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HomeMy WebLinkAboutBuilding Permit 99-0971 I. DATE TIME ~Oo CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 3/to( 01 OWNER /-5 ~.5 J 1$'302..\ H6NN2-Q LArLE I?d/, ADDRESS CONTR. PHONE NO. PERMIT NO. 9 9 ~ 97!. o FOOTING o FOUNOATION o FRAMING Cl)!lSULAif,19N .E ~~NAL;-r o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ^_ q PLUMBING FINAL tl 10 ~MECH FINAL ". o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: ), C; - ~. e~ ~ORK SATISFACTORY, PROCEEO o CORRECT ACTIO~ ANO PROCEED o CORRECT RK, ;ALL FOR REINSPECTION BEFORE COVERING Inspeelor: Owner/Contr: CALL 447-9850 FOR E NEXT INSPECTION 24 HOURS IN ADVANCE, I CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ --_._---~._._.~---_._'--- -_.__._-----_.._..~..-.,---- I iI CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT '~?t;.119 OATF RFr.FIVF;Q e/c. /C;q DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE AnnR68IO . /5d3/ It/VjYll'd j?j lake 3. LEGAL DESCRIPTIUN L White 2. Pink 3. Yellow File City Applicant Permit No. Clt?-(j7/ A-/J' .0 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Hei~t) (Width) (Depth) 12. NO. OF STORIES LOT BLOCK PID ?!!;" - t:?3'Z- -010 - J 13. TYPE OF CONSTRUCTION ADDITION ..;t?€''Tl!TS A?v.o dOl/NOS 14. ~ER ,,(Name) (Addressl /hh..... () V<'" c:::X:UYlen-S G.h--.II-P ISo ARCHITECT (r-k.me) (Address) 6.!II,lILDER (Name) (Address) u6h!') Dvs 7. TYPE OF WORK I Flrep~ac Cl New Construction 0 Alteration Chimney 0 Misc. Ie. PROPERTY AREA OR ACRES 19. PROPE~TY 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 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 :uilding 0 cial n revo this pe;.\it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform~ej~~9ns. ~rJt.ure .~ Ucense No., OUt .... So me Cl sabovp Septic 0 Deck 0 Addition 0 Finish Attic 0 I-'~~ (Tel. No.) 1:1 to -o8c:; 7 (Tel. No.) - 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS Re-roofing 0 Porch 0 , Re-siding 0 Finish Basem:K 16. PROJECT COSTNALUE I SETBACKS: Required Actual 17. COMPLETION DATE FOR ADMINISTRATIVE USE Builder's Deposit .,.............,.,.......... $ Other .,..,.,.,...................,...,.....,., $ Total Due .............................. $~ ;''5" Paid ? ~ / r Receipt No. _'5r; 09 E!J Date <;/t'/?9 By ~ above application and accompanying documents is in accordance with the City Zoning Ordi~ance and may proceed~ requested. This document when a tempera: CertificaQ~,Vr~~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. .../~ Special Conditions W any Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING L6:S R/'<""" PERMIT VALUATION SCO.OO TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ S U City: '2.1.06 l'? .to-;- SO Plan Check Fee ............................. $ State Surcharge .,....,....,....,.,...,...... $ Penalty ....,.,..,.".,..,.,...,....,....,...,. $ ~ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ."......,.,.,.".... $ 40.00 Sewer & Water Permit .",...,....,...,..... $ TI'- B ace :~;I~i~~i:t;i8he~ {r;~ Certificate of Dc pancy Issued ThiSiS~O fy ~.J:.: int 'ned by C' ~~nsr CilyPI8l'lner - Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY Cl SETS COPIES PLOT PLAN o Amount Brought FOlW8rd .................. $ Par1< Support Fee ........................... $ SAC ..........,...,...,...,...,.............. $ Collective Street Fee ..."..,............... $ Sewer Tap ,.,.,.,...,...,.............,.,.,., $ . Pressure Reducer ......,................... $ Meter Hom .............,.,.,.,.,.,.,.,.,.,... $ Water Meter .........................",.",. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ..,...,.....,..."......... It: Water Tap .."..,....,....................,.. $ I, 24 hour notice for all inspections 447.9850 , I ~ '. , , I '" 'II I r-->.,.-.....~. . _T. I ~"II" II" 11"'1'11111' >.)' '"' III."""" '.'11,,",,,,,",_.0,,,,,,,,,, ... "":'1' I ~"'II'I III 1111'- I""~I~""'" d..... - T_ COIl" of t.... lAke Co..'1')' 9t/.-t/71 White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 8/{~ /9q , The .Bui!ding, Engineeri~g, andf;~~jQQ. pepartments have reviewed the building permit application for. construction a~t1"~proposed at: . I~ 3, I /--If} I ,IV- L K /2..L) Denied ~ . O.VJ~ I~~ i II ~ Aw q Ui"'1 . Acceoted With Corrections Accepted Reviewed By: Date: -OiL ~.- / K -7cr . ~ I k-ckIv-n U 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." ........' ,0 ",' << 9'9-97/ White - Building Canary - Engineering Pink - Planning Th~ Crnlfr of lhr Llkt Cuunlry BUILDING PERMIT APPLICATION OEEARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 8/& /11 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / l5 ()-- 3 I I-fO W 4ieD L/C- Ie.L) Accepted Accepted With Corrections Denied Reviewed By: Date: 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." I r ~-"---~-"-I'--"-"-'-"-'----'--'--'---'-"- --.----..--.-"~----..,--~,.---"~..-~...--..-~.--.-..,-.".,.-".,...,.,-.,.,.. PRIOR LAKE INSPECTION RECORD I /A (4-e_ g:,Q ~ DEPARTMENT OF . . BUILDING AND INSPEC'; ION SITE ADDRESS j5}'31 1+()t.U~ NATURE OF WORK lJe<.0' ('~ . USE OF BUILDING S'F:i; PERMIT NO. C; ~ -'71 r DATE ISSUED 8-/(p - "Z ( CONTRACTOR -"1~\.~. 0,\ S NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I ~_. .~-~,~,1Il . r'lI) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS j I Ildl"o- _.4 .......,. ~AC:'1M'IfI!" ~=F'1'rE> FRAMING INSULATION ELECTRICAL PLUMBING \f),"\.)aA HEATING (if required) /:1 s/cd((J L/ .. ~~.. -."' ~""R~ :~. .f COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I~~"...-_'Ul~,u I I FINALS I_._J., ", "_,,,,~I.L..) BUILDING ELECTRICAL PLUMBING HEATING DO NOT (31/ "3 -G. -() ( /3v 'j-~-ol OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough.in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 II