Loading...
HomeMy WebLinkAboutBuilding Permit 99-0666 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /1- 3'i)-~'1, ADDRESS jlj't 7 C. ~,L 1'\ N. E. OWNER CONTR. PHONE NO. PERMIT NO. 1 '1- Oba o FOOTING o FOUNDATION o FRAMING o INSULATION" 11 r1i\ )og. FINAL dfSL.<.P 'iQJ 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: oU ~ pf;; ~J4 3r~3g~ild/1J~d~) I I cA52PfA ~ORK SATISFACTORY, PROCEED )""ltORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: /I~ . Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSl'iOTJ II \ , , I. (~~ ADDRESS /L/~7:;- CONTR. C t7 I')-:.J. ":), 7' . PERMIT~'1"_ t'. /- tC I,) I~ -::T7'~ o FOOTING "p PLUMBING RI ~ 0 EXIGRAD!FILLING o FOUNDATION ~ MECH RI !.J, j 0 COMPLAINT o FRAMING WATER HOOKU"~ I( "" 0 FIREPLACE RI g;;:~~~>>7( - t~ ~ ~~;I~~~~':~~~:;~I~C~:I~:~ o SITE INSPECTION cro MECH FINAL rJ:j) 0 .~ ....,., COMMENTS: >~~ OWNER PHONE NO. , ( I f! ~ --A.:/.L ~.. ~WORK SATISFACTORY, PROCEED ( 0- CORRECT ACTION AND PROCEED o CORRECT WOR(t!.LL 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 & SAFETY! INSNOTl . CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~1 ,QA T~ R~r.~IV.ff\ (p /Z/qe:; I DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDREilfb"7 5" Cc.n.ft>r 1.;, 3. LEGAL DESCRIPTION 4' ~e/.I'Ic!I06 LOT BLOCK (p #/u--S L White 2. Pink 3. Yellow File City Applicant Permit No. 19 -(, c. (p 1. DATE 6-:2., -11 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) /Z./ 12. NO. OF STORIES ... .eo PID :?C; .3)(') - a t./o - 0 ,q-oDAl 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER R (Name) UrVIMI 5. ARCHITECT "(Name) (Address) J/fA //lI"S 5.-1-"1/3 (Address) 6. BUILDER (Name) (Address) S"lHG 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. DeckX Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Fireplace 0 Alterations 0 Septic 0 Addition 0 (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE b/l- 447-<J'J7N (Tel. No.) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No 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 o~an revoke this permit ~ pt caus~ Furthennore, I hereby agree that the city official or a designee may enter upon the property to pertonn needed inspections. X /J~~-- .rr~~ ?-:J.-tjqt ~ Signature License No. Date 17. COMPLETION DATE SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Builder's Deposit ............................ It Other ......................................... $ Total Doe .............................. $ 10,-)'. II Paid ,/ 03. "7 , Receipt No. 3s4z-/ Date 6J / f let:; By ~ certify that the ~uest in the above application and accompanying documents is in accordance with the City zOning-b~ may proceed asf"equested. This document when Ian r constitutes a temporary Ce .fi e Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION _1/ J' .00 b. ell USEOFBUILDING ~&.s ~/L- TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City, Division 1 2 3 4 Permit Fee .................. ......... .... .... $ (,2.. Z5 40,...n (,00 Plan Check Fee ............. ................ $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... ~ r1~ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This Application Becomes Your Building Permit When Approved. By nata Certificate of Occupancy Issued 24 hour notice for all inspections 447-9850 II 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 .................. It Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ...................................!t, . Pressure Reducer .......................... $. Meter Horn ................................... It Water Meter ................................. 4: Sewer & Water Connection Fee ........... It Water Tower Fee ........................... $ Water Tap ................................... $ Special Conditions if any .. ,. ~.-._..> ..----r-~.- .-,---- _. .---... ---_..~-'" ~.-.~::-- ..... _.- ': / (> Thr Crnlrr of thr L.kr Country White - Building Canary - Engineering Pink - Planning 8111LDING 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 A Reviewed By: {j ,t/}1. ;)C!\O./1 ~<o a4/'LGt"..uL. OIL 7/P Accepted With Corrections Date: {Ill L-/lcn 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." ~ q9-~~ (p Tht(.rnlt'rof tht l.aktCouotry White - Building Canary . Engineering Pink . Planning BUILDING PE;RMIT APPLICATION DEPARTMENT CHeCKLIST NAME OF APPLICANT BR VA (1/ HA IN 65 APPLICATION RECEIVED fJ?,/2--/ qq The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /t./~75 ~AN 1t;;.,K.. ,/.-N. Accepted Accepted With Corrections y(' Denied ) Reviewed sf ~ 15. q ~- Date: (P-8 - cr't , Comments: I. ((""d .\..k.. ae<.lc... k,,-,D en.. .Ac "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." ___.u -'--"'T'T'-..__..'..'"~"- ,-. -- -...T-M.-----__._..__....__.. ,-// ,/' /' PRIOR LAKE INSPECTION RECORD SITE ADDRESS III Co,s (ANIl;:t2- LA.Nr= TYPE OF WORK N E. LU :DEc..~ USE OF BUILDING Sr-:.D PERMIT NO. qq _ {~ BUILDER ~loI:""e, 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 (n-7-gg I FOOTING ~j ~6 , rfi. I ? - CJ.3 - 9 'j PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED l.em ......It::i I I INSPECTOR DATE I FINAL (/l) ~ /1--;)0-71 J 1 1 Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 , , I I 'J II