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HomeMy WebLinkAboutBuilding Permit 99-0761 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FRAMING o INSULATION )o:.FINAL De0i<-- o FOUNDATION o DEMOLITION o FIRE PREV. COMMENTS: ( ~ DATE TIME 3750 -s/;i/c;c; 3 ;~o P;;Z/Ote-WOOD SCHEDULED CONTR. PERMIT NO. 19- 7& / o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION ~.JA- ...., I!~JJ.::r. , o EXCfGRAD/FILLlNG o LKSHORENYETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o --- ~ /' --- ,---~ .~ ~ / / t~: ~ L SATISFACTORY. PROCEEO o CORRECT ACTION AND PROCEED o CORRECT '1)7\ (Y-L FOR REINSPECTION BEFORE COVERING Inspector: ft J~ OWner/Contr: V gALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl , --,-- aATF= RF=r.I=I~ t;,h7/11 fJUN I e :999 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 bonom) 12. SITE ADDRESS /J '37,{'D rf"fOr'IVMd' 3. LEGAL DESCRIPTlpN LOT /3 f / t../ BLOCK W/UOw'S l.V / ~7J{ PID ..25 - 2.~e - a IJ 7- 0 13. TYPE OF CONSTRUCTION ADDITION. 14. OW1-E'~+ 15. ARCHITECT 6. BUILDER (Name) ..jOknso "- (Name) j.Address) :S7Su (Address) (Tel. No.) fJrtof'w<",,<-c/ tv ,,*'78S'l? (Tel. No.) (Name) (Address) SA-Me ~ "'-JlA~ I. White 2. Pink 3. Yellow File City Applicant Permit No. q9-7& / 1. DATE (,-I7-Ql BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 14. FLOOR AREA APPORTIONMENT USE (Tel. No.1 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New Construction 0 Dec~1 Finish Attic 0 ~'U\. e Ae-roofing LI Porch LI Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Fireplace 0 Alterations 0 Septic 0 Addition 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 190 PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I have fumished infonnation on this application which is to the best of my knowledge true and correct. J 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 ial an revoke this pe~ fo~ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo~ ne.ede~ i~sp~~ns. X J_ #. -:pJ..,~ 3." 1\. - . ..., j) ( ~ignalure License No. DaleVt-l}-V Y 17. COMPLETION DATE SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Side Back BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION IloQ,C){) USE OF BUILDING J2~5 ~/JZ-- " TYPE OF CONSTRUCTION: I II III IV I.p Occupancy Group A B E F HIM (j:" S U Division 1 2(j 4 City: Permit Fee ................................... $ 3').,,1') '2'1" 3'.9 . !>O> ~ C\ ,,~~ \'j~ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Pennit ....................... $ ~~lst!:ptJ:;irr BUilding ~:,':"Wt,.~!~~<J Certificate of Occupancy Side MATERIAL FILED WITH APPLICATION SOIL TESTS (] ENERGY DATA (] PILING LOGS D PERCOLATION TESTS D PLANS & SPECS D SETS SURVEY (] COPIES PLOT PLAN D Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .."....".........."....,................. $ Collective Street Fee ......... .............. $ Sewer Tap ................................... $ $ -. Pressure Reducer .......................... <;; Meter Horn ... .... .... ........................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ...........................0;: Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due ......".."....,............... $ (,,;). "{ i Peld h:J, (j3 RecelPt~ 1~~ Issued Date 6/;29 (?9 By .tv ) ThIS 15 to certify that the request In the above application and accompanYing documents 15 In accordance WIth the City ZOning Ordmance and may proceed as r uested. ThIS document when signed by the ~ity anner cons1JtU1es e temporary Certificate of ZOning comphance aI\J a"~s corst?tction to c9{T'mence~cupancy, a Certificate of Occupancy mu issu /~i,-: ""'- Jtl.:U, ptc, _'-W tl~,,'''''I.w1 =1A-.-V ~Pt? . ./ Planner Dale \" ---- . Spec I CondItions if any r. ... 24 hour notice for all inspections 447-9850 ~--'T',~.. \.'I(:."~ , .~ /ir; . I White . Building Canary - Engineering Pink . Planning Tht' Ct'ntn of lht' Lib Counlry 6UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED , / / .,i /'/;// J {.-/ ,/ -;,. 11 , , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I( ,i t' !~ /;" , ( ."r/ , 1./ _ " /',. tll( L Accepted ~ Accepted With Corrections Denied Reviewed By: ~ Lv... \~ " ... , -t-, ~ate: G, -2--'6 - ~ t:i. Comments: 44~_' ~ 1f-V\NJ ~~ JJ-e&~~ ~ _~IJ~/t0~~, ~w,JA L90JP ~vofJ~ il!'(C)I'\<' / -;:;""\~ke, . _ I Al h I ~~-c ~,Q.v L"}~ <;::.~~ ~ Ve..v~t1 fMJ'l/\,I)lMJJl/L1 ?re-~t'k Pv~ rlPI~~D V~ (~, 1~]' k1-J/~(p~<., /d.cv~~~~ved"f "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." qq7~ I ~~ White - Building Canary - Engineering Pink - Planning The- Ctnlrr of lhr Like- Counlry BUILDING PERMIT APPLICATION DEPARTMt=NT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 91tfJ 8~kN~J 6-lf-19 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 575D J2u ~'+-L(V()()d i..a I<-L Accepted ^ ~ Accepted With Corrections Denied n () () Reviewed By: \:}.-y ~ r Comments: e,/,~. A{. ~~ ~4 Date: (0' ?.P. . CZ' 9- "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 SITE ADDRESS .~~ So t1,or~ L",. TYPE OF WORK ~k USE OF BUILDING ~t: i) PERMIT NO. qC;-7~[ BUILDER ~(")l.k<;'r~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION DATE ISSUED / - -J,.~ - 'i)> 11 INSPECTOR DATE I FOOTING tiUdJ I fsJk I 7-(-99 PLACE NO CONCRETE UNTIL ~ABOVE HAS BEEN SIGNED ,.. I I I FINAL - .tJ-:f"' /~/t./-9r Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 I 1 I