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HomeMy WebLinkAboutBuilding Permit 99-0698 11-30'"~ / S 77/ 1N~ ~ .CE. , , CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION f1fl\ 'l!I FINAL 4fo.&, \!Y o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: /IIL...'o r ~ 1m {1~-Ir- ... L'.iA 61\ /. fJl~ {-&P DATE TIME ;1- 67a o EX/GRAD/FilliNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ORK 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. ""'NOT1 CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ II ~~ DATF RFr:F.lYEl --W - 8 1999 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I ~~/Y9 1. White 2. Pink 3. Yellow File City Applicant Permit No. Q1-fo 9S DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN .a.t=FORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) ( ~ITE ADDRESS /~77/ tV<"'rT /9Y. s. e, /U5D BUILDING INFORMATION ". SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION LOT /0 !. p/c S 12. NO. OF STORIES BLOCK PID 2S' 0<11- 607- 0 13. TYPE OF CONSTRUCTION ADDITION ( Y,WNER (Name) (l HA7e'6 7:.svdt:)Oi!.. 5. ARCHITECT (Name) (Address) (TeL No.) ~$ii' 1>771w'ar~. f?~~ ~tt~:~68$ (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 6. BUilDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS :5A-Me OCCUPANTS ( V"'PE OF WORK New Construction [j Fireplace [j Alterations 0 SaptieLl Addition 0 De~ Finish Attic [j Ae-roofing 0 Porch 0 Re-siding CJ Finish Basement 0 SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Width Depth Yes No 'shed 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 pe 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 is .. it for just cause. Furthermore, I hereby agree that Ihe city official or a designee may enter upon Ihe property 10 perto~ n~%9ections. Signature. Ucense No. Y ~ ' 17. COMPLETION DATE / SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Front Baok Side Side SOIL TESTS o ENERGY DATA o "zES AlE OFF STREET PARKING SPACES REO. SPACES ON PLAN PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING PLANS & SPECS 0 SURVEY 0 SETS COPIES PERMIT VALUATION L/ """".I')('} PLOT PLAN o TYPE OF CONSTRUCTION: I II III IV ~ Occupancy Group A B E F HIM 'A" S U . D'.~" 1 ,(Y 4 ?'7 "2 c:;- Pennit Fee ................................... $ . ",'(,.,,1"]") :;Z, or) City: Amount Brought Forward .................. $ Pari< Support Fee ........................... $ SAC ........................."""""".... $ Collective Street Fee ................. ...... $ Sewer Tap ................................... $ Plan Check Fee .............................. $ State Surcharge ............................. $ $ Penalty ................................... .... $ Plumbing Permit Fee ....................... $ Pressure Reducer .......................... $ Meter Hom ................ .... ............... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Mechanical Permit Fee ......... ............ $ Sewar& Water Pennit ...................... $ GasFlr6P. ePermit ....*.... ............ $ This' mas r uilding Permit }Nh;n }.pJ?r.<:v~c. ~ D~~ 10 / , Certificate of Occupancy Thisistoc signed by e Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid /45", c; 7 Receipl o. Dafe t. //7 / qC; By uest' the above application and accompanying documents is In accordance with the City Zoning' Ordina~ce and ~ay procee s requested. This document when ~ary Certificate r Z~ft. compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. lP I ~ate ?17 Special Conditions it any /4S, '--G- 3552-8 Issued 24 hour notice for alt inspections 447.9850 ..........-- ....--.----- _............-_L____.--_____ , , "",...,-",.'~"~~ - .~ ~e~ I ,.;I ........ Thll' Crnlrr of thr L.kll' Country White - Building Canary - Engineering Pink - Planning fUJlLDlNG PERMIT APPLICATION 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 v Accepted With Corrections Denied /"I j , Reviewed By: ().t:)f. ~ Comments: +.Wa d d.t dG C(Jt) P!AJ - . , v ~OYl (A/lJth ~ ~()h 1J ~ (Jt- CVUo--- /JVb7 ~ -l.rt ~. ~ - . ~~~~~~ v - _ U I ' ~ ~J ~Ul-- UK) /;b!t',Ub-?A.;r itY,K) ~ -J,J ~ ,"'-"'-"-".fl 17) ~IaICt" &z.J:- wcKJ ~ .fTI{d tS 1J-.iL --?0v~CO' .Jt ud::' A.o ~ e; F. P. 6-, ClCC-(ilo<lit~ ~~"tl~r:;, +1Vt<r\ JI;'4'\L- T h~ -S- 0 JD d{; )) 0 () ,,(7 tih ~ ,,,, Date: ~ft7/77 \ ,j' ,. " "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 .,- ';'" ~~ Q1-&'11 Thf Crnlrr of lhr Lab Country White - Building Canary - Engineering Pink - Planning BU.U.DING PERMIT APPLICATION DEPARTMENT CHECKLlSI NAME OF APPLICANT APPLICATION RECEIVED C.Hn;ee.J3;-S SUND6fC... 6/0/19 , . > The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5771 WGST /tt/6" 56 Accepted Accepted With Corrections X Denied Reviewed By: tP-4J1;,L Date: &_/0-97 Comments: I. R-"-tu1 ~ c1R/k /k..J ~ "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." II _ _ _ _ __....._n...____,..._~___.'M_____"_'___._ ./'. .'''.. . PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS I~rrrrl lA)e.,,\- A\Je. TYPE OF WORK ~",I"""'W\4A^l b"'l"K USE OF BUILDING Sp[") PERMIT NO. ~ . DATE ISSUED ~-LO- 77' BUILDER '\. "^"\1> ..... NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING r!t. ~\ I ~~ 6 -~9 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED l 5j' ~~'v,.\~ ~) I fU-, I ~~4? -9; INSPECTOR DATE I FINAL GY M. I Jr~O-~ ~ Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 J J I . \ \ \ II