Loading...
HomeMy WebLinkAboutBuilding Permit 99-0807 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS SC-,.LlT'l 'IS; frh\u\1'f"1 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING @ o INSULATION ;^)t"~;':;AL beL\-' VDSi'TE INSPECTIc5Jif COMMENTS: CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ..... ~ ~UJ../I > I, " ~')'~ ( (A'ffiU.. - 7'<./ i, , ") '- ~ DATE TIME ~-Uo qq-~(Y7 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RJ o FIREPLACE FINAL o GASLINE AIR TST o ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I OWner/Contr: V CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl -_.~ OATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, JUN l 9 1999 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 . ')L~? 6,;,. 1."=0..1 Live, /7~ ~l;'r 3. LEGAL DESCRIPTION -3 BLOCK fJo; f1.if" LOT ADDITION ..;JrJ//1 of 4. OWNER <:;'Cf.>tT- (Name) /1r1; 1-.,. 5. ARCHITECT (Name) P?1~H"N d '" 6. BUILDER (Name) Signature SETBACKS: Required Actual Front BUILDING OEPARTMENT VALUATION USE OF BUILDING If!.ES .&I/.e. > 1. While 2. Piok 3. Yellow File City Applicant Permit No. QC7 --~t7 '7 ~J;~ 7' . Rfii) /..q 1;:.. m" BUILDING INFORMATION 11. SIZE OF STRUCTURE {Height}, (Width) I L IV 12. NO. OF STORIES fo ;::yzff Add/1 (Depth) / /. PID .:)') -;)CiS - 6(p /-() 13. TYPE OF CONSTRUCTION n<..<:-I: (Address) iVlre cJ!' ""fC./&.. (Tel. No.)efJ7..se2-/ 14. FLOOR AREA APPORTIONMENT USE St. '11 /3lnc),,,,,,c>"'cl Cl.,,. /1F', "'-9,?-.:2.7,,3 (Address) (Tel. No.) ~;H~v;/Ie Xj"I- '-I'1S0 (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANT~ SEAT~ UcenseNo. FOR ADMINISTRATIVE USE Back Side 7. TYPE OF WORK Fireplace 0 Septic LI Dec~ Re~roofing D Porch 0 New Construction LI Alterations 0 Addition 0 Finish Attic 0 Ae-sidlng 0 Finish Basement 0 16. ~OJECT CaSTNALUE ChimneyO Misc. ., /t..CJ(;:) .. c;>o 8. PROPERTY AREA OR ACRES 19. PROmjlMENSIONS ,/'1' 110. CULVERT~ZE 17. COMPLETION DATE Sq. Ft. Width {,I Depth k~ . 7'i" Ves & 7 - jb ~ '7'C\' 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 o~ial can revoke this ermit r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X./)(.,.,.d , G> ;;J'7- 99 Date . OFF STREET PARKING SPACES REO MATERIAL FILED WITH APPLICATION Side SOIL TESTS i:l i:l ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS i:l SURVEY i:l SETS COPIES SPACES ON PLAN PERMIT VALUATION ~ t'Y"'\ . n t<) Division 1 2 3 4 Pennit Fee ................................... $ TYPE OF CONSTRUCTlON: I II III IV V OccupancyGroup A B E F HIM R S U City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penally....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sf. ':)" 3s.(PQ .80 t~~ ~~~ Sewer & WaterPermlt ...................... $ ~i!J;;,~I~~:t;it7:n!~rry PLOT PLAN 0 Amount Brought Forward ..................!t. Park Support Fee .... .... ................... cr SAC ..................,...................... ~ Collective Street Fee ....................... <t Sewer Tap ................................... cr $ Pressure Reducer .......................... $ MeterHom ................,.................. $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... cr Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ _ Total Due ............................... >r,'"J I 0> 1 Paid t!>5.(, ., Receipt No. .5t;;" z.e Date ,?/,/~q By ~ This~'S t' e requ in the above application and accompanying documents is in accordance with the City Zoning Ordthance and may proceeU requested. This document when sign th P ner stit t tern rary Certificar of Zo~~mPliance and allows construction to commence. BefO. re occupancy, a Certificate of Occupancy must be issued. .' 1/J3~ y' " City Planner I Oa Speclai Conditions W any 24 hour notice for aU inspections 447-9850 Issued Th. C."ln or lh. L.h Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 3c.~ M~k"l. ~ ~'2.or-'i1 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: S'(,~1 ~"l"Ck.o~.A... ~ Accepted Accepted With Corrections ><: Denied 12PiJ,k-- (kl ~~ Date: Reviewed By: Comments: ~cd) ~ ?-1-9cr "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." ".~?'."'~ '.I"'>'I"",..,..,..,..._.~-, ".,.,....~,..~ -....,t"""'~ff'.~~_,_'1' c~_""'\W~"''- -.... :W.4>,__'~""""k; ~~ .;: Thf ('fnll'rof lhf L.k, Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPAI3TMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / ,..'---', / > I ...___. /--;"'/ , . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: --" ! <...- i.' c: Reviewed By: / (J.~,~ 7 <;e;;thud0 Accepted With Corrections Accepted Denied Comments: Date: ta/3o/CfCf ~ ()t~ "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." ~ i i , :' ' . ,.'.-.., , PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS TYPE OF WORK USE OF BUILDING PERMIT NO. ?'1-Ar:n BUILDER I'\,~r. -- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ,c;/~t{7 ?'\'lYLIL~"""'...,t D.o,- k :!>1='D ~. . DATE ISSUED ;-1-9'1 I FOOTING r~ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 'c1J I~ I I INSPECTOR DATE , FINAL 4. I 7((3/~ Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 I I