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Home My WebLink AboutBuilding Permit 94-0465 DATE TIME CITY OF PRIOR LAKE CALLED-IN INSPECTION NOTlCE SCHEDULED PERMIT NO . � COMPLETED � �� ADDRESS ��93 �>sa'��I£/ZCL� OWNER CONTR. TELEPHONE NO. W ❑ FOOTING ❑PLUMBING RI ❑SITE INSPECTION Q❑ FRAMING C MECHANICAL ❑ EXCAV./GRADING/FILLING � ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHOREJWETLANDS � C WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP 2 ❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL _❑ DEMOL. O SEPTIC MAINT. ❑ FIREPLACE J❑ FIRE PREV. � PLUMBING FINAL � = COMMENTS: J Q � , /��L� 14 Ie�J� �-_ � � J� (.i ( � �� 7 - /�� ' o r2 N C ►Z � O � TG� % i'e.��. Dl�Sr�� e � O � � ��r —�, 0, , � � - l - 9 S Q � W � K- a OC�r�,pu � W � � � O W � O WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN �� CORRECT WORK AND PROCEED � � CORRECT WORK. CALL FOR P,EINSPECTION BEFORE COVERING U :' CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN. G STOP ORDER POSTEO. CALL INSPECTOR. ❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. call for the next inspection 24 hours in advance. Owner/Contr ite Inspector � /,�-- 447-4230 rMaw copyrsits �voncs wnile copynnapacra �a Fib HOUSE HEATING TEST RECORD �?�', o r ADDRESS �� `�-� ��''"�"�' %'�'�" ��'f' APT. FLOOR CITY `� �� SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY � � ��r'� � r�� / El�chical Work By Gas Lin� By l �^ �/'9 ��F � i.� TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER — � GAS DESIGN CONVERSION MAKE T��/�:�✓� XL �v' MAKE OF BURNER Mod•I �� G��CJC/r�O�l C' Mod�l s.. J.�'� �y"7�P�P �x BTU Ratiny INPUT ��'`�'-��'� *_'' ��U MAKE OF FURNACE � � Mod•I 1�' � CONTROLS �,� THERMOSTAT 1'�f/`� ��' Heat Pluy ^ 3 _ V�nt Siz• '-'� Valve �f� �?' �' �� o� �°' � KIND OF LINER SIZE NONE Limit � �`�r�`� �•'V-�/ Drah Hood R�yuloror ✓ •��%' ✓ L imit SeHiny �� Fi It�rs Si:• r� r-� -= �lumb�r � Fan Settiny %�!"' �` � Chlmn�r Location Insid� ✓ Outsid• Pilot Type �s''�' --��' �"�`' Chimnsy Const�uction �� Pilor Mak� Pilot Modsl Smok� Bomb Wiriny Pilot Timiny — D�aft T�st Tay L.W. Cut Off _ Dow Pr�ssw• Liyhtiny Inst. �. Pressurs ✓� L'�-� - P�rc�nt CO � Dats T�st�d l��f � p 2 , Input CFH / -� c —P�rc�nt 0 �� Compony Testiny �a:? �/'? � �"�"� �•�� Stack Tsmp. l��'�� r Psrc�nt CO � Nam� of T�st�► ,-�!��C '`' -�� Form 235 __ - c��-a�. ±�-►� ��r f'�� r r. � _ .--, .. . ,` _ O � P R �� L� _ CITY OF PRIOR LAKE �. wn�« File * � 2. Pink City � � �', � , �,`:"��, � ��:1�1 BUILDING PERMIT� 3. Ye��W Aaa��n� �' "�' TEMPORARY TIFICATE OF ZONING COMPLIANCE I ITY CONNECTION PERMIT M1 '��vt:so� r Permit No. q�1- Q(oS DIRECTIONS �• �AT� SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ��. BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) � "�' � BUILDING INFORMATION 2. SITE ADDRESS � A/ 11. SIZE OF STRUCTURE � Q.� ��/�(,l E C� - (/1- ✓�•�f" �2 /�7 iL� � 37 Z (Height) �vv�acn� (Depth) 3. LEGAL DESCRIPTION 12. NO. OF STORIES LOT � BLOCK � PID y �� / 7 � / � 1 � � y � 13. TY�E OF CONSTRUCTION ADDITION -.Jf J ��I)%7' /� �" 4 WNER (Name . (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE Co�uM�� zY ��er,��e s�r�� /��= rt�-- �z�� L� 5. ARCHITECT ' , (Name) � (Address) (Tel. No.) �1 -7 f � � - p ss�l�i�► �--� /'/Z�J �� «PE. N� ' in� 1 aK - 6. BUILDER (Name) (Address) (fel. No.) 15. NUMBER OF OCCUPANTS OR SEATS S�{ 1't�il �. f}-S - L'� OCCUPANTS 7. TYPE OF WORK Fireplace p Septic p Heating p Plumbing p Reroofing O Porch p SEATS New Constructiorf'� Alterations p Addition p, Finish Attic p Residing p Finish Basement p 1 fk TIM�ED VALUE Chimney p Misc. L� � 5� C�� /.S � il/!