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HomeMy WebLinkAboutBuilding Permit 99-0478 fiL1/0 l.. K~ 1"- CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /'5/(,'3 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~ o INSULATION FINAL ~ SITE INSPEC ON o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: L. L, ~ _ "A -~L! DATE TIME ~:tJO 99 -iff?' o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ?!?,!ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING 'OOpedOL ~. . Owoe,/Coolr CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl 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 3. LEGAL DESCRIPTION /5 LOT ADDITION 4. OWNER 5. ARCHITECT 6. BUILDER 7. TYPE OF WORK New Construction 0 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, MAY - 3 ~ TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. DATE 151b~ kurfsLL, TrSE. BLOCK 3 ~Hl1l\1e~/- 1-11 5-3-9'\ 12- \ ~ \> 'L5~ 1(..,-5 -04,"'-0 PID (Name) t[..Rl~ [.. SM.TH (Name) tvlPr (Address) /5/6'?> /(d\TSCH Tt'l S6 (Tel. No.) 4Lfl-4/ t( 4 (Tel. No.) 3B(' - (,7/8 (Tel. No.) (Address) CuI (Name) (Address) SELF" Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch ~ Re-siding 0 Finish Baseme~ Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. W Y 0 o..-pPN'f- 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit No. qq-tJ7B 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 :uilding Offici~kers p~ just ~urthermore. I hereby agree that the city official or a designee may enter upon the property to perf05&7qCjtions. -. signature License No. ' ate SETBACKS: Required Actual FOR ADMINISTRATIVE USE USE OF BUILDING BUILDING DEPARTMENT VALUATION Front - Back Side ~ ~e OFF STREET PARKINV /'" ) . SPACES REO. /./ lee $ /l.1L MATERIAL FILED WITH APPLICATION ENERGY DATA 0 PILING LOGS PLANS & SPECS SURVEY PERCOLATION TESTS 0 SETS COPIES ,- TYPE OF CONSTRUCTION: I II III IV UV Occupancy Group A B E F ~ I M'@ S U Division 1 2(} 4 I (') ~ Permit Fee ................................... $ ~ . 2,DOO , t) h PLOT PLAN \.J~rOUght Forward \V\'tYa~ su~ort Fee ......... ................ $ SAC .............. ........................ $ Plan Check Fee ............................. $ p ................................... $ $ I. Pressure Reducer .......................... $ /_ Y)'" Meter Hom ................................... $ V J Water Meter. ................................ $ ~ Sewer & Water Connection Fee ........... $ , Water Tower Fee ........................... $ qlZ.I q1 Water Tap ................................... $ ~ AJJ../ Builder's Deposit ............................ $ . / ff ... ~'1 Other ......................................... $ 10 I -- ",0 Total Due .............................. $ l7-i -0{ 0.1 . J ~ Paid tc 3. '2 ~ Receipt N~..~ 70f5:" Issued UtJ~()IO 1~3t>/'1o.. ~~H Date 17,/30//11 By A~ 0-.........;,.. "... -" "'" ~"'""... -"',... - ""'.. "" """ o,.,,~ ood "'y ""'""' "",,_. Th" """"'.- s' ed ~Plan constitutes ~mporary ~:J5r~1~1ng compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. '" ,,< ~ lanner Dale Special Conditions n any /.1)0 State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ ThiS~' t B6CO. me.s s do out..Stlildlr1ll . ermit W~ ~.J2roved. By .~ - Date l ~ ~ -'7'7 I" . Certificate of Occupancy 24 hour notice for all inspections 447-9850 :!.iN~';~"" TIJ~~~, <.",..", ,~~,.~)~:,.;,~.,~~~.r""l,.".,~_~.,.;,~~:o:~~~:;:~~-~~~,-~~;~,""':'''''''''''''.~~~-r"''"T~'.YII;-~:-~-~ ,.IIr~*7-"'t~ . I -. Cf- Tho Con tor of Iho Loko Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED l< I . ',_.~ f f! ! r.'~i , i ,Y"., I . .- / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / /:;;-' . '-' r:.... .-; / r-) . L , .--' .-' (. _ -- c. /'--. I '.. .17 I /<, I - I Accepted ~ Denied /l Il) A Reviewed By: Cd!-:7). .;J~ , Comments: I ~ ~ It Accepted With Corrections Date: ~O/< 513/77 "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- cf78 Th. C.nl.. or th. L.k. Country White - Building Canary - Engineering Pink - Planning ,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 6R./G SMITH 5/3/99 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5/h3 KOr<Ts{!.,H TR/JIL- 56 Accepted Accepted With Corrections x Denied 2) t n L Reviewed By: V&../'-'f ^' Comments: Date: 3=-s-- f 7' 1. ~ ~ ~~~IM~\- ~V\.l~ ~c..-~ "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." ---^--_._- -T PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 15\~:5 ~o,\-s.c.\-\ ~,\ NATURE OF WORK ~ ll. _ L t:;'"",-~0~ USE OF BUILDING ..5F-..D PERMIT NO. cr't - tlt'JA DATE ISSUED S:S- 71 CONTRACTOR cr- t'c.. $IM.;.\-l.. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE , Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL A ~~ ~. HEATING (if required) __t: __T COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ I I FINALS crL Or. l 3~~/o/ I ,bd--Io/ I ;" ,I I 3/~..2-/~ I I g) OCCUpy j I I /~ UNTIL ABOVt NOTICE ~A. 51...? /62..- BUILDING LECTRICAL / / I I 6/3111 z.- I BEEN SIGNED HAS 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