE., () CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl QATE R~ " ,./2, S 2>'1 ~ 41 (White File BUILDING PERMIT, 0 0 ~ ;: ~~ow ~~~licant TEMPORARY CERTIFICATE OF \~ ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT CITY OF PRIOR LAKE MAY J J 1999 Permit No. Qq....s33 . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. s'ITE ADDRESS "l.l'lATE ADDITION BLOCK St/Jl/St:;./ c:::. -\- SW S H/l..-/..-S' .~/~, /199 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 7, I.n \ 1:?\a1.s.CU'h- 3, LEGAL DESCRIPTION / 12. NO, OF STORIES LOT PID 2.!5-n'2-- 0ftJ5--0 13. TYPE OF CONSTRUCTION 4. OWr\.:. (Name) (Address) j ( reo LI (' r'") ~J f7 3'1.:J..1J-p /'\~ 5. ARCHITECT (Name) I \ (Address) 6. BUILDER (Name) ~ (Address) (Tel. NO,) <;J.,<;L) {o[;)-LJ({c -.:!!lJ1 (Tel. NO.) . 14, FLOOR AREA APPORTIONMENT USE (Tel. No,) 15, NUMBER OF OCCUPANTS OR SEATS 7. TYPE OF WORK New Construction 0 Fireplace 0 Septic 0 Dec~ Alterations 0 Addition 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 OCCUPANTS SEATS 16, PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq,Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 17, COMPLETION DATE I Rereby 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 revoke this permit for just ca~se, Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform ne~ed ipspections. X "'Ot.A~ OJ} G;, J ~ S"//' /,.., U - Signature /J ...... license No Date ~ FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUILDING ~eS #/~ r OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~ .C!)a,) PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES TYPE OF CONSTRUCTION: I II III IV (.!Jt> Occupancy Group A B E F H I ~ S U Permit Fee ..........~~~~i~~...1..~..~... $ 7q .is City: Amount Brought Forward .................. $ Pari< Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Plan Check Fee ............................. $ tit!> . 57 I.~O State Surcharge ............................. $ Penalty ....................................... $ Pressure Reducer .......................... $ Plumbing Permit Fee ....................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ . r Total Due .............................. $ /ol~ L YY Paid /2-4.~"t Receipt Nq. ~.r I gOj'- Issued . - Date 5f..,/QIf By ~ T~i~c~~~e_~~ in the above application and accompanying documents is in accordance with the City Zoni~g ~ and may proceed ~e~ed, This document when Sir'ed) tlma~~~rary Ce~/'!.m:....Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued, \../ " City Planner Dale Special Conditions n any , 24 hour notice for all inspections 447-9850 Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ ~ ':..., ,. _"'"Tor- _.~4 ,~,"", ',~," 'T" , '''~'iiIljIiio,~,.......... '-'Ii-'l"".......J~_,' ~ ~~-~ .",~." ,~" ,/--- ~'-' ') ...... '.-.' '.......-' Th~ C~nl~r or Ih~ l.k~ Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED. ,l~' /, c~. L C..- "1 ( .f / i'/j' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , , Accepted y / Accepted With Corrections Denied L) t?; JnDA-J ~10~ Date: 5 - J 3 - 9/ Reviewed By: Comments: ~QJc;<: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." ' QC;-533 Tho Cool.. or rho L.ko Couolry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT DAI<R6~ tOYL--~ 5/// /q9 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .1 3 '-1-7 I BA 1--511 M u I. S VV Accepted Accepted With Corrections ~ Denied ()-/}/) /J Reviewed BY~/~.... Date: Pi/-f.'!' Comments: II~eJ~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." . 'PRIOR LAKE INSPECTION RECORD SITE ADDRESS 3W ~ TYPE OF WORK I~ec rc USE OF BUILDING SF7J PERMIT NO. 7'7 -~c; -- DATE ISSUED S--(c(-9 7 BUILDER 7)a"~ I ( ~Ji 0 I NOTE: THIS IS NOT A PERNlIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE FOOTIN<<{f\) Ij)/t. I ~, I f]-dJ3-91 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING I I J FINAL ~h 0 k-- I (1..., I '! &/<<7. /j} '1~.;S-rH Call between 8:00 and 9:00 A.~; all inspections FOR ALL INSPECTIONS 447-9850