� �`� •�� 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COM LETION DATE 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 conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can re this erm t for,,y'�stFause. Furthermore, I hereby agree that the ciry officiai or a designee may enter upon the property to perform need in�ections. �;� L f�� /j �5�- �. ., r ., � , � _. /. ' — � /L x � , fl� `� / ��' / e License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required MATERIAL FILED WITH APPLICATION Actual SOILTESTS O ENERGYDATA p Front Back Side Side PROPOSED GRADE FOUNDATION OFF STREET PARKING PILING LOGS O PERCOLATION TESTS � IN RELATION TO CURB OR CROWN SPACES REQ. PLANS & SPECS � SETS Z OFSTREET USE OF BUILDING �,lL SPACES ON PLAN SURVEY O COPIES PERMIT VALUATION 1��O. OG PLOT PLAN O TYPE OF CONSTRUCTION: I II III IV C ��. Amount Brought Forvvard .................. $ ZgR •�O � Occupancy Group A� E I H R M Park Support Fee ........................... $ Division 1�3 4 SAC ......................................... $ Permit Fee ................................... $ ' / `. �/�/ Coliective Street Fee ....................... $ Plan Checkin Fee $ � L�� I S Sewer Tap ................................... $ g......................... License Check Fee ......................... $ State Surcharge ............................. $ 7� �� Pressure Reducer .......................... $ Penaity ....................................... $ Meter Horn ................................... $ Septic System ............................... $ Water Meter ................................. S Check if O Sewer & Water Connection Fee ........... $ Other ......................................... $ .� an �� Deferred O Water Tower Fee ........................... $ Subtotal ............................... $ KJ'7 WaterTap ................................... $ This Apli tion Becom Y ur Bui�g Permit When Approved. Builder's Deposit ............................ $ r�r a e I/ Date �� Z� Other ......................................... $ Total Due .............................. $ 28cI . �S' CeNficat of O upancy � Paid . . , S Recei tNo., Issued Date �� B This is t e� yYpa reauest in the above application and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as r uested. This document when signed rty `��r constitutes a temporary Certific e f Zoning co pliance and allows construction to commence. Before occupancy, a CeR�cate o cupancy must be issued. � �L-� � Ciry Planner Date Special Conditions if any 24 Hour notice for all inspections 447-4230 9:00 a.m. • 10:00 a.m. � 9�- �� O F PR/p � � . � � U rn White - Building Canary - Engineering Pink - Planning The Cenler of the Loke Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .I� `� .��c ' APPLICATION RECEIVED /tl�< ��l S� The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,; , � �j � ' l � �� >�_> �� v,��r>�� 'lu-�- �' i..� Accepted Accepted With Corrections ✓ Denied Reviewed By: � t�� Date: /(J -/Z - Cl� Comments: � /✓,l� /,YL�-� G�..� .�t-��C� ��'%� �i /LL![�r�� G� �C,C j�2r� rS . �- Zl �lKtiyK.�`.e 4� ee�.(�c-�t��l�� C�> ,�t-,o �.c4t�c �--�� "The issuance or granting of a permit or approval of plans, specificatians 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."