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Home My WebLink AboutBuilding Permit 99-0772 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEOULEO AODRESS lto 3 51 Vrr...locw ~ ~ OWNER CONTR. PHONE NO. PERMIT NO. DATE TIME 1"'ZF1~ q:Jx) 'tq - 1'12. o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP 1:NSULA TION 0 SEWER HOOKUP FINAL 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: J.~ II ~)(~C4C~~ &_q.rO ~ .11) .f.v ow- s - '2.. It \ () +-.. '2. -" 2 n () ..:::;:.. C::k. (r () Y) C '"iLk- eel / ~ (0l-<t ---- ~1- ~ ~ TIS FACTORY, PROCEED o CORR T, AND PROCEED ALL FOR REINSPECTlON BEFORE COVERING Owner/Contr: Inspector CALL 447-9 :50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~_REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTJ DATE RECEIVED (p / :z.2/CJC1 iI.l.li (. .- \. Ii" '" CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. ~11- qq- 7:& 2,. 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 LOT ADDITION 4. OWNER (Name) ORV/l.-t-(3; 5. ARCHITECT 1.0ATE , ,;1,). - "/'1 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) IL3S 7 V)L:f-urit... PVsD (Address) ::rOAlSR.UD (Addr.ss) ~ BLOCK ~ I'AlWltlAl- R.ID66 (Name) (wrll' .>f 12. NO. OF STORIES PID 2S-335-{J37-0 57')1 AOOtJ. 13. TYPE OF CONSTRUCTION (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (T.r. No.) S"",,\ . (Name) (Address) (Tel. No.) D'!. (<.J,">&!: .1.,.; 1'"I.~7~ I{,.J~v~ ST"tJ-'1Cl"/t,.,S OCCUPANT~ 8. BUILDER 7. TYPE OF WORK New Construction 0 Fireplace LJ Alterations 0 Septic 0 Addition 0 15. NUMBER OF OCCUPANTS OR SEATS Deck~ Finish Attic 0 SEATS 16. PROJECT COSTNALUE Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Chimney 0 Misc. B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I'hav~~' ed formation on t~is a~plication which is t? t.he best of my knowledge true ~nd correct: I also certify th~t I am t~e owner or authorized agent for the above mentio pen at 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 official e s it for just cause. Furthermore. 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X _,' ::J.D ;)61~t.<''1~ ,..;1,;1..-71 ......Z/v (.~ure License No. Dale SETBACKS: Required Actual USE OF BUILDING BUILDING DEPARTMENT VALUATION Front E.eSA.4.- , 17. COMPLETION DATE FOR ADMINISTRATIVE USE Back Side 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 OFF STREET PARKING SPACES REQ. SPACES ON PLAN PERMIT VALUATION 5./ ()()f').{")r'J TYPE OF CONSTRUCTION: I II III IV ~ Occupancy Group A _ B E F _I::! I M R..JS U DiVision 1 20)4 Permit Fee ................................... $ Plan Check Fee ................. ............ $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... ~ SAC ......................................... <t Collective Street Fee ....................... <t Sewer Tap ................................... $ . "I'.,S- 104.8<1 2..Sb ~i'l \,~\~l\U\ \t\ Pressure Reducer .......................... $ Meter Horn ................ .... ............... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Buikfer's Deposit ............................ f; ::;ti~;~~~.~;L~;I~i~.~..~~ Wh.n ~Rro~d.; By ~r\ ) Date _1_-2~-~ Certificate of Occupancy Issued Other ......................................... $ - - -. Total Du. .............................. $-1k2..,J. () 'f P.id /~..., (!) 9 R.ceipt No. :3 ss 7% uest in the above application and accompanying documents is in accordance wHh the c~:~oni~~~i:;may pr::,,",,~. This document when r constltutA ~teJrary Certificale t1og{ ~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. an at ~ Dale Special Conditions if any v 24 hour notice for all inspections 447~9B50 9d-771 ~._' ....,,~'. "'_- ~_ """.3~_""""'~~""~""X"""""""_"''J;'''!*-~';;~'''~''.~-~',~~;"'''';JI''-jl'o~'>'~~~lo/!I"~,:",,:,,''<?'"'":'r~''F-'~~'''''~'-''''~''''''''"~'-''''''''''' !. ....~T..-" .~ ~~ q q -112- ~ The ('enln of the Lake COQnlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTME~T 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: Denied \/ lJ?t.j~ ';~J0 ~ Accepted With Corrections Accepted Reviewed By: Date: rot JLf/77 Comments: 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." ~~ ,1l- qq~ The Ctnfuo!lht L.kt Counlry White . Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEEARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /3/1R.f...-. D's c--orJsTf2-. ~/z-z-/qc; I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /~357 V/C,7()R../I'1 GUR.l.J6 Accepted Accepted With Corrections '>I Denied /J I/.J I Reviewed By: (r:::j)O~A I' Date: "-2</-):(, Comments: I, ~"i ~ i:k.ck ~ "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.1,~5'7 \J,.rkrlc. Out\lE'. TYPE OF WORK On k. USE OF BUILDING S I="D PERMIT NO. ,9 - 77 ~ DATE ISSUED {o - -:::J4- '7 '( BUILDER ~c:; ~I i:) '., C'cn-..!.J . NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ~) I ~l}..v 1 ~- 36-?7 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~~. r' FRAMING (?<) IILfO 11- (., '1'/ I "'Be~N! . - IJ..rf\' 19~ ):I"",r- . c;t)- \)eC!<.I'j 'FINAL I \\,\, 11/v~ - ~~ l Call between 8:00 and 9:00 A.M. iq). all inspections FOR ALL INSPECTIONS 447-9850