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HomeMy WebLinkAboutBuilding Permit 99-0640 OAT:: TIME CITY OF PRIOR LAKE , <ill ~ -.i'l "I ;Cb INSPECTION NOTICE SCHEDULED ADDRESS 5S(,,1 Cn>ssa..--.~ Ssr OWNER CONTR, PHONE NO, PERMIT NO, qq ~ (,,40 o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING f\ 0 WATER HOOKUP _~SULATIO 0 SEWER HOOKUP ~ ~~NAL 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: J eeL (0 -rL. eM.<Lo v-(... ~ v-..c..-& 'rJ -hI 10" y-,,~j \j \'lc1LeA ~, (~ S<) ulo ~~ I ~ IV/A-- Ld-c.A OV\ ~ cJ~ 1A~ ~\A. ovc ~~ :- I v~ l-J i C(, ~ 0:: o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o --- ------- HI?J / / n~RK SATIS ORY. PROCEED lJ~~RRECT A TION ND PROCEED o CORRECT W FOR REINSPECTlON BEFORE COVERING Owner/Contr: CODE HE NEXT INSPECTION 24 HOURS IN ADVANCE., ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~1 QA T~ R~r:~IV~.D. MAY 271900 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 5'::,(., ( c?..A~5.S ~l'l~ RA S;\ "StE 3. LEGAL DESCRIPTION fG BLOCK .3 PID .zS-.302- ()$/- 0 13. TYPE OF CONSTRUCTION LOT ADDITION 4. OWNER K~rJ'T 5. ARCHITECT eA-I2DIA./Al-- ~ame) (!.<)'" Q,jto ~ .e,0dii,':;; 2 NO (Name) (Address) ~~ I e.~oS.Sblf>. Q... c;l SC (Address) 6. BUILDER (Name) (Address) "St:Lr 7. TYPE OF WORK New Construction LJ Septic LJ Addition LJ DecliA( Finish Attic LJ Re-roofing LJ Porch LJ Re-siding LJ Finish Basement LJ OCCUPANTS SEATS 16. PROJECT COSTNALUE Fireplace LJ Alterations LJ 1. White 2. Pink ]. Yellow File City Applicant Permit No. CJq- ~4o t~;;1/q9 PUD BUILDING INFORMATION ". SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES (Tel. No.) ~~Ml'l-<O\ (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS Chimney LJ Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that 1 have fumished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the above mentioned property and that all construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the bUi'din~ffiCi I c,n re'fk6 ~is pe~ for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X -t A l_ A 5t;;nt,Q - Signature License No. Date 17. COMPLETION DATE SETBACKS: Required Actual FOR ADMINISTRATIVE USE Water Tap ................................... $ Builder's Deposit ............................ $ Other .....,................................... $ /d<-i. ._1 Total Due .............................. $ (f"~ Pa;d /u e </ Rece;pl No. ~ ~ &. Date 1,/1/"1" By d1A..- st in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~ requested. This document when stttules a temporary certifir;Y;19nt compUance and allows construcfion 10 commence. Belore occupancy, a Ce"''''''e 01 Occupancy must be ;ssued. n er I Special Conditions if any Front Side Back BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. USE OF BUILDING /i?es #4/.e.. , SPACES ON PLAN PERMIT VALUATION --3.,0-r.=. /' TYPE OF CONSTRUCTION, I II III IV-/ Occupancy Group A B E F AI M ~ S U Division 1 UA C..... "='- PerrnitFee ................................... ,'l: ~ _" z::o Plan Check Fee .............................. ~.::: . ti '7 ~{) C;,yo 71. 7~ ({e.. s;"f t .&V State Surcharge ............................. ~ Penalty ....................................... :t Plumbing Permit Fee ....................... :t Mechanical Permit Fee ..................... ~ ~ Sewer & Water Permit ...................... $ ~:;::a:~;~L~~:I~;~~'~e:;tWhen?pr~t By ~~_ Date (p - - Certificate of Occupa' Issued v Side MATERIAL FILED WITH APPLICATION SOIL TESTS LJ ENERGY DATA LJ PILING LOGS LJ PERCOLATION TESTS LJ PLANS & SPECS LJ SETS _or' SURVEY PLOT PLAN o COPIES 1"1 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ 24 hour notice for all inspections 447-9850 '~-~:"--~'-""':-~"""""""""'''---'-'.'''~-'V<'-'~ -"""""~"",,,-"""--....-~-c\o/^.'-'-'f'- '--.q:.7f7-1,'r',,''''': ,,":~!"-'.~'-'''''-'' --,,~ ~~ , . 1,- ."J" ../ Thl' Cl'nln of lhl' Lib Counlry White - Building Canary - Engineering Pink - Planning BUILOING 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 \/ Denied /\ j Reviewed By: L L C/;, .J f1lD-J..J ~cJ0 ~ Accepted With Corrections Date: {Pfrl9/ Comments: ok.. "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." " ... ~1 qq-~4-0 Tht' ("t'ntl'fof Iftt' l.ktCounlry White - Building Canary - Engineering Pink - Planning .BUILDING PERMlLAPPLlCATION DEPARTMe:NT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /CAN! CoNRA.O 5/2-7/qq , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5Sfo? c,iC055~/IIO.€.A .sf 56 Accepted Accepted With Corrections ;>Z Denied Reviewed By: (2 ftLl4- cda(& ~ j) ~ / Date: (P--..2.' 77 Comments: ~ -ftL "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 ~~("J C\r'i'7SU-.~ TYPE OF WORK DP,... ~ USE OF BUILDING SF 0 PERMIT NO. 97-~ L(O . DATE ISSUED ~- ?-Lf BUILDER K.aJ- C~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING A~LI-.., fA) I fft{ I '" -/ L{ - 'j <J PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I~~~ I I ~\- I FINAL f I ~ l(, 11,~ Call between 8:00 and 9:00 A.M. for II i Spections FOR ALL INSPECTIONS 4 7-9850 ., \ i 1 ,