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HomeMy WebLinkAboutBuilding Permit 99-0243 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED .., J:~E TIME ~ q~ ADDRESS \Co83.~ P~...~ C:-.. OWNER CONTR. PHONE NO. PERMIT NO. qq-2A3 o FOOTING o FOUNDATION o FRAMING q INSULATION /"1i:'J\ ~INAL ~ 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: / Yo A.M ) ~/ ------ .----....... (~ ~.);UJ ~"'" . - f~ {)(U! I --. fz/;-0 7- f2 - 6J.eJ )! WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ::::CT~~LL FOR REINS:::::~:FORE COVERING / CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl .......-........,.-.. _.~- I QATE RE~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT L White 2. Pink 3. Yellow File City Applicant MAR3/9IJ Permit No. qq-dL\~ DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN 1. DATE BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 3 b( LtC( RI PID 0tJ ---Y'8; ~ oJ1-o -V1)t0-~- BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 2. SITE ADDRESS ID,<(~~ PQrtg(( nG (!:t. 3. LEGAL DESCRIPTION 5 LOT I I. BLOCK ADDITION 1st McLvl -to L^-XS+ bLtv-r ~ 4. OWNER (Name) (Address) Mt~, s:,,,~ote/L S/..c.-t<e. 5. ARCHITECT (Name) (Address) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS ~'t\tV\ -e.... 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES OCCUPANTS 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE SEATS 16. PROJECT COSTNALUE ~/,~ 17. COMPLETION DATE Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement ~ 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 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 ~vZ~~cause. Furthermore, I hereby agree that the city official or a de~ay enter upon the property to perform ;7;;s7;~ ~ Signature License No. " Date FOR ADMINISTRATIVE USE , SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING ~t; f4; i K OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 COPIES PERMIT V ALUA TION q; I'lt'')/") I? t/ PLOT PLAN 0 TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 City: Amount Brought Forward .................. $ Park Support Fee ........................... ~ SAC ......................................... ~ Collective Street Fee ....................... $ Sewer Tap ...................................!I; $ Permit Fee ................................... $ ~1.25 Plan Check Fee ............................. $ State Surcharge................. ............ $ 2.0C? Penalty............ .............. ............. $ .\ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ...........................,. Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ L{ 0.06' Sewer & Water Permit ...................... $ /' C\.o <3C) .. I Ai. - Ga~F ce P ~rmR ... ................... $ ~ Thi I t' our BUilding Permit Whe~ Aepl]ved. By..: Date If-'''5 ~ ';ertificate of Occ ancy 'led Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ J.(' - J""-- Total Due .............................. $ 1(P '1- ~ Paid / &. '1.2. r Receipt No. .3 5V.J-. / Date t/ II if / 1'? By ./J.&.. .., certify that the requ t in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as#quested. This document when ,,~ner. co stRutes a temporary Certi~<1e of,Zcn~Jf1pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ~~. --!=t -l'7 - '1.':L city pJ\jf,ner' Date Special Conditions ff any 24 hour notice for all inspections 447-9850 r ("}((' - -, i ( 7 { (\.1..--1 Th~ Crntrr of Iht Lakt Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED i'i/I j t h _,'.. -,,- 1"- 1\. '("1 ( I" ..-' \ ( t. \. I I /_ " I' ! I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: " (,I \' ? r\ " \' , I ! I . 1 \. ,_ . ;' ( ( . "- - Accepted v Accepted With Corrections Denied - Reviewed By: ~.. ~ Comments: ~~~ ~ ~u-v-c.J) Date: LI-5"'~q tAJ ~_~~I"tl~. "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." I' ~, qq-z18 White - Building Canary - Engineering Pink - Planning The ('enter of the t.ke Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~a S~ck r APPLICATION RECEIVED S '6' I q q I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: IbY 3~ P.fU~tL ~r.Ll X Accepted Accepted With Corrections Denied Reviewed By: () ~,~L A Date: t.f -5-97 /)t. - I Comments: /. Reo.&~ ~r7~\~ ~~~ "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." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS IL.R3s ~r-P'\ j-''-^. (" J NATURE OF WORK ~c::.. a...- _-:I ~\,.' r~^- USE OF BUILDING PERMIT NO. DATE ISSUED CONTRACTOR . NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION t0v ELECTRICAL / fPr f ~c\t( S'- \441 I /0-8-91 I I II/)- 'i?'-91 I If) - f- '1c; I I required) ~ FIREPLACE t. t . o1v GAS LINE AIR TEST fifn.- I fir. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED - I I FINALS , I I 7/zC'/o-e I . 7/12,1 cJV I i'/20/~J BEEN SIGNED BUILDING L tCR. ~ DO NOT OCCUpy UNTIL ABOVE HAS NOTICE 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