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HomeMy WebLinkAboutBuilding Permit 99-0785 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 11.'11/0 c,~ (X OWNER CONTR. PHONE NO. ~ FOOTING ~ o FOUNDATION o FRAMING @ D~SULATION B FINAL o SITE INSPECTION PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: mc.1L - Gk-Eho .A</ ""'- "-0 ~ ---- ---- DATE TIME elzc..[ <tCj "..eo qq~ 785 o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o , I.' ... 6.., ~~ v ('~ "----- ~ \ J ~ ~ ./ LK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT 1fK. CALL FOR REINSPECTION BEFORE COVERING Inspector: 'O':t- ( Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNon CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ~1 .QAT~ ~~r.j:I"I=.Q. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~/;?~/c;'1 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 120 SITE ADDRESS \ ~qq D Q...f' ~ ",,-<.c::>r--.. C'_ 4- / Pcn~ I. White 2. Pink 3. Yellow File City Applicant Permit No. qq-785 1. DATE co - d--3-9r BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) /Us.c> 3. LEGAL DESCRIPTION /0 .:$E PID ~~,j/~-t1It)-() 12. NO. OF STORIES LOT BLOCK Wt.Lduz.N~ ADDITION 14. OWNER ff'I/A.(' k.. 5. ARCHITECT 13. TYPE OF CONSTRUCTION t~'14c> (Tel. No.) "'lD-;.L~ . t..r .).-. Scy,. c.:.i-.. (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Name) tl TUr''I (Name) 1\ ,(Address) no.tl e/ be.,t;oll<'" (Address) 6. BUILDER (Name) ~e....~c...,.^",i.. (Address) ""~'1 'S' G.....""...."'.,J, c:..'r 7. TYPE OF WORK New Construction 0 Septic 0 Addition 0 Deck ~ Finish Attic 0 Re-roofing (] Porch ~ Re-siding 0 Finish Basement 0 16'~3fmA~ 17. COM-PLET(ON DATE Fireplace LJ Alterations D (Tel. No.) 4...jO-515~ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS Chimney 0 Misc. 18. 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 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 thaI the building o~1 caflrevok~is permj.tfor just cause. Furthermore, t hereby agree that the city official or a designee may enter upon the property 10 perto3 needed inspections. X 1I~l<._ _ {' .R~." '---I'R ~I .0- CJ...3-99 , Signature license No. Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REQ. SPACES ON PLAN USE OF BUILDING le.6S -4/k' PERMIT VALUATION 7 n(){')."'", TYPE OF CONSTRUCTION: I II III IV LP Occupancy Group A B E F HIM'-.6" S U Division 1 204 Permit Fee ................................... $ City: Plan Check Fee ............................. $ 12ll,,1~ RI.O'l ~.S-O State Surcharge ............................. $ penany . ...................................... $ Plumbing Permit Fee ....................... $ ~ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ :t;;:~r r ;?~~:...t~;,~i~~.~.e~" I:{hen~~~ By" !~rr tur Date 1-/u'?!L ~ 1. ~ 7'- Certificate of OccupMcy Issued 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 .................. $ ParkSupportFee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ....................................;: $ Pressure Reducer .......................... .;: Meter Horn ... .... .... ........................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ............................;: Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Paid 200. jt..j Receipl No. ]7"& 7/ (#, Total Due .............................. $ Dale 7-')(). q 7 By st In the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as .stoo. This document when ~nstia1mporary C77iZ, zq; compliance and allows COflstruction to commence. Before occupancy, a Certificate of Occupancy must be issued. City anner iate Special Conditloos ff any ThiS~fy signr by t.# JI " - 24 hour notice for aU inspections 447-9850 -T-- <";"'-c"...r_",.,..".~~'ljill'!Itf~"'~~""~l"'",...""""-,,,-,,-"-~t--;'~'~~~~'P:' i'" ,,,"-~~,,.t:~;f~ ,. '" ',' "~"""".~1;:~~'~ ~,~.~ 4'~::'7':,<",--~""..",,;_...-" . White - Building Canary - Engineering Pink - Planning Thr Cmltr of Iht Lakt Counlry - . 6UILDING 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 -, /7} J ) Reviewed By: (J?ifJ'~ ~Jk1 '~.~,.& Ok-, /~,~~ ~G -OK-1 () HvJ wdicwJ 2klK -rk Accepted With Corrections Date: 7 -/(p ,79 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." .' ri qq- 785 Tht' ('prllpr of Ihp L.kr Counlry White - Building Canary - Engineering Pink - Planning B.UILDING PERMIT APPLICATION DEEARTMENT CI1ECKLlST NAME OF APPLICANT APPLICATION RECEIVED JOHN CASANOVA 0/1;?-t./ /1r The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /6940 e.,e 111.:50/1/ (/ / . Accepted Accepted With correctio~ Denied (')/ Jf./ ~ ~ Reviewed B~F Comments: Date: 7-/~ -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." ---~--~_._---_._------_.- ;."'" .~ ':1. ., \ \, "' , PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS I(,.,~ ~() C't,'\AA'O,ov\' C+- TYPE OF WORK C'":4""Z.b-, M-"Da-~ USE OF BUILDING SI='D P~RMIT NO. 9t:-/5e:::- BUILDER ~\,....... (I", ,'" ,^",,rv-L<... NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE ISSUED -=z.-((,,-"t~L_ INSPECTOR DATE I FOOTlNG(~ ~~ I~. 11v~..J1~99 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED , FRAMING I I ~ 'FINAL W) ~ 18-;)-{., -'1'7 Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 .' . :> ......~ " .;/"