The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 99-1003 ~ .59~5 I'L.Os.s/JN~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNOA TION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATI~N 0 SEWER HOOKUP ~ FINAL P 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL I-~ -rEi I DATE ____ . /-1.1. 9 tj-IOr:J3 o EXlGRAOIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: (~ a-\.L.. ~. ..~ /'. ...--- ~~ --- . ~'~ .~ ') ----" ~ORK SATISFACTORY, PROCEED /0 CORRECT ACTION AND PROCEED o CORRECT W~LL FOR REINSPECTION BEFORE COVERING Inspector: - ~ ' Owner/Contr: , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! I I ~~ 67/R;~9 CITY OF PRIOR LAKE BUILDING PERMIT, 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) ,(:!\~ 11~ PUSt' 2. SITE ~E~~ /1 oS 1'~ C/i:rJ;(JA"..I~A 3. LEGAL DESCRIPTION LOT 10 ADDITION G~u.JA<- ,J' -h.e,j J- L 1J.e; - ?>2. 'l..~OI!>.O BLOCK ~ PID l2-\ O(..ci'" 4- rt;:!- Ap 0() 4. OWN~ . J (Name) /7/4r/L loA"'.} A..:;y"/'U" 5. ARCHITECT (Name) , (Address) (Tel. No.) j.:-9tJ rA.T.Yrl.-1.1'A ~4'--,-.j'1'..J~ (Address) 0/1 (Tel. No.) "'WJ-.S:SOI> (Tel. No.) cd( #- l{fI(-~~)r,. 6. BUILDER (Name) (Address) 7. TYPE OF WORK / Septic LJ DeCk~/ Addition 0 Finish Attic 6 \ Rs-roofing 0 Porch 0 Rs-siding 0 Finish Basement 0 Fireplace [j Alteratlons 0 New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 1. White 2. Pink 3. Yellow File City Applicant Permit No. qQ-I00.3 BUILDING INFORMATION 11. SIZE OF STRUCTURE {Heigh~ 0 (W~ 12. NO. OF STORIES (Depth) 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANT~ SEATS 16. PROJECT COSTNALUE 9. PROPERTY DIMENSIONS 110. CULVERT SIZE Width Depth Yes No info dtion on this application which is to the best of my knowledge true and correct. J also certify that I am the owner or authorized agent for U construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the 'ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo~needed i~ections. /,. -/V-t:;<:-- license No. Dele , I 17. COMPLETION DATE FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION SETBACKS: Required Actual Front Baok Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 'S:,.,...,. ,..,,.., USE OF BUILDING .If!. 6$ ..q /,e,. TYPE OF CONSTRUCTION: I II III IV V OccupancyGroup A B E F HIM R S U SOIL TESTS D ENERGY DATA D PILING LOGS LJ PERCOLATION TESTS LJ PLANS & SPECS 0 SURVEY (J SETS COPIES PLOT PLAN D DMsion 1 2 3 4 Permit Fee .................. ......... .... .... $ 79.1C;; '18.$11 I.~n Amount Brought Forward .................. $ Par1<:SupportFee ........................... 't SAC ......................................... cr:: Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ ~~ 0\ Z,?IAtf . /F Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $' ;;: tp~;;z:;I~i~~i:t~"ffi"~~ff.v~7 Cennieate of Occu'Z Other ......................................... $ Total Due .............................. $ 1'Z..4 .9-,,\ Paid Ii'- 4l. ~ c./ Receipt No. .3, 0.:1 7 Date A/'?_7/t1 ~ By ~ Th~' . 0 ce~that the uest!n the above applicatio~ and accomJ?8nying d~ments is in accordanee. with the City Zoning Ordina'nee and may pr~.eed at requested. This document when Sl Pia constitutes a temporary Certificat~Pi~g ~mpllance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued. - ~ o C~y Planner Date Special Conditions if any Issued 24 hour notice for aU inspections 447.9850 II "'.; ""- (')9- /()C~/ '--' White - Building Canary . Engineering Pink . Planning Tht("tnlfroflhtbktCounlry BUILDING PEBMIT APPUCATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~//lk~ /v//6;<fio/v61:::.::.... nj/3/q9 {l,' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 59(;--:", Ck'055A/VL.Jkr7 -" ( . , i X Accepted. With Corrections ". ~ Accepted :",; Denied /, _. .'~ .) ;:. /) Reviewed By( i;)/ f/.-/ ~" /------ - 1/ I, 't'",.,rC .\-1.01 bor'\:: ..l-\.c....-C c k C:;'1((-7~ Date: c/ / 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 " ''','''1I!'i""""",..:-,.i\:;'.ff,(I!''~"' ,. ~" "':'''~.:i''I",''f.i,;.It''' '<".'~'I'?:~'~''''''''Y.r..'''' T' 7'L "",,'~';I\3.' '''''~~~,""",!.~...,,,,''''I'~~..., -. "7 '.)..,\~..~ '.." .'P::~ "'~,I!'. _l~T',__"""""",,-!. J.,....,~ r i I I I , i I ~1 ----.. ~--- ,.../ '/' ,.-' '-- Thr Crnlrr of fhr l.b Counlry White - Building Canary - Engineering Pink - Planning .. .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED. /f //:),< //_- I//'/~/',-()/~" /.;......._ /--- ' ~.' ,I / j r ' , / ..' I / .I / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .~<__ .,>:> ..,~~.- / (/ -- L__ /. /-) Reviewed By: ~ II ( 1 .tf5. ~ V Accepted With Corrections Accepted Denied Date: $/tfI17 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 allY 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 ,'19 ~c;- on:..go.-aQ.;-, C/o.- TYPE OF WORK ~(.k USE OF BUILDING c:::;t: \~ PERMIT NO. qCJ -IOO? DATE ISSUED ~-Lt{-"l~ / BUILDER Wt<c'-U"" v NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ~) i fb. I 1..;1-9'1 I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I~~ I I I I FINAL I b; I 7/3inJ I Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 II _._--~.._-'----'-,.^'"----_.- \