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HomeMy WebLinkAboutBuilding Permit 99-0687 .!/r'f '!. /Ill /Gf.., 0 IA.JW 00 0 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS Lj-o /7 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~FINAL Pe~ o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL DATE TIME 2:~ q9-(;67 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: <i1.J.. ..:., ~~ ilia !~~ v - - - 5):::- ~1- -- (~ ) ~ --'" -- - - / ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL 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! INSNOTJ II -_._._~_...,..._-_._--_._-----..,._..-.-,. -.-........ ....-... T ii~~ DATE RECEIVED 0/4/19 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 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 tlDl~1 [1\ ;\b""oo& s. \0- 3. LEGAL DESCRIPTION LOT :? :J. 3~ PID AcU'JIl. -;:J<:; - 3';J~ -f)!f1-(J 13. TYPE OF CONSTRUCTION BLOCK Q".",ds. ADDITION L l...",~lnll"'''''' 4. OWNER A )Namer :Do..i ~ d /\,0\\ e\k- 5. ARCHITECT I (Name) t'1r 6. BUILDER (Name) bo.~MlcAk Lloh (Address) \,IJilloWwoecJ '* (Address) (Tel. No.) (./1. - '147-/8~1... { (T~\ No.) IIJ) ~/2J!'J33 - B41.fO (Tel. No.) ibn (Address) l,JIl\o iJWooJ-~ 7. TYPE OF WORK New Construction 0 Deck)ll Finish Attic 0 Ae-roofing CI Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Fireplace D Alterations 0 Septic 0 Addition 0 1. White 2 Pink 3 Yellow File City Applicant Permit No. rltJ. 0 ~'1 1. DATE s-:.l."3 -'1'; BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) tU 12. NO. OF STORIES 14. FLOOR AREA APPORTIONMENT USE &1'V.</if'l-1 tlE:" '2--. 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTR Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I have furnished 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 e~' n~d p party 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 off a c n re ke ~ij permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X J jI Lh'<'Jc- ''/-"ToII&- q 0 - \ Signature License No. Date 17. COMPLETION DATE SETBACKS: Required Actual FOR ADMINISTRATIVE USE Pressure Reducer .......................... <t Meter Hom ................ .... .... ........... $ Water Meter ................................. <t Sewer & Water Connection Fee ........... 't WaterTowerFee ........................... $ Water Tap ................................... <t Builder's Deposit ............................ <t Other .........................................!t Total Due ..............................,< 7){) ..n/ y: Paid f3q "7. S Receipt No. -3 '7 'I "1 Date (, I" 4 t: By 12.-01+ , in the above application and accompanying documents is in accordance with the City Zoning Ordinarke and may proceed as requested. This document when itutes a tempo 'Y ce;;;rr:{j7'mPlianoe and allows construction to commenoe. Before occupancy. a Certificate of Occupancy must be issued. ate Special Conditions if any Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION I..C)(Y") USE OF BUILDING RES AlE.. TYPE OF CONSTRUCTION: I II III IV~ Occupancy Group A B E F HIM UVS U Division 1 2@4 4~ C)j Permit Fee ................................... $ . n :S1.S3 .75 City, Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty...................... ......... .... .... $ Plumbing Permit Fee ....................... $ ~14Iq~ ~~ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ .............. $ ur Building Permit Whery.Ap~~. Date t,,-~ -7 }' Issued MATERIAL FILED WITH APPLICATION Side SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY 0 COPIES PLOT PLAN 0 Amount Brought Forward .................. $ Park Support Fee ....... ...... .............. $ SAC ......................................... $ Collective Street Fee ......... .... .... ...... $ Sewer Tap ................................... $ . '___'n-n.- 24 hour notice for all inspections 447-9850 or '"".'-~ " c"''':-~'''-''-'''''~~ Thr Crnlrr of lhr L.b Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / i / I '..-" <-.,<' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: :.,) _.---(--- Accepted 1/ Accepted With Corrections Denied ()l15. ~~ Reviewed By: Date: (01 sf /9 I~~ , 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." ~~ Q9-r;,e7 White . Building Canary - Engineering Pink . Planning Tbr Crnltr of lhr L.kr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CI-\ECKLlSI NAME OF APPLICANT APPLICATION RECEIVED D,t:J VIO f\/oL.{,,6 / 7 {;; fs, /4// qc;t The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4L-O/7 WIL.L.OWWOOD ~ I Accepted Accepted With Corrections ^ Denied Reviewed By: R{J tf,L Comments: Rea&. ~ rfJ-pcJc Lc2aJ Date: G - 'i3 ~'Z '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." T,. -----~~---.-.------~.......--.-.----. . ---,....,-----'"-----.,----.---------'-.------...~.--,.----------- ..,.. .~_...-..--.---~.--~.~----. . // /.,.. / ./ ! . . ~. PRIOR LAKE INSPECTION RECORD SITE ADDRESS 41'l'fl W~\.\~ ~ TYPE OF WORK \:)0<" \c USE OF BUILDING SF\) PERMIT NO. 0'1-LP,P,'l BUILDER ~,.,II. it;- 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 ~ - 'B - c:;S INSPECTOR DATE I FOOTlN~ ~.ri' ~~ I ~~\ I (., - II.{ - 99 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED , ~~ -lfNG VJ) {,/Nt/rt!- I I j .II IT I FINAL ,J~ I /fl., tJ-?- 9'J , Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 , \ \ \" " 11