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HomeMy WebLinkAboutBuilding Permit 99-1105 II DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED tq6~);,! 3:.3e) ~.eeE:ll/ O/tJC-S ~ ADDRESS /-5?)90 OWNER CONTR. PHONE NO. C?9-IIOS- PERMIT NO. o FOOTING o FOUNDATION o FRAMING 'lINSULAT! FINAL SITE INS ECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL A 0 GASLINE AIR TST I'T 'r;t( ~/.,Pj~SS r W(NQOW COMMENTS: ~ Wlw!.rw n-.s~ c. ~ r~T~;~ \. <..:A.<J'i{ ~ "- ) ~ -" / ~ORK SAT. F <;TORY, PROCEED o CORREC A ~ND PROCEED L, 0 CORREC I 7LL FOR REINSPECTION BEFORE COVERING Inspector: J Owner/Contr: J CALJ447JS50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ ~ ~ ,_on CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~1 ;/;~9 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 /9jQO 0rr>NJ fbh: Tra;/ 3. LEGAL DESCR6"ION LOT J1-;(11'" I ak-~ 1. White 2. Pink 3. Yellow File City Applicanl Permit No. Q9-//05 1. DATE ~d 7, qq /(./50 BUILDING INFORMATION ". SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES ADDITION BLOCK G;Je66tv' O/l.1=S' PID 2.5-/2.6 - {)(j(;.,- 0 13. TYPE OF CONSTRUCTION ~t:rNEFl. (Name) flI~Wt?1I''''~/ 5. ARCHITECT (Name) (Address) .siwJ-t (Address) (Tel. No.) &./d. t/</f; 3.3rJ,; (Tel. No.) L~h;k 6. BUILDER (Name) (Address) 14. FLOOR AREA APPORTlONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS Deck 0 Re-roofing 0 Porch 0 Rs-siding 0 Finish Basement 0 16. PROA"CT COSTN~UE ~iX). OCJ 17. COMPLETION DATE 7. TYPE OF WORK Fireplace 0 Septic 0 New Construction 0 C _Alterations (] Additi<iln 0 Finish Attic 0 ChimneyO MiSC.~rtA<:<;' WlndtlvJ 8. PROPERTY AREA OFh<CRES r9. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that 1 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 confonn to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the :Uilding oHic' en 'evoke I 's pe it , just cause. Furthermore, I he,eby agree that the cily aHicial 0' a designee may ente' upon Ihe property 10 peV pons. License No. B FOR ADMINISTRATIVE USE I SETBACKS: Required Actual Front Side Back Side MATERIAL FILED WITH APPLICA TlON SOIL TESTS 0 ENERGY DATA 0 USE OF BUILDING J:<E:.S A/~ OFF STREET PARKING PILING LOGS Ll PERCOLATION TESTS Ll SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY Ll COPIES PERMIT VALUATION t:;d) .0 CJ PLOT PLAN Ll BUILDING DEPARTMENT VALUATION TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM A S U City: Division 1 2 3 4 Permit Fee .............. ..................... $. "Z1.n() J~ I,." 0.')0 Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ ~ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This p(;,JicP}p#e?me r Building Permit v:th~n AppJP~' By (j;f...(flt/- Da1e '1 '7 ~7-7 Certificate of Occu ancy Amount Brought Forward ...................4'; Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Ham ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... It: Water Tap ................................... It: Builder's Deposit ............................ ~ Other ......................................... It: Total Due .............................. L 35". ( S Paid 3~,f ~ ReceipINo.3(,013 Date q/r./'l'f By ~ Th.ti) . 0 :~. ~"~~~.'he above application and accompanying documents is in accordance with Ihe City Zoning O.rdin~nce. and. may proceed ~ requested. This document when s~ by "{;?/"n;;l7.R!'Je;!Je:Jry Certifi~ at~liance ~nd allows conslruction to w"""O,'oO. BefOre'irancy, a Certib1. of Occupancy musl be Issued. -- , "~ity~nner - ale /7- ~L.I(<? C~peclf:.6ndillonSjfany 24 hour notice for all inspections 447.9850 Issued I] ....~...-.,., ~.. - ,..'~""."''''''".'''' ...~. - ---. "-~'-'-~ .,.,-, -- ."-~'-''''' ...".)-.-'~., -,- ~.;',,,,"' --~---"""..,...,-"",--- '~'__'.'~ I ~\ --.' /~- Tht Ctnltr of tht Llllt Country White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ./ /- < I I .' '/:''':'- '''/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , " " - , . _,J. /1 L Accepted / Denied /J/ j Reviewed By: I ZVTJ . :JU/"O.A.:J ~ ~J0 -6Ie::::.. -"' Accepted With Corrections Date: q -'X-'Cj . . 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." ~, qq-/la.b" Thf Cfnlrr of Iht' Lab Country White - Building CBnary - Engineering Pink - PIBnning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED DA/II)</e:Ae- EY Q/7/'91 (/1/f/rr~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /50QO GREE,;V OA/<::..-S 7""K.AI L-- Accepted ~ Accepted With Corrections Denied - I~J 1___ R.";,w",, BIJ/ tfJ/ Comments: Date: t:J-7-9/ I. 3;a\"" ~..~~ ~ ? (;.GJ:~ WeJ,{ cJ"",-- :? ~ '7 r<;;R LJ,~~\ J"D<-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." I I . ---_._-_....._..,---~.._~.".-._----_.._._--,-- PRIOR LAKE INSPECTION RECORD !Snqo G.~ ~ It, DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS TYPE OF WORK USE OF BUILDING SeD PERMIT NO. 7''1 - / I t'JC::- BUILDER l,Jl:-'V NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE ISSUED I~ I I 1 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ,~ I I 1 'ANAL I Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 INSPECTOR DATE II