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HomeMy WebLinkAboutBuilding Permit 99-0790 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FRAMING !!:NSULATION FINAL o FOUNDATION o DEMOLITION o FIRE PREVo COMMENTS: DATE TIME SCHEDULED ~-'7-<l9 I ~lS 5q41 ~ ~p.(- CONTR. PERMIT NO. Q'1 - rc q 6 o EXCIGRAOIFILLING o LKSHORENYETLAND o COMPLAINT o SEPTIC FINAL D FIREPLA9E D "T).o-c. . o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION ~~ ~ ('~ , .~ ...o.A- <. .. : (~~~~~ rJ(~,e .' - -LK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~I C~ FOR REINSPECT ION BEFORE COVERING Inspector: ~A- \ _ Owner/Contr: gALL 447130 FOR THE NElCT INSPECTION 24 >lOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! -T 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 Iv LOT ADDITION 4. OWNER DATI=RI=(,EI.'iEQ. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Il;'" ') Ii ...)'1\ i- lot 5'7'1' 1. DATE 6/~'I/?i ~ i Sf:. PID P{S-3d~-~d-{) h..,f IL NJ.-t." . CVOUANJ fA PM"'- Lfn I BLOCK CL),r,~I".a I "< lZ,d.e. ..-.'I'lamy) 1<. c, V;) r-(Nam,> r/O,^-fl'L (Name) (Addr.ss) (T.L No,) 1I0VK'/c ~9Y, CV/JSJ.../;,.{J S+.% 6/7.-YVO-\-/10 I (Addr.~ / {li>L No.) 6J( 'tYO O.....ylr ISO 66 J5r trl'tr...tr, IJr''''- ,.J~.,,- 7H; (Address) .... '" (Tel. No.) 5. ARCHITECT 6. BUILDER F;OVl-h fl- 7. TYPE OF WORK New Construction 0 Chimney D Misc. Co. ",rfr. J 6a-~~ /\D66 KVI<!K/"A 1/" .lJ,-.v'<..~-"...~, 7750 Deck}" Rs-roofing 0 Porch 0 Finish Attic 0 Re-siding 0 Finish Basement a 1. White 2. Pink 3. Yellow File Qty Applicant Fireplace 0 Alterations 0 Septic 0 Addition 0 Permit No. qq- 7qD BUILDING INFORMATION 11. SIZE OF STRUCTURE (HWlt) (Width) (Depth) 1 :2"7 J~ 12. NO. OF STORIES I 13. TYPE OF CONSTRUCTION Of<./G 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16, PBPJECT COSTNALUE :t 'fOOt) 17. COMPLETION DATE 8. PROPERTY AREA OR ACRES 190 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 that the building offic~n ~ ~ permit for ~ Fu~rmore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections. X (.. .C/O r: /S..7f ';?rJdb(nlD b/i;'{./9! Signature License No. 0 SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Front "ok Side Side BUILDING DEPARTMENT VALUATION USEOFBUILDING ~e5 If [J< OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 5 l'l('){"l.<?l"l TYPE OF CONSTRUCTION, I II III IV ~ Occupancy Group A B E F ~ ~ t M u:v S U . Division 1 2(2...A q 7~ Permit Fee ................................... $ 7. Amount Brought Forward .................. $ Park Support Fee .... .... ................... $ SAC uuuu.uuuuuwuuuwuuuuu $ Collective Street Fee ............. .... ...... $ Sewer Tap ................................... $ $ City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ 4.B .5"1 1.:30 j ~~t Pressure Reducer .......................... ~ Meter Ham .................... .... ........... ~ WalerMeler ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... ~ SOIL TESTS [j ENERGY DATA o PILING LOGS [j PLANS & SPECS [j SURVEY [j PERCOLATION TESTS [j SETS COPIES PLOT PLAN o Gas Fireplace Permit ....................... It Water Tap ................................... $ ~~'s~ca~ne~.S~9~:t:U2:~~r~~'1 :~:;~~.~~~~~I~.::::::::::::::::::::::::::::: c.j , C.rt"lcat.ofOc~panc/ Paid T;;:;jj4..u.'.uu~~~I~;~O$ .!s.7s-~~'-I- Issued . I Oat. ~!J()/' ~ By k-- This ~.i ~~... a th~...~l~.~~ ~ application and accompanying documents is in accordance with the City Zoni~ ~rdinance and may proc~-~uested. This document when Si9~:o""} tj;fr'J.an~emporary Certifit1 r~~iance and allows construction to commence. Before occ~pancy, a Certificate of Occupancy must be issued. :; City Planner I Date SpeCial Conditions ~ any 24 hour notice for aU inspections 447-9850 "l"'-:"~'~' , ~..." .,; _. ,,'("""~' '~"'!." ".'."'''1''''\,1. -\' ///1. III , ' : ~~ White . Building Canary . Engineering Pink . Planning Thf ('tnltro! Iht L.k, Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED u t",/ 'i , . /" '/ (,/-/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: If/ /: I '//(r'(. .1:: Reviewed By: / () t;)I; J~ Date: f/!d:;/?1 Lf~Jto ~ of- Accepted With Corrections Accepted Denied 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." " t . cp - 7l/D ~~ White - Building Canary - Engineering Pink - Planning Thl!' Cfnltr of chII' ub Counlry fWlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED mnl-;er Ctmcf 0-d<l-Lj9 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: SqLjf (!ros5Qndta. SrS~ Accepted Accepted With Corrections ~ ::::::ed BlJcY (~& Comments: ~ ~ &a.cl ~ Date: I o ~'2 <if - Z; "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 . 5'9'-1.9 (\.\l::l~c.nw9..'rCl... TYPE OF WORK IJor_~ USE OF BUILDING S F"D PERMIT NO. S'1-I"lO DATE ISSUED . Co ''24 - '7 J BUILDER F." n,^~ul- Lcm~. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ,..0 INSPECTOR OATE I FOOTING w-WW'> I Hk 1'7-;)'-'19 PLACE 'N"o CONCRETE UNTIL JABOVE HAS BEEN SIGNED I J*.rtMtIlKS I I , FINAL - Call between 8:00 and ~:o~all inspecti~ns FOR ALL INSPECTIONS 447-9850 '7~ 7~f'l