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Home My WebLink AboutBuilding Permit 03-1146 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS J 4it 7, 2-- c9.rd-vwl OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL DATE TIME B/2-? CDZ. CJve10 , o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~\(~~~ @L.-?)~- <=;i U J l.:Iuk '~<P"''-<4.~ C0 ~~ ~12:~ ~RK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT W~C~L~ FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOT/ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED W t3~ ADDRESS -11 , ~? @-~J (' ,,;Jo OWNER CONTR. PHONE NO. PERMIT NO. 3 -1.L~1o o FOOTING o FOUNDATION o FRAMING o INSULATION r;f FINAL V\ t...L'<. kl SITE INSPEtTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: t~ hOe ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ #- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOT/ '1'5"1.- ~ ~{-LL.11a CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT PID zS. tl3 0 L. OGf q ~ () _c;~ (Address) \. (\ (Tel. No.) ~~tb- ') l L\ '~:l. () h L^.....t ~,~rlli> ~c;:l.- ~- , (Address) (Tel. No.) ^ . . 1'1/~.t::7 ~ ,~/Z.. 9(,5. 11'12- V -v.wA1. (OJ> t- LttJ - ~t3 6. BUILDER (Name) (Address). - ~ (Tel. No.) 15:NUM~~R)oF OCCUPANTS OR SEATS I \l\Jac)"PSyn(~\i\'%\.t \~A'D'L.ttc E1:)~ 9~.t,~,_ S.:l.. ~"'( - "~~ OCCUPANTS ~""C) ~\It."tlQ" , tn.,' W F-D6w 17e-A ~eS~#' 7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ Re-roofing 0 Porch 0 New Construction 0 Alterations o Addition 0 Finish ftlj.cfJ Re-siding 0 Finish Basement 0 Chimney 0 Misc. 'J2.oL~ ~~ t).Q J-l 'B u... \ A no ~ 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE Sq. Ft. Width Depth Yes No pATE R~ 8. z,(p.([3 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 \ '-\ \ ~ )... o rc'nl\r1 C. \~Q.,\~ l\L E t. 3. LEGAL DESCRIPTION LOT BLOCK ADDITION 4. OWNER bPo\L 5. ARCHITECT (Name) rUA'T:> (Name) I. White 2. Pink 3. Yellow File City Applicant Permit No. 03~-/ /4i> 1. DATE A U'j 1 ~ - C~i3. BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 16. PROJECT COSTNALUE 17. COMPLETION DATE 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 buildi~ offi<fl!. can ~e this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. ,--'( (""'-A \. ~O~,.....,.,.. ~<-.. ~c'3b'B\"'5'-\ \~- \ S~at~ License No. Date SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION "000. - USE OF BUILDING 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 ct1,l. --) 0.,. L' 7... < ~ City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty............. .......... ................ ~. Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ .l~~ ~;~.~IL ,. }r I ~ertificate of Occupancy Issued Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY PLOT PLAN o COPIES o Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ...............~...... $ Other ~'!.&r.P:(...r1!.1!.v............... $ 50. - Total Due .............................. $~ ~ Paid 21'Z. ~(, Receipt No -z.. If . +~ Date q, z,. ()j By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed signed by the City Planner const~utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifica City Planner Date 24 hour notice for all inspections 447-9850 Special Conditions ~ any Thr ('rnlrr of Ihe Lake COon11') White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED fVOODSH/7Ji BU/L,DbR-S 8.2&,03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ./4/32... O/0(!fi/l,e.L:J (!'/I2~t,& tV {5. Accepted Accepted With Corrections ~ Denied 819/.3 Reviewed By: f2-D JJ- Date: , , Comments: R~ P€c.fC... I~ liThe 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." White - Building Canary - Engineering Pink - Planning The ('enter 01 the Like ('ountry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /i / (L> /-/,1/1/1 '..,. . ".-'" /: f../ / L IJ C. f.::_ ..--' ? I /-:J (C' . C"-' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / ':f /..: Z- (/._ (i/I// I~'L/ C/ //, ct." ( C IIi. L Accepted x { Accepted With Corrections Denied Reviewed By: CR ~ Comfue:s: y-e ~Y7L..tU d.t..C.-.fG v ~ B P I( p, . .. -4. 1- (' ,"'- . .-..;L........- f- - ~ Date: o .erg .D?...) rn~ ~ +he- Q.t7J2 -J G'"Y\ ec:tuYl .1 UJYl~ tf ~ O~ I.2....h'l Co 0 0 0 r thC-Ln .-\-toG ~ ~ v ~ ~&.t ~ ~uV(y-d or ~ "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," ......-...T -... '" ,., PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 14/32- OKcHrlteCJ C/eeu: Nt:: TYPE OF WORK e6PL-A~n6A/r D6(!K- USE OF BUILDING /&5S /f//C- '. PERMIT NO. Os - I / ~ ' DATE ISSUED B. z.-eJ.03 BUILDER flIooo~nllH PHONE # (,/2. t3{g5. /192- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ;' J FOOTING ~~'<~(~) ~ I ~Vl I Of Irs AA - J PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 1 I I I. FINAL ~ loft'] /03 FOR ALL INSPECTIONS (952) 447-9850 " I ill lill ii" J AUG-20-2003 10:09 CITY OF PRIOR LAKE 9524474245 ~ P. 01/01 I PROPER~-.!>WNER: ADDRESS: \ l.\ \3:l. c::sK.c.s\ 'f\R:I) (\ QJ...~ t\\ ~ I'll TELEPHONE NUMBERS: C;S~- '--\L\S' - 21)(~\ [-- - Ml\~~~ I SIGNATURE: I LEGAL DESCRIPTION: I PID NUMBER: A request to waive the survey requirements will be accepted only for the construction of decks. Prior to the review of this request, the property owner must provide reasonably reliable evidence in the field of wbat he/she believes are the property boundaries. This request must also be accompanied by the following information: 1. The deck must be drawn on a site plan to scale. The site plan must identify dimensions of both existing and new structures, and the distance from any lot lines. 2. The property owner must sign an agreement, prepared by the Ci~y) holding the City harmless from any damages incurred if the deck is placed inaccurately on the site, or of it irifringes on any setback requirements or easements. 3. The property owner shall pay a $50.00 fee for the staff review accQrding to the adopted fee schedule. Once a request is reviewed, the staffwill schedule a field inspection and review all available information. The Planning Director and Building Official will then make a determination of whether the requirements may be waived. - FOT'Offi~e U.se.Only . . 'ACTION 'J.. . . APPROVE"'..:' ., -:'.,' .tj'~" "'bE~ED : :"'~: .' ". '~NT.S:..< :: ." .: ,":.: ,;"" ~""';.' ,:: .:<,.:.' ,.-.;.:~ .~;\~,;: .i:?<.\:;. " :':::";; '.:" BY: . . '.. J I ~ H1.~1 1/' .. . . . ti'~ I)/~Otf , ~ . ~~~~ ~1:\h",op.pt5\~ai~~r:~ocr. r. n..:~_' _1._ ~A;_~.^"^I.. ~t;,~7?17111 I Ph (h1 ?\ 447.42:10 / Fay. (612) 447-4245 TOTAL P.01 II II II' . IIII