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HomeMy WebLinkAboutBuilding Permit 95-0356 ADDRESS II ( 0 0 OWNER ~ TELEPHONE NO. l.IJ D FOOTING LL: D FRAMING ~~INS TION Q D LBO. ~ NAL <l('"" D FOUNDATION ;t: D DEMOL. !j D FIRE PREVo ~ ~ COjIMENTS: ;J ~"r' C'~~~ ~ (\ - ~ f2 V ~ ~ ~ ~ ~ 'Ii( ~ ~ ~ ~ / g / ~ ~ORK SATISFACTORY:PROCEED Q Q CORRECT WORK AND PROCEED o D CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING o D CORRECT UNSAFE CONDITION WITHIN I-iOURS. INSPECTOR WILL RETURN. D STOP ORDER POSTED. C~INSPECTOR. D INSPECTION REQUIRED. C).LNO ARRANGE ACCESS. CITY OF PRIOR LAKE INSPECTION NOTICE PERMIT NO. qs -3SC, CALLED-IN SCHEDULED COMPLETED 1?~ OPLUMBING RI o MECHANICAL o WATER HOOKUP o METER SETfTURN ON o SEWER HOOKUP o SEPTIC INSTALL. o SEPTIC MAl NT. o PLUMBING FINAL DATE 7h/2] ~ TIME I () ~5() CONTR. OSITE INSPECTION o EXCAV./GRADINGlFILLlNG o LAKESHORElWETLANDS o COMPLAINT o FOLLOW-UP o SEPTIC FINAL D FIREPLACE D ~ \.-Je_ call for the next inspection 24 ho Owner/Contr. on site Inspector I \ ( J \j- Yellow Copy/Site NoIice o PHOTO TAKEN 447-4230 Whihl eopyRn$p<<tor'. File R(2'rr::;i,i ~~7 u::: L. , t, ',-.' .1.......--:: Ul - , III) . '~' "TV OF PRIOR LAKE UILDING PERMIT, Tl=l/IPORARV 0 IFICATE OF ZONING COMPLIANCE AtI.P UTI ITV CONNECTION PERMIT a" '7 rr , Permit No. ~ - ::0(0 1. While 2, Pink 3, Yellow File City Applicant 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 \ -") E'"X) T~\~""'f..~\A *': ) E. 3. LEGAL DESCRIPTION LOT 40 BLOCK ADDITION ~-t.~' r l \ 4.~s~ ~ame ~ / ~ C-r+'-I "'b, fZ.t.:::L ~ 5, ARCHITEtT (Name) 1,DATE e .1-9S" BUILDING INFORMATION 11, SIZE OF STRUCTURE (Height) (Width) (Depth) PID.;) ~ q l" -CJl..\lo- t 12. NO. OF STORIES ..2- (Address) (Tel. No.) I ~2-0b 6......,-l<-(L~ 44'1-l.rz;:J..~ (Address) - (Tel. No,) 13. TYPE OF CONSTRU<1TION A/',f_s--.~~, / L)~ ~ 14, FLOOR AREA AI'PORTIONMENT USE 6. B~ERA '-./, (Na~~) I _ J (Address) (Tel. No.) t::.'-:/4. 1 ~- 4CtJi{- J9,(~~ 7. TYPE OF WO~K Fireplace 0 Septic - - Heating 0 Plumbing 0 Reroofing 0 Porch 0 New Constructio~ I, '{Iterations 0 Additioe.o I Finish Attic g,. I ,ResldinjLQ ~inish Basemen~ ~ ChimneYD MIst. L/.~)<- 7(71 - ~~~ ~~,C ~!--=< 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSION'S -10. CULVERT SIZE - Sq. Ft. Width Depth Yes No 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. ESTIMATED VALUE 17,~PLETION DATE -/- 1- ~ ::;;: 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 abo~m io pr perty and that all construction will conform to all existing state and local laws and will procaed in accordance with submitted plans. I am aware that the building ci r this 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 - Signature Ucense No. Date FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPUCATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 YRCOLATION TESTS 0 PLANS & SPEo/ yrs SURVEY / COPIES PLOT PLAN 0 SETBACKS: Required Actual PROPOSED GRADE FOUNDATION IN RELATION TO CURB O~ROWN I OF STREET t'\ IOL. '-\""' LT"""', T ...... USE OF BUILDING ~k~'^~- +S\..c.\~ TYPE OF CONSTRUCTION: I II III IV <fb Occupancy Group A BEl H"M @ Dlvlslonti) 3 4 Permit Fee ................................... $ OFF STREET PARKING SPACES REO, SPACES ON PLAN PERMIT VALUATION 2:\ ,~~::? . t.i 0 City: Amount Brought Forward .. .. .. .. . . .... .... $ Park Support Fee ........................... $ SAC ......................................... $ ~~.~ '~.l~ ~~ \ Collective Street Fee ....................... $ ~~ U~~ Sewer Tap ................................... $ (d License Check Fee ......................... $ C. 1- ~ ,,- Aessure Reducer .......................... $ '-'1 ~ ~,~rHom................................... $ Water Meter ................................. $ Check if 0 Sewer & Water Connection Fee ........... $ Deferred 0 Water Tower Fee ........................... $ Plan Checking Fee ......................... $ State Surcharge ............................. $ Penalty ....................................... $ Septic System ............................... $ Other ......................................... $ ~I:f , . '15"' ".. - ... ....t .....~ I.~' Subtotal............................... $ J$'7 : ~'1. Water Tap ................................... $ This A~OJf~es you.K,~g Permit Wh~ A~rO~ed. By;?f/tu,:/fi Date ~ I ~ Certificate of Occupancy Issued Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ ,~-;. c:... L Paid Receipt No. Date ~ II S' /<1 J By Ul. l)~ _ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. nfs document when sig~ By the City Planne~itutes a temporary Certificate of Zonin.i ~ and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. -f./~ - - ~ -Jt:>-"fJS City 8nnll(- Date Special Conditions ~ any 24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m. qs- ..JSt: White . Building Canary . Engineering Pink . Planning Th. C.nt.r of .110 Llk. Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT jJ j/l 11 --, APPLICATION RECEIVED Ir/l/I/[ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: II/bb __iu;)rliv. Accepted / Accepted With Corrections Denied Reviewed By: ~. MILJ-/A.1==1 a:::.F'~ Date: 8/1 \/199,-) Comments: liThe 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." ~ '~" ;",.,. ;~,A.'\., 1; ",;.,;~ White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLlCANT-!J X 111J~ APPLICATION RECEIV~D f rJ; / liS' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .JJ/lJtJ '- ~jr iLu. v/ Accepted Accepted With Corrections Denied Reviewed By: 1/ ~ Comments: fl~ Date: J/~its ....,,.1 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." White . Building Canary - Engineering Pink - Planning Th. C.nl.r ollh. Lak. Co.nlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLlCANT);l1) ~ APPLICATION RECEIVED f millS' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 7/~()" I};,nJr Itru. Accepted Accepted With Corrections X Denied _ Reviewed By: WP~, - ~ /' Comments: Date: 8-1()-9~ "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."