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HomeMy WebLinkAboutBuilding Permit 99-0542 ...TV OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED Z-~-99 A,r: ADDRESS (~ 150 ])~L UltT -AIle, OWNER CONTR. PHONE NO. PERMIT NO. qCJ - 5t.fZ o FOOTING o FOUNDATION o FRAMING @ o )NSULA TION lSJ/ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~et>>- ~\ O~MJ,\. ~~ J~ ~ I ~ lA-' ~ ~ ~u:7? ~ c:~ . ""'=--- U)) ---------- LRK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT vr3iK. CALL FOR REINSPECTION BEFORE COVERING Inspector: ~( Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT QATE RE~ L White 2. Pink 3. Yellow File City Applicant 5/13/'19 9q-542-- Permit No. DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 1. DATE s-- ''3-'1'1 R2.... d-.Sqa:).. \~ct 0 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 2. SITE ADDRESS l ( 1""\4 ~C:> Av~ Ou\ l ')-\-"'- 3. LEGAL DESCRIPTION LOT ~erF5 liJ BoOtJO 5 ADDITION 12. NO. OF STORIES BLOCK PID 13. TYPE OF CONSTRUCTION 4.~~\ ~ 5. ARCHITECT (Name} (') l _, (Address) ~l~", "e.~Nn+- l~ (Name) (Address) (Tel. No.) DcJ..UV\w.. 447 -.,)4~ (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE ~Lft)- SIE% <:.... f' (Name) (Address) 6. BUILDER 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS :r~~fZ~~ 4J..'lS' Co~ 1'\j..V~ DeckQ' Finish Attic 0 SEATS Re-roofing 0 Porch go' Re-siding 0 Finish Basement 0 Septic 0 Addition 0 7. TYPE OF WORK New Construction 0 Fireplace 0 Alterations 0 1610t5;~LUE 17. COMPLETION DATE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No I hereby certify that I have furnished 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 ~Uild~:01 ~~n~ke~s ~~se. Furthermore, I hereby agree that the city official or a dLl~sytnter upon the property to perfo~~l~~s. \~ Signature License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o Front Back Side Side PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PLANS & SPECS 0 SURVEY 0 SETS COPIES --.l2G5 A-/L , USE OF BUILDING I .:; .1') /"'Y', . ('~ (J> PLOT PLAN o PERMIT VALUATION "...,. TYPE OF CONSTRUCTION: I II III IV~ Occupancy Group A B E F A I ./or. t) S U . Division 1 2 V ' I 1 e;; Permit Fee ................................... $ 7_ 2Lt. I <{ L . 09 7.sn Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ ~ ~~ ,,~ CJU- Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Water Tower Fee ........................... $ WaterTap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ Paid 3'7 e. :3 4- ReCeiP~I<J9.. 5'1'.1 4- Date ~ By . This is to certify that the r~uest in the above application and accompanying documents is in accordance with the City zoninl Ordin ce an may proceed a equested. This document when nst~utes a temporary ceK ~~Pliance and allows construction to commence. Before occupa cy. a Certificate of Occupancy must be issued. la~r - Date Special Conditions n any GaS~FirePlace Permit ..... ../........... $ This p" mes ~r Buildin9-Permit Whoo..APproved. By j~ Date .6 - 7()-99 / ' Certificate of Occupancy ~ l';S.-;4 Issued 24 hour notice for all inspections 447-9850 '-~---~-;.r.",. ~...------"" '....... ~ '''..-.......-. -'- .. The' ('tn.eor of thr Lakr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPI.,.ICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED { ,'- / -' ri ../ i ( , /"--\ .' / I /(<' t"; I . ,........ ? The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / !. /'C' ! ,/ t.. "_.! ,/' \ ' . -r"J"i I I '. ~-' L~i LiT i -} l f:, . Accepted v Accepted With Corrections Denied Reviewed By: ~.l~ Comments: Date: J ~- ~ -1.t:::) ~ " .,' "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~5Lf? Thr ("rnlrr of Ihr Lakr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED JOHN C-/tSItNOvA 5//3/q9 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /&4-30 DUf-uTH Av6. Accepted ~ .J Accepted With Corrections ./ Denied /) /J!l I _ Reviewed By: (;{' f/~~ '- )/ Date: S- ---W -~g. Comments: "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 Il..c/l-S() Dutu~ Ilu--o NATURE OF WORK Pt:>~L.. cr-- t)~c t<:::- - USE OF BUILDING '8 ~G PERMIT NO. q~ ~fJc{? _ DATE ISSUED ~ 20 -9..--9 CONTRACTOR ("() ~t1-A.('n.J-e.t CoI'I,,"^~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , I FOOTING M..~~tyt4"J I~~ I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE I " - J8Sf 't FRAMING ~ ~.~~" INSULATION ELECTRICAL .... . . ---:~~ -- __7:.0 - , .- I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT P!1N u, r- ~~ --1/ OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850