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HomeMy WebLinkAboutBuilding Permit 99-0351 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS ~ 9,9 OWNER PHONE NO. b FOOTING o FRAMING ~ o INSULATION FINAL ~ FOUNDATION o DEMOLITION o FIRE PREVo DATE TIME SCHEDULED 6..=/5"- 'lJ 10: 0" &t.J m 111./ NG ..& /G.{) T L CONTR. PERMIT NO. o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION tJ '. "11 . I '-__ COMMENTS: ~ JJ..LA' ~!'_ duL- ~~, '--' ~~ .~.m" 99 - 3r::; ( o EXC/GRAD/FILLING o LKSHOREIWETLAND o COMPLAINT o SEPTIC FINAL g~ ~ - :/ AU....- / , WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT Wr: ~L FOR REINSPECTION BEFORE COVERING Inspector: ~ -r \ Owner/Contr: I . CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! .T q CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 2. SITE ADDRESS )L~ 9 q !Izt In Inl f,/ bil-/ r; (j /j 3. LEGAL DESCRIPTION ,- LOT l BLOCK 2- ADDITION t:: N 0 g H- (L. L- 2.1J .D AD D t-J 4'Ge;alrl ;"Av!lt~ G();7S) 'f&?~JIa""JH;k~eb:::':;'/1Ycu7 (Name) ( (Address) Pf (~P' !:t-M~!>.5~ '7 L (Address) (Tel. No.) 300 LJ., u ,.~)-13q(':J- 76 . If,' Y'1ed/h_~. fth~':>?fCO Deck~ Finish Attic 0 DATE RECEIVED ~,14A~ . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 5. ARCHITECT 6. BUILDER (Name) ])e,5!j l1eio J::t>c k ~ -:;;11 c. 7. TYPE OF WORK New ConstructionB""'""' Septic 0 Addition 0 Fireplace 0 Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 1. White 2. Pink 3. Yellow File City Applicant Permit No. gq- ~51 r7t~/99 I BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) r<..l 12. NO. OF STORIES PID 2.5- 3'39 - 002- - 0 FOR ADMINISTRATIVE USE Side City: ~, ~~ O~~ 24 hour notice for all inspections 447-9850 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS Re-rooling 0 Porch 0 Re-siding 0 Finish Basement 0 1~~~T~r;T~E 17. COMPLETION DATE I hereby certify that I have fumished inf rmation 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 operty and t all con ruction will conform to all existing slate and local laws and will proceed in accordance with submitted p~ans. I aw~re at the building official ca ke this pe for just use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform n d ~n51 ~s. X .6 -_ ~/J/)('J..., /'\ ) / 1~/v9 / Signa ur . - 7 ~ L/ P-!-icense No. ~ I Dalf l · 10. CULVERT SIZE Yes No Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 I SETBACKS: Required Actual Front Back BUILDING DEPARTMENT VALUATION USE OF BUILDING Q M ~K. OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 COPIES PERMIT VALUATION 3,.f!X::O . i<Yl PLOT PLAN 0 I Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ - L\ Total Due .............................. $ I ~ y .~ Paid +1z,...,/q4 ReceiptNo.'"3~~qo Date "2-4".'14- 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 J requested. This document when signed ~ ity P n e constitutes a temporary certi(jtt: o~ance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. C' Ian er Date Special Conditions ~ any TYPE OF CONSTRUCTION: I II '" IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ s U 7l./.1~ 4 ~ .5Q I.. 50 Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Issued Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ SewerTap ................................... $ $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ T qq - 3S1 Thr {'rnreor of the Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHf;CKLlSI NAME OF APPLICANT DE;5/GNE-I~ DE,(!/cS APPLICATION RECEIVED 4- If 4- /91 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections ';:/ Denied (~'i U ReVieWedBy:(F"_f/~~ Date: ((-((,,-'t't Comments: \. Paad ~ JecL ~ c-c.2- "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." <"",..",; 1'",-~-""~';'~''''''--'---';~<W''''''l7>''''''-'.~'''''''~'''''-~~-~-'-- .~_~" ,,.,,.. .T'}j:'-f""-~'---'- qqr 35'7 The Center or the Lake Country White - Building Canary - Engineering Pink - Planning aUILDING PERMIT APPI,..ICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ;' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted c/ Accepted With Corrections Denied Reviewed By: C;~.~ Date: y~ W~C;O-; Comments: "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." rt't !,;i.~t~t[f:::~*i. %DEPARTMENT;OF :?;"~;/~:>' i;'BUILDINGANI)INSPECTION '"'";-'i;',;.- \', , ,:' . - ",-' >.t':!.,). . <, '-,