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HomeMy WebLinkAboutBuilding Permit 99-1314 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULEO ADDRESS IbBt:.O ~~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATIO(@N o FRAMING _ !:lINSULATIO ..... FINAL o SITE INSPECTION COMMENTS: ~reR o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~I I ~AE.: / / <.. <> \. I TIME IC~Ob ~ 'l'l- 151+ o EXlGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~ (1/t-IVlL<~ (/.JUl ~ il -- ~~--,.- ~ ... ei-. '-I ;:&--~ - - J.ohM ~ ) )(JWORK SATISFACTORY. PROCEED (0 CORRECT ACTION AND PROCEED :S::C::E~T W~~ FOR REINS~::::::::FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! .~._--_.~.._.__.._----._-_._-"_."-'"-'-_.,. < f:~~~PR/O-?("J' f,f') rn~@,'r\ CITY OF PRIOR LAKE u f;; ') i: BUILDING PERMIT, ~ fO' - 5 I!m I tEMPORARY CERTIFICATE OF 1'\ ZONING COMPLIANCE ND UTILITY CONNECTION PERMIT I. White 2. Pink 3. Yellow File City Applicant Permit No. QC?-/3/4- DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE ADDRESS 1f..,<::J.{.,c> ~ 4- PONDS 1. DATE 3. LEGAL DESCRIPTION l)J-(sH,U2J 1t-5" .-<11 /2/ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT -3 BLOCK W sc::rAlJ e V (Nama) f.k ~ '\ h.Pf"\ (Na~ ~ PID LC:;-?CfS -02~,-O 13. TYPE OF CONSTRUCTION ADDITION 14. OWNER 15. ARCHITECT 6. BUILDER (Address) fb"i/,o (~.Mi'^fl1 ~o~"l_t~5ll U (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Address) .-- (Name) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS New Construction LJ Chimney LJ Misc. IS. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No 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 confonTl to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the ~Uilding off ial c n v;;:t~r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to PL~~rpections. Signature license No. Date Fireplace jj Alterations LJ SEATS Re-siding LJ Finish Basement LJ 16. PROJECT COSTNALUE 17. COMPLETION DATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS LJ ENERGY DATA LJ PILING LOGS LJ PERCOLATlON TESTS LJ BUILDING DEPARTMENT VALUATION USE OF BUILDING PEs FIll? OFF STREET PARKING 5PACES REO. SPACES ON PLAN PLANS & SPECS LJ SURVEY LJ SETS COPIES PERMIT VALUATION . L:::;l'rrJ.r'..JO PLOT PLAN LI 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: Amount Brought Forward .................. It Park Support Fee ........................... It SAC ......................................... ~ Collective Street Fee ....................... It Sewer Tap ................................... It Plan Check Fee ......................... .... $ qq .7c;- L,'-/. B'f 2.50 . State Surcharge ............................. $ Penalty....................................... $ Pressure Reducer .......................... ~ Plumbing Permit Fee ....................... $ if / MeterHom................................... CI' 'u/!r,1.V Water Meter ................................. $ Mechanical Permit Fee ..................... $ (I 'ty. JJ! r~I{)Cj Sewer & Water Connection Fee ........... $ :::~p7.~I'r.~,7~i;:.-$ III''? WaterTowerFee ...........................$ .ap :;:r'" ... Water Tap ................................... If: TllI~A~ca' mes'tOll ulldlng Permi' When Approved. BuUders Deposi' ............................ · By 'q-(-._ . . Date Other ......................................... !t. CartfflcataofOc ancy Total Due .............................. $_/ (,~. () 7'- Paid / tJ:, "1. tJ q RacaiPtlJ.'~ 3fc.5 / ~ Issued . . . Date /I ~ r. /'11 By.' _.Jtt ~ T~iS . ~~th~req in the above application and accompanying documents is in accordance with the City Zoning 6.rdinance. and may proceed a;Jequested. This document when sig ad t.~laJlnar n~ tamporary C1rr ~rl1comPliance and allows construction to commance. Bafora occupancy. a Certificate oY Occupancy must be issued. City P anner Date Special Conditions if any V 24 hour notice for all inspections 447.9850 -'" --'-'----...,,----- "-.......,....-- ......._._....-.~~ ,..,,~~. ~ ~~ ')r? / -, '4 (, 'j- - ~.) / .- v Th~ ('~nfer of lh~ L.kf Counlry White . Building Canary - Engineering Pink . Pla"!lIing BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED <-, ........) .- i / j -,-' ,/.; /' " '," L' \." i' ,::- ,'-- "f"'-C: "-' L/ .........-1 .- ",_.-, /1/ //'~: (:;.. .I~! , i The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ; / (..:, / l< :~; c "'F '---i' l '0 '-_~ -_,~ . U f::-' lJ I --- i V t.-- Accepted ,/ Accepted With Corrections ,. Denied 0 j Reviewed By: ' ~. c1114/1.J Date: I J I Cj / Cj '1 Comments: -1 x:l.l (2. -I I /YI-() SO. Svl-/-,ctci0 -OiL - - } J hit e/)IJJWCA. ()IL. A)'i) wd/t/t/hcl. - ~ "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." qf -/3/4- Thr('rllluof thr LaktCounlry White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .s (j N,-sm TE- (!{)I\J c't:: ~ PIS 1I!5/C;Cj I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Irc8hO [lvcs'TBUI2V AVe I Accepted Accepted With Corrections ^' Denied /~ /J /1 I Reviewed By: ~OJ"""-,, 0- Comments: f e.!Ud! ~ Der.\c ~-~ Date: 1/-I'2:-c/ "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," - - ._....___. .._...__...,.. ._. ..._.._..,......--n._.._ . PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 1 [0 R too \.JeiO.t- ~ur-'1 )\lI'+'. (r TYPEOFWORK O~d,,- LU;l-~ 9.cl~e", ~,^,.("'s...> USE OF BUILDING S:~D PERMIT NO. '1 "i -131'-\ DATE ISSUED 11-1 S- -II BUILDER SL:M "tut....., (\ ""I"(''''';;\~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I !V,~ I L~ 71,,) ~ PLACE NO CONCRETE UNTIL ABOVE HAS BEE" SlrNED I I I FINAL ~f\' f~ 1-5/(500 ~ '1 ~. ?/3tJ/tTD I Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850