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HomeMy WebLinkAboutBuilding Permit 99-0811 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 7/4J2 LN. /:/5' ADDRESS Lj450 a;rlCl-! 1'1/l /\/ OWNER CONTR. PHONE NO. PERMIT NO, qCJ - g ( / o FOOTING o FRAMING o INSULATION ~ ......FINAL Oe:::J:::-- ,.... ..g. FOUNDATION o DEMOLITION o FIRE PREV. o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLING o LKSHOR~ETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o (C;~Mrli~c.,~ V l-....r ~C( "J J <Zzb 0+ I ~'\ ::'~,,10 ~ ~IM C:1f- -~ ----- ~---- / A--. ( ~ \ ( , ~I)>f I- IlL. ) "----- --- ---- RY,P o~ PROC D FOR RE SPECTI BEFORE COVERING Inspector: Owner/Contr: CALL ~7-4230 FOR TH.: NEXT INSPECTION 24 HOURS IN ADVANCE, CODE EQUIREMEN ARE FOR YOUR PERSONAL HEALTH & SAFETY/ ~1 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT L White 2. Pink 3. Yellow File Gty Applicant JUN 2 9 :999 qr; -S/ I Permit No. DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) I (;;;7 A, R/ / PID/J')31'/-jtJ!-() 41jJ add", . BUILDING INFORMATION 11, SIZE OF STRUCTURE (Height) (Width) (Depth) 2, SY///5{/S Coa{'J~cJf) LA) Nf..- 3, LEGAL DESCRIPTION LOT J (/ . . ADDITION 't}f r i CI d'fJ. 4. OWNER (Nameh LJoHAJ W' l:56R,,Jl-{oLbT 12. NO. OF STORIES BLOCK /-It' / / ') 13. TYPE OF CONSTRUCTION (Address) '/'15'0 G""CHMOI,v (Address) (Tel. No.) &'12-<402-'1477 (Tel. No,) 14. FLOOR AREA APPORTIONMENT USE LtoI 5. ARCHITECT (Name) (Name) (Address) .::J,..loJ W. B.!UJ>lIl\.bT "'frQ G'A<<<."'''',J LJ (Tel. No,) 15, NUMBER OF OCCUPANTS OR SEATS '""7..-40'2'''1'('7-,' OCCUPANTP SEATS 6, BUILDER H-- Deck~ Finish Attic 0 Septic 0 Addition 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 7, TYPE OF WORK New Construction a Fireplace CI Alterations 0 16, PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I have fumished 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 ab ned p~that all construction will conform to all existing state and local laws and will p. roceed in accordance with submitted plans. I am aware that the Lng official vOke)~1s p it for ~~~ FjoIrthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed iOSj)ections. ~ ,_ ~J'Al ",/2-9/4<1 Signature License No. . Dafe . 17. COMPLETION DATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL ALED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS Cl PERCOLATION TESTS Cl Side Side Front B,ok BUILDING DEPARTMENT VALUATION J{f<, If/t<! OFF STREET PARKING SPACES REO. SPACES ON PLAN PLANS & SPECS 0 SURVEY 0 SETS COPIES USE OF BUILDING 2~O, C)Cl _c> .;."'"""C....___#- ""J - . PLOT PLAN Cl PERMIT VALUATION TYPE OF CONSTRUCTION, I II III IV ~ Occupancy Group A B E :..bl M~ U Permit Fee ..........~~~~~~~...'.............. $ Cr., 2. 2S Amount Brought Forward .................. $ Park Support Fee .... .... ................... 4: SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ...................................4: $ City: b~ ~~~~ q (') ~ (( '7. '.00 Plan Check Fee ............................. $ State Surcharge ..................... ........ $ Penalty ...................... ......... ........ $ Plumbing Permit Fee ....................... $ Pressure Reducer ..........................4: MeterHom ................................... $ Water Meter ................................. lJ: Sewer & Water Connection Fee ........... 4: Water Tower Fee ........................... $ Water Tap ................................... _,. Builder's Deposit ............................ $ Other ......................................... $ Total Due """""""""_"",,,,,,, $_/0 ~ - 72.- Paid 1 if 3.1 'Z.. Receipt No, ;'\~ Date 7 h. /qq By R.o H in the above application and accompanying documents is in accordance with the City Zoning Qrdfnance and may proceed as requested. This document when te a temporary c~~~ compliance and allows cOf1stlUc1ion to commence, Before occupancy, a ~o, ""_'0 01 Occupancy must be issued, ale Special Conditions n any Mechanical Permit Fee ..................... $ Issued ThIS13's ~fy therequ sign y t ner , (/ ". city Planner V 24 hour notice for all inspections 447-9650 -;t"~ _,~", ~."'~"" --~-~ ~ .",1" ()r'( /11 1 Thr Crntrr of thr lIkr Country White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / . /fl/ /, (I / "/d-/.- _-' f.. ..,t , " ,I / / tC/1-; r; (" -' .' '/ '/ / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: //~('\ /'( (,.'t/i / j /,t/,,{/' /~// /?!(C Accepted / Accepted With Corrections Denied (J lJ1. jfJl('~ ~ (2-J ,SrOfhad(/) , Date: vA () 9/ /7 ~ oj< -cJS-'~ vv ' Reviewed By: Comments: IO''S-<-dP "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 <fl( White - Building Canary - Engineering Pink . Planning Thr Cfnln of lhl Lak, Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED J{)IU1 6arnholdr 0/d~/t;'f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: -<j;,j5!) (}JOd1jY1a,u 1.;fJ Ale.: ~ Accepted Accepted With Corrections Denied n Reviewed BY\ d.Q ~ A-- - " Date: (.. -"0-7'9 Comments: I. ~ +Lt. ~~ -U-...l) --=- -*- "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 SITE ADDRESS 4450 Coo.rklMr,!,1A ~- TYPE OF WORK f).prJc. USE OF BUILDING 'Sf'D PERMIT NO. 9'7 -8 { ( BUILDER ~~~ \ Ai- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION DATE ISSUED ~-30-CC'7 INSPECTOR DATE I FOOTING ~) I J{~, I 7 -1[-'757 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED , jJ((AMI+JG I I I ( , FINAL I \ I '7 / { 3 / ~ l I Call between 8:00 and 9:00 A.M. for II i spections FOR ALL INSPECTIONS 4 7-9850 . \