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HomeMy WebLinkAboutBuilding Permit 99-0567 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS / ~ >7 z, OWNER PHONE NO. o FOOTING ~ o FRAMING o INSULATION A II'C FINAL ~ b FOUNDATION o DEMOLITION o FIRE PREVo DATE TIME SCHEDULED 6-c;- 99 2.~ 00 !II(~ Jl / fl.. CONTR. PERMIT NO. qq- 5c'o? o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXCIGRADlflLLING o LKSHORElWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: ;:-z II a/~ I ~ ~~ ~ o ~ / .t.X-u-" , ~ll () ~~ -;~~ ..J ~"' v.-fl. LI r d r" J r 4:J ~ I" ~(/l / l1' WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~ : 9 FOR REINSPECTION BEFORE COVERING Inspector: r>>:l-""{ Owner/Contr: ~ CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT QAIF RECEIVEQ NAY , " 1999 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 ".J . \ i4'57-2 (Y\(.(,~~\t"l(. <;E 3. LEGAL DE~SC PTION ~1 LOT BLOC~ ~ ADDITION _ CL/!"I/lf/ld De<<. cIt 1. White 2. Pink 3. Yellow File City Applicant Permit No. Cjt; -50 / 1. DATE i- 2 i5~ 11 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) ie/SD 12. NO. OF STORIES PID 025 -/3<i- olf-t) 4+!:!. ONU1 4. OWNER (Name) 'Se4Y\ ?>4{"l.e~S (Address) ''l'S"ii M",p4."". st, (Address) 5. ARCHITECT (Name) 6. BUILDER (Name) (Address) 7. TYPE OF WORK Fireplace 0 Septic 0 Deck)( New Construction 0 Alterations 0 -'":") ~~~i~i~~, ~iSh Attic 0 Chimney 0 Misc. f-(.., \K_ 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS Sq. Ft. Width Depth 13. TYPE OF CONSTRUCTION (Tel. No.) &n. -1.\'-10"' '1 01.- (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE 10. CULVERT SIZE Yes No 17. COMPLETION DATE I hereby certify that I have furnished infonnation 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 men' pro nd that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offi al can revoke this 't for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections. X License No. Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION BUilder)&e~VlL""""0;;"~V'" $ -0 .Dl> fA 5 - /y-1f Other).;..........4.w.................. $. ,~~ . Total Due ":"'.'7." ........................ L!I_L..f< ,<;if Paid ~'hf" '1' Receipt No. -S r} 4.tf Date fL/v/~'1 By ~ . . fA ~ certify that th request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~ requested. This document when (I9ne:r~ PI er const~utes a temporary ce~).Zj1~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ---I/" .,. City Planner Date Special Conditions ~ any Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING IZ.6 s ~/ R- PERMIT VALUATION I, 6()(') .r)(') TYPE OF CONSTRUCTION: I II III IVG Occupancy Group A B E F _I{ I M--q S U . Division 1 204 -r is- Pennlt Fee ................................... $ ~l&> . ';?L,.8cr Plan Check Fee ............................. $ .10 City: State Surcharge ............................. $ Penalty ....................................... $ Plumbing Pennit Fee ....................... $ ~ 61jJA MeChanical Pennit Fee ..................... $ Sewer & Water Pennit ...................... $ Gas Fireplace pennitift....... . ............ $ Thistflt. ecomes r Building Pennit When ~Jjve~ C By 'r. . Date r-. .c1--{ L ---' - . I Certificate of Occupa Issued Side SOIL TESTS o o ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ 24 hour notice for all inspections 447-9850 ,. < ,.,..~. -ow..... 1V:-:- ~~"'Y"'. ~...... -- '-"-~ Thr ("rnlrr or Ihr I..lkr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,_/ '-- Accepted V Denied ) J .. Reviewed By: (rJ (J{ ~ D:e: 51,;) '1/ 91 Comments: !Jn8ftdlll/J uldJ d/Jv Oh rJ<i/~1 #tn _.tA/4 c;;;t- dLd- A.1f't{~ - ~/L;W /1UUr~G0.- oJ; ~ oU ~cJJ uJ~ r1fF~v?-' Wf.A"O ~~~ Accepted With Corrections I. "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." " 99-507 The Center of the tlke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED SErtN t3/TIe/'lES 5/1q /q7 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4572. M/lP&E 77<Pr/L Se: Accepted Accepted With Corrections x: Denied I') 1;;l /J ____ Reviewed By: r/ft~~ - Comments: ~~ i:kck ~~ Date: :;-:2/-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." -"./. /f-. . '/'" '/' .~ "~ ....... PRIOR LAKE INSPECTION RECORD DEPARTMENT OF . BUILDING AND INSPECTION SITE ADDRESS Il/~1 J. M oltAe ~t-, TYPE OF WORK .-J<~~\~,.~ A ~c.t USE OF BUILDING SF!:) PERMIT NO. '1'1 - ~ (,1 { DATE ISSUED $""-24- 9)' BUILDER \?y." rtAa_s., NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT )NSPECTOR DATE FOOTINc("B)Q,.~\Sa> I ~r, I &,-t{-C;~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I I ".., FINALf~) tJWj ~ ~ I ~ I t, - 9- 9'1 Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 '1