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HomeMy WebLinkAboutBuilding Permit 99-0888 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 5Co /1 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION /All 'j;("FINAL L..L > (f:!5:/ o SITE INSPECTION DATE TIME SC,HEDULiD '3 -,:;t7~o( f/ :00 Isn +'--'. ~-\ CONTR. PERMIT NO. -TI - c:> ~ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MEcH FINAL o EXlGRAO/FILLING o CQtlPLAINT D.lIlflEPLAcE RI )'fFIREPLAcE FINAL ;0 GASLlNE AIR TST o COMMENTS: .j' ~ ...,--~- r/ ?;;~',~ ,-., '-" ..-/ --...........-...+...................,....._....~~- ~ WORK SATISFACTORY, PROCEEO o CORRECT ACTION ANO PROCEED o CORRECT WOR" CALL FOR REINSPEcTION BEFORE COVERING Inspector: 'f'?:;r ( Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! II INSNOTl &~1 QATF OF('FIVFn CITY OF PRIOR LAKE 7 9i BUILDING PERMIT, - ~ 1- TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. While 2. Pink 3. Yellow File City Applicant Permit No. "\"'l. AM I DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE ADDRE~ _ ~II M"o..u q. SF BLOCK C; .tt;HA-}/bt2-J LA 1. DATE 7 -J /- '17 R/9;> BUILDING INFORMATION ". SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION 7 12. NO. OF STORIES LOT PID '2...c::;; -/(P';-07Z_-0 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER 1?O,u( 5. ARCHITECT (Name) <~.~ (Address) <)"{;/1 Iy?+i.~. (Address) 5'E (Tel. No.) ~2if (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 6. BUILDER (Name) S'"C<H1I2 (Name) " (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS S.qUlP OCCUPANTS 7. TYPE OF WORK Fireplace LJ Septlc 0 Deck 0 Re-roofing 0 Porch D New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re.siding 0 Finish Basemen?(' 16. PRO~CT COSTNALUE chlmneyCl Misc. a...A (?e-/>.;sk.11 <u......~"..t~,d :'7N<,.&/L ,lS"2Q:::c7~ la. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS' '110. /tULVERT SIZE 17. COMPLETION DATE Sq. Ft. Width Depth Yes No J - /5" -C<:l 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 at 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 offi~n revokJAhis pe it jar just_cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property 10 perform needed inspections. X ~"./Id 7/...:i'1.49 r./ Signature license No. Date . SEATS FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side MATERIAL FILED WITH APPLICATION Side SOIL TESTS Cl ENERGY OATA Cl PILING LOGS Cl PERCOLATION TESTS 0 PLANS & SPECS Cl SETS SURVEY 0 COPIES PLOT PLAN Cl BUILDING DEPARTMENT VALUATION USE OF BUIL~G IK.... AIR I OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION :2. /ICe> . a:> n TYPE OF CONSTRUCTION: I II III IV (j;) Occupancy Group A B E F HIM lif' S U Pennn Fee ..........~~~..~...~q>.~... $ to2 .2.'<' City: Amount Brought Forward .................. $ Pari< Support Fee ..................... ...... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Plan Check Fee ............................. $ State Surcharge ..................... ........ $ :::~~~.~~~~.~:.::1~:8..l!6:: : Mechanical Permit Fee ..................... $ 1.00 c.t...? Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ 40.~ Sewer & Water Permit ...................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ 103. z.tG- Paid /t> 3. Z < Receipt No. 3 c..R (,4- Date ~//3/ "7 "l By i:fIl-.. To/S to ~e est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed at requested. This document when s ad ~an stitutes a temporaty Certifirte of Zjtz: compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ".I" ~ityPJanner -~ 7, J-''tit8 1/ Sp8cialCondiliO/1s~any ................. $ This By ilding Permit When [\PPiSv". Oate '7~22 -& I ~ - Certificate of Dc pancy Issued 24 hour notice for all inspections 447.9850 ~ -_._~-..._.T-..-'-._._._--- """T'..----.---- -... ,..:.~,.<,:,~,..../.~h"'7'_>('''-~'''''''''I!>'''~'''~;:'+'~;'''~~'~'''f''''''~'~+".~7~';'j"ftV"1'1,t,..,~" , I ~..,."......~-"",~~~~~~~~-..-~,~ . ""'''''''''--~... ~~1; ! .-> : /. Thl' Cl'nln of thl' I.IKl' Counlry White . BUilding Canary - Engineering Pink . Planning ~UILDING PERMIT APPLICATION DEPARTMENT CHECKLISI NAME OF APPLICANT APPLICATION RECEIVED " ,-{ I '4 /1 '""),___ ir;: , , , , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '." ; \ i (~''-'~< -~ :~.~ ',.- r" '- . J Accepted With Corrections Denied (j j Reviewed BY:f /~ :Jc/1.M Comments: Accepted Date: //J-d-/77 .. "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," - --- .........,., ......... It>., ~ crq.9C53 '~ ~~ White - Building Canary - Engineering Pink - Planning ,. Tht ('tnltro' ltlt I.lkf Counll'}' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 13A,2-I'1- 1 . S '--'(.. \C' ,/zllcrq APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: See, I \ ( SO T(-1 s'" c;,~c. Accepted '-..,L Accepted With Corrections Denied ,) 7 )/ Reviewed By: I)r./1,J/~ Comments: Q-ec,d JL..{ $c/.~, ,3 -t:;".L Date: 725-]' ') ~~ ,"""j! Oi- 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." PRIOR LAKE , INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS.BaL1 ,,~+-\..-\ Sh~ NATURE OF WORK ...J<..n'~.n\^^.p\^\- H,^I""~ USE OF BUILDING S l="Tl PERMIT NO. <11. fjet=\ - DATE ISSUED 1"J-&..d..-1'1 CONTRACTOR ~....r) ~~ NOTE: THIS IS NOT 'A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I ckfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS rr ~ fir FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) v - ~~ :5\~lw " I 3\~" ~ '31('~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS 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. 4. &7, . BUILDING ELECTRICAL PLUMBING HEATING DO NOT #:r6/ el, "/~V '-1(/ -/1(/' BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 II