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HomeMy WebLinkAboutBuilding Permit #99-1348 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ,;,b3/tJI /tJ : "0 . ADDRESS /<l3()7 Rtl j,/~ Rd. JJ ~ CONTR. 99 - /3/P Z -V\~ . PERMIT NO. 99 - / 3 '-I '? L . L. OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULA 119N ~ FINAL K o SITE INSPECTION 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 o GASLlNE AIR TST o COMMENTS: L.L. ~ 119s,e, .c,1 e., /' ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRE7tR~' fALL FOR REINSPECTION BEFORE COVERING Inspector: jJ~ Owner/Contr: CALL 447-9850 FOR T1E NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT / BLOCK 3 KNOB HilL 2ND 14.oWN~~ (Name) 0 ~, /J (Address) (Tel. No.) ~7P(j{::; q., r<u,,) /'}f"rq tff'-. ~ - () 'fl b 15. ARCHITECT (Nam.) (Ad~s) '(T.1. No.) a.BUILDER (Nam.) 7tP01 ClI.lIN'/t'1If.J<~I/€L). SIHTE: ZO" (T.I.No.) ~ Ca.5-t(-e C~#1>~~_::~~1flft?-'tf 53 Re-roofing 0 Porch 0 Re-siding 0 Finish Basem~ &~~ .QATf I=IFr.Fl\lE.Q. II In ICfq 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 A /7, I j '-I '? ~. I ~ro.ti;.... IIf 0l JJE 3. LEGAL DESCRIPTION L White 2. Pink 3. Yellow File City Applicant Permit No. qq - 13L/-fJJ I f;~7(cr9 \ 121 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT PID 2.5-33Q- DOq~O 13. TYPE OF CONSTRUCTION Chimney 0 Misc. 18. 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 above . ned 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 . ~Uildlng lei ca .vok ;:or IZS. Furthermo~ h.reby agr.e thal~lClal ~~~go rRf (t.'.;F~ ~.rty to P.riOlft?nsp~n'r-. Slgnhturet- -....--- license No fJaV f ., ADDITION 7. TYPE OF WORK Septic 0 Addition 0 .eOOM.C; Deck 0 Fireplace 0 Alterations 0 .3 Finish Attic 0 New Construction 0 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION <."m.b/"":> USE OF BUILDING R...e:s niL TYPE OF CONSlRUCTlON: I II III IV V Occupancy Group A B E F HIM R S U City: Division 1 2 3 4 Permit Fee .................. ......... .... .... $ 71.'1) Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ............................... .... .... $ Plumbing Permit Fee ....................... $ I.~"""C> t.tO.oD Mechanical Permit Fee ..................... $ ~\ l'bltf\ II Sewer & Water Permit ...................... $ Gas Fireplace Pennlt ....................... $ <.40 .OC::> This~ecom-fJ....- u. .::...."...(ligPennitWhen Approved. By l:. ,qr- Date ....t-'- Certificate of Occupancy Side SOIL TESTS o o ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward .................. $ Park Support Fee ............. .............. $ SAC ......................................... $ Collective Street Fee ... ...... .............. $ Sewer Tap ................................... c;: $ Pressure Reducer .......................... $ Meter Hom ................ .... .... ........... <t Water Meter ................................. $ Sewer & Water Connection Fee ........... 4: WaterTowerFee ........................... It Water Tap ................................... It Builder's Deposit ............................ c;: Other .............................. .... ....... $ Total Du. .............................. $-L5 h . z..S- Pa;d /.5'"l,. zs-- Receipt ti// ~ 3'G. S- z... S- Issued ~. Oat. J 11"23./ qq By This is . at the r uest in the above application and accompanying documents is in accordance with the City Zoning 6rdinan& and ~ay proceed requested. This document when s~n.~~.::3~.mporary Certilt";.i .{Z~10mPI;ance and allows coostruct;o" to comm.nc.. Before occupancy, a C.rtibt of Occupancy must be Issued. 1'1 City Planner Date Special Conditions it any 24 hour notice for all inspections 447-9850 ~. - --~ ~- - --- ----- ----..-..--~ ~ .~ ~~ Thl' Cl'Aln of thl' L..lr.l' Country ~ q ,"; /';::'L/ b White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4' 2r.,,/'" "'''; ./'/ ".';. . '~.~L-' /\_(.~,/ '" /"".L./' I - V (],~ Jr~ f NAME OF APPLICANT APPLICATION RECEIVED '..J ,'--"1'7 ,C r-/ '....-L-' . I /i117 6'tJ l E.. / (lei IJe Accepted Accepted With Corrections Denied Reviewed By: Comments: Date: /'-... ! f:- 11/ Ig/11 "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' cotte or other ordinances of the jurisdiction shall not be valid." 99-/348 The Cfnlttof lhf l.abCnuntry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (J,A.5Tl..-6 6r:rrE: Cf)!'iS~. IJ/17/qq . f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 143cr7 I KOt3/N ~ ;J6 Accepted Accepted With Corrections ::::dBykjJ~7 Comments: I. W +-G.. J;c<'S.Q"'__~ DlAcsL 4~~ Date: 11- Jflj-"'I'7 "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." PRIO.R LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITEADDREsslL/201 Ro~~v\ R~ NATURE OF WORK r--r~n.J; R~.ltI USE OF BUILDING PERMIT NO. '14 - \34A DATE ISSUED 11- If! -'17 CONTRACTOR (\"o.H... G&:. ~. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING W HEATING (if required) CJl/z/~ FIREPLACE (/ GAS LINE AIR TEST (;f) Iz)z.j., '1 COVER NO WORK UNTIL AjOVE HAS BEEN SIGNED I I FINALS tI$/I(t'" ~ ~I<lk#f 'I (jJ 1;./t<!/ff , 12. })u 1t11 I . BUILDING ELECTRICAL PLUMBING HEATING DO NOT / JW 1"..,3'~ / OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This care; 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