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Home My WebLink AboutBuilding Permit 99-0568 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS Ilf l.{ (,.. 9 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION lt7 FINAL I] SITE INSPECTION COMMENTS: L. Lr ZJ tLf!tJ, &t{.eJ;/~ F:R PERMIT NO. 11 - SG, 5? <SCHEDULED CONTR. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL DATE TIME 9r'~ Trz r :t!:.. tJ -lo L.{ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~......_-_. r(J~ \. _ .f /; _ ~.~. -~ - _..-"~~~,,-~...."""-:":.' >>ORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING ~~- Inspector: 1;;./ T CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., . Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATE RECEIVED MAY I 8 f9g3 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2.SjE;;JS9 /5/~;.L -rrM / jiJjJ 1.0ATE S- /IBUJ Pr-id-.&k-- ~37i! . 3. LEGAL DESCRIPTION LOT I K.,vO(3 5" PID 2!5-3/0 -04/ - 0 HI L-t.- (Address) il.t}l1lj,Jo.)O (p 7 '1 /'1'''/69 RIuei,h/1"/,. d ~f)6'-0675/ (Address) I J (Tel. No.) t'''~. "$/ ~ <11 ,';v,;.s 1'W~(Tel. No.) A1v"..t:,::J..,..... BLOCK ADDITION 4. dWNER G r:L--Y'14 5. ARCHITECT' (Name) ,h. /f~/UL41 (Name) 6. eUILDER (Name) (Address) 7. TYPE OF WORK New Construction 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement)( Fireplace 0 Alterations 0 Chimney 0 Misc. 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. Qt:i-5'-lj BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 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 ~ffiC' can revoke this permit f . t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform neeped insgections. X ~ ~~~. $//9/99 ./ - Signature ~ License No. ' Date - SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING lilt;; s ;q / R.. Side PERMIT VALUATION a.ClCr\. 0 0 -. TYPE OF CONSTRUCTION: I II III Ivl9 Occupancy Group A B E F HIM (p- S U Division 1 2@4 (Q2 Permit Fee ................................... $ ::~.S- City: Plan Check Fee ............................. $ State Surcharge ............................. $ { .oU Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ 40.00 ~/1I1 4'\ 3/~ Sewer & Water Permit ...................... $ Gas Fire lace Permit ....................... $ ecomel1~. '"""liilding Permit When Approved. ^' <>UI Date S"~1.\ -'\'1 MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 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 ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ /03. d.5 Paid J {).3 . 2.s-' Receipt No. .3S- 3e l.- Date t. // /99 By ~ T~i s to ce~t the r est in the above application and accompanying documents is in accordance with the City zoning(Ordin~nce and may procee?(g' requested. This document when s' ed t C' Ian 0 stn s a temporary Certificate of zor~2wcom liance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. , .;' '" Id f'.d-2- CRY Planner t.-, Date Special Conditions ff any Issued 24 hour notice for all inspections 447-9850 ,....---....-.,-.-.',-.-.- " ..~._..-,-v~.-"""""'-~,-.~'~.~ Thr (Ornter of thr Lakr Country White - Building Canary - Engineering Pink - Planning aUILDING 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:-- ..--- -, - --.'. --- -- /)Ul ,~"" ' __' {) '/I ' I , .*V~{) ~' r .' Accepted Denied / Accepted With Corrections Reviewed By: 4}YA'~ Date: s/c;)o!qCj Comments: r ,. "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- 5b8 The ('rntrr of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHE.CKLlST NAME OF APPLICANT APPLICATION RECEIVED Gr1~Y B/CAUtV 5//8/C;C; ; / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4t./b9 Bt.-U6L3IR-D 1/~/1/ L- /v'E. Accepted Accepted With Corrections Denied Reviewed By: Date: 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 SITE ADDRESS I L\ Lito9 1S\ue L"d l""i \ NATURE OF WORK -po.}-t"c 1 Ka..sl' 9- R....:~ USE OF BUILDING sm PERMIT NO. q'1. 5&,e, CONTRACTOR 13ro.u\M NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION DATE ISSUED 5-J.1- <t '1 INSPECTOR DATE I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) ~ w V/P . ({lP '? ~/;'I q-q " 11 / / V COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT Ih, 1ft cJ//t/ltJ I /'1 / J / II A / tr'11 / / u/ BEEN SIGNED , OCCUPY UNTIL ABOVE HAS 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. 'J Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 I