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HomeMy WebLinkAboutBuilding Permit 99-0717 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED # OlJ3e) ADDRESS 5/ 7 1 /-10 P t5" .s;--r, OWNER CONTR. PHONE NO. 99-7// PERMIT NO. o fOOTING o FRAMING o INSULATION ~INAL Oa~ o FOUNDATION o DEMOLITION o FIRE PREVo o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTAll o PLUMBING FINAL o SITE INSPECTION o EXC/GRAOIFILLING o LKSHORENVETLANO o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: ~/L = r ~~ VI..<- ,...................1--. ~ 0J1;;;;:-M ':J ---- --' / ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~ ~AfJ FOR REINSPECTION BEFORE COVERING Inspector: ~ ':h Owner/Contr: I CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! II 'T ~~ .QAT~ RFr:i="IV';Q I 5 j,'V'-,.("\ ij~::) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE ADDRESS ")\ .., \ S <I- 3. LEGAL OESCRIPTION LOT \\t-~_ "rl..\ 'lOCI' ~ VV\~ +.: I-QJl tb.,j) Br""'-\-\l ADDITION 14. OWNER ?\,.~ \ ~ 15. ARCHITECT 6. BUILDER l )Name) l\.cV'4.,,- (Name) (Name) lGf'lS- b/l;.u. n.1.Ouail C. ';y- J~R- e~I""'-- (Address) ." it (Address) (Address) 1. White 2. Pink 3. Yellow File City Applicant Permit No. qq-7/7 1. DATE (0-11- q<1 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) /<../50 12. NO. OF STORIES PID J. c;- -I 5)--C;).. '3 - C> 13. TYPE OF CONSTRUCTION (Tel. No.) 447-101/ (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 1-l..\G&S~ . (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTF Lf4D -'51 Be SEATS 7. TYPE OF WORK Fireplace [j Septic 0 Declt.Q"""'" Re-roofing a Porch 0 New Construction LI Alterations LI Addition LI Finish Attic LI Re-siding LJ Finish Basement 0 16. PROJECT COSTNALUE Chimn.yO Misc. _fAtlb b,..n.. I V.nO Si2.. 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. Width O.pth V.s No "5 - I - ~t t1 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 ic' I can r~ke this 'iennit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ..tt:.... \\ D^.0.- ... 4-<0<;'1 (0 -II-ere, Signature License No. Date SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING .e~5 A/-IL TYPE OF CONSTRUCTION: I II III IV V OccupancyGroup A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ................................... .... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Back FOR ADMINISTRATIVE USE Side MATERIAL FILED WITH APPLICATION Side SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY 0 COPIES PLOT PLAN 0 OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~. C~ S U (. '2.'/ c;- 4D."'\ I . f'lr> ~:: For. ce P. It .I....~~;I~I~~.;.:" ~h.n App~~ By r'" D.te c...r8-'fT Certificate of Occupancy Issued Thisr:m' c' e req 51 in the above application and sign by ity nner n' utes a temporary Cert;fi~t ..A/l \,ff, "-11 ' City Planner Co ^' --_..~--.-...... City: ~iN ~~ ~\ vY,Cb ~ \9 Amount Brought Forward .................. $ Park Support Fee ............. .... .... ...... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ . Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. If:. Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other .........................................!l; Paid Toti03.Fl.........~~;~i~;~o$ d!?:!4'f! ccompaoying docum.nts is in accord.nc. with the c~:;onin~:in~c~ ~ ~y pr::ed as ~~e~his document wh.n f Zo . mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Special Conditions if any 24 hour notice for aU inspections 447-9850 _._,..__---l-...___...''._._ .,,~,.~<,..".~..,.,..,-,.,., '.;;~, -~,- '"..,...,...."..~,."......._,....~ ""''''r-'''~'''~..<'i''' ""'>~""""""';" ....~ .....:...,L...,..~."..,,,........,",....,''''_..,..,,' ~~ / Tht Ctnlt'r of Iht' bkt' Counlry White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr 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 fp, Denied l/ (J./). JPLov? Ii SeAbQ Uta V-fr"-=. Accepted With Corrections Reviewed By: Comments: Date: ftJllt/79 ole "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," '. CJQ-?/7 White - Building Canary - Engineering Pink - Planning Thr('rnlrr of the L.llIf Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST J urN (YtS /) /IIOV~ NAME OF APPLICANT ( p)J I L / K A IZ&7I/ t3 eo /I-JIL,I./,J APPLICATION RECEIVED (p / /.5' /9: The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5/7/ !-loPS ;::::, ( . Accepted Accepted With Corrections x: Denied ( ") Reviewed By: ~pgz:.. k Comments: Date: b -/e-1'f I. /!...cd -I-tt c1fUk. ~~ "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." . l ;./ /.',. . / ./ PRIOR LAKE INSPECTION RECORD S\-. DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS .Ci It'] I I-It"\ro TYPE OF WORK Dee ~c..... USE OF BUILDING SF'D PERMIT NO. Cfi'-7/ry BUILDER C"c. <:lr~~u',~ NOTE: THIS IS NOT A PERMIT FOB ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DATE ISSUED (., -/8 -C( '9 INSPECTOR OATE I FOOTING ~ I ~ I 7-'2/19 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED L F.fl!!BBG iJl61fL-r-P&W ~.M I lSq~ I ~ - 1:; r9~ ,...-- - I 'FINAL ~. I {q{\ I r-;~ II-I i~ Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 , , \ \ , ,