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HomeMy WebLinkAboutBuilding Permit #00-0009 DATE TIME SCHEDULED e-7-t>d-. /,,' ~ t?) ~p~~ / CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /t:,Cf0 ( OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION fJ o FRAMING o INSULATION FINAL : SITE INSPECTlO o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL "..,7,,' L-lf' COMMENTS: _ /l (I{)~ "--'" . o -000 9 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~~cJl )oNORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Owner/Contr: INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant .. - 7 2000 o O-o{)o9 Permit No. . 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 ~ to r; tr I ~/Y" ~k,;'< (" N.I-,- 3. LEGAL DESCRIPTION 1. DATE OI-07-tt:>a BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) fl.1 SLJ ~ PoNQS 12. NO. OF STORIES 2- /NEST8V,eV (Name) {;l'.} ,I},"( (Name) PID 2-5-3013- 03Z-() 1ST LOT ADDITION BLOCK 13. TYPE OF CONSTRUCTION 4. OWNER (111(J\tJ~J 5. ARCHITECT (Address) /(,,4(,1 S"VlfJklYls (Address) . (Tel. No.) (~rJ-lIl1 7- 711 ~ l/ (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE ~ 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7.~1'wORK New Construction a SEATS 16. PROJECT COSTNALUE Fireplace a Alterations a Septic a Addition a Deck a Finish Attic a Re-roofing a Porch a . Re-siding a Finish Basemen~ Chimney a Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9 t$"" 9. PROPERTY DIMENSIONS Width Depth 17. COMPLETION DATE 10. CULVERT SIZE 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 mentioned ~,ro erty and that all construction will conform to all existing state and local laws and will proceed in accordance with sUbmitt,ed plans. I am aware that the :Uil . icial an r thi ermit f j tT' Furthermore, I hereby agree that the city official or a designee may enter upon the property to PO;": Oed7~ons. . Signa re License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS a ENERGY DATA a Front Back Side Side PILING LOGS a PERCOLATION TESTS a BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS a SURVEY a SETS COPIES L!.es ,q/~ , USE OF BUILDING t..{ . (")r)n . ~ '"" PLOT PLAN a TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: ell :~" Permit Fee ................................... $ Plan Check Fee ............................. $ oz.. 00 State Surcharge ............................. $ Penalty ....................................... $ blumbing Permit Fee o.Q::.p.Or;lJ. $ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ ;Jf fV( 1 00 J vQ~ ",f; qt), 00 Sewer & Water Permit ...................... $ ~)1....~.~.;~lIwh"Ar..""1.~ D ~~'~~In~ Date -1 - 7 - 0 Certificate of Occu~cy Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. LJ 2.. 'f. 2S Paid / Z. q, z 5 Receipt f\!o. .3'" 71" Date / /2-7 ~{J This is to certify that the request in the above application and accompanying documents is in accordance with the City zonitg Ordinlnce and may pr s requested. This document when Si9~ the Cil":!;nner constitutes a temporary Certificate of Zoning compliance d allows construction to comm"e~ Before occup~rtifica e of Occupancy must be issued. _"_~ ~~, I-t\-~ "~-t-""~. . Planner Date Special Conditions ij any Issued 24 hour notice for all inspections 447-9850 The' Ce'nte'r of 'he' Like Coun.ry . , I" i"., / ' ( ( ./ /' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (~:/ . f ..-.., /^ ": " .: /.' L/ /--/ / C_~. // / kll" /-' 1::'- If; .J"....._ ....~' / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / /. i> ( ; I. , /' l, i} ,:: . / .. " 1\ i , ,j Accepted v Accepted With Corrections Denied ~ Reviewed By: ~~_ ,/ ,; . Date: /-ll-eD Comments: ,~weA ~ ~VI-t~k ~B1M~ 10 ~- _ ~AlM~~ ! ~ I ~6eW\ I ~~R luwl l f\1 L~\1 ift9$fV\ I .~ \ "The issuance or granting of a permit or approval of plans, specifications and c.omputations 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." The eenler of Ihe Lake Counlry oo-ooOCj White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED GUNOL.-ACt-0 H/~b 1/7/2000 / , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /(P9(P/ S/HPK:..IN.5 G/ e(!.,~6 sw Accepted Accepted With Corrections X Denied n y? j Reviewed B~-A:: Date: I-?-fl Comments: (ZeuJ ~"~~J t;'~J~ .ff~ .JL~ "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,lI PRI,OR LAKE INSPECTION RECORD 0-, DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Itot Cnl SI+~\A3 NATURE OF WORK F;~ 1:- ~',^-\\q l... USE OF BUILDING SF'f) PERMIT NO. ~O - 09 - CONTRACTOR Ct-I ~r.PL._~ ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE ISSUED / - 7 - JOrQ INSPECTOR DATE I ) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS - ~ m.. ~ // / q ! tel I ; ( / / (/7 FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) E __I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ill? 1u71 I BUILDING ELECTRICAL PLUMBING HEATING DO NOT tJ:r I ~/ f!17!6~ 4 ~/~~ OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE J ?/7/o '& I ' "This card 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