HomeMy WebLinkAboutBuilding Permit 99-0006
SCHEDULED
~;;k
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
/it .r1o
ADDRESS/72 S 0
76rotVfa
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq~o(P
o FOOTING
o FOUNDATION
o FRAMING W
",~SULATION .
))! ~~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~WORK SATISFACTORY, PROCEED
( 0'" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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) .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
/2b~/9f
2. SITE ADDRESS I A c ~ I I
Wt5LT D'Y'tht<Jn <::f\V 11 W 1< I
3. LEGAL DESCRIPTION
lOT &) ~ ~_BlOCK. ~. A PIDZ-52/fl/OC,40
ADDmON (jj/flJ?l.-A'!!f74Jf111i>J :.(ML
40WNtI,; (N~ ~ /~i;.~Av ,~
5. ARCHITECT (Address)
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
l/!lli:JL!
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
Ow/1<<'
DEefS
1. White
2. Pink
3. Yellow
File
City
Applicant
IC' .
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I"''"''''''
qy,.boot
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Permit No.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ Re-roofing 0 Porch 0
New Construction 0 I. Alteratiol}" ~on 0.. Finish Attic 0 Re-siding 0 Finish Basement 0 1 ~"pROJECT COSTN ALUE
ChimneyK' Misc. LA Jvu , J... ~ II' I~ot>
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Fl. Width Depth . Yes No . ~.!~ /",
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 mat I am {he owner or authorized agent for
the above entioned property an 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
:uilding Icial n revoke thi It for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe10? ~e;~ys.
License No. ~....- Jll"ate
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN ~~ "cu(!) C}
PERMIT VALUATION ~l)
USE OF BUILDING
,'(IfS
p.J~
TYPE OF CONSTRUCTION: I II III IV (~ .
Occupancy Group A B E F H I M-<R S U
Division 1 2 G) 4
Permit Fee ................................... !to
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA CJ
PILING LOGS 0 PERCOLATION TESTS CJ
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
10.3. 71.--
Plan Check Fee ............................. $
~2."2.c;-
QO.47
I .0"
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ... ... .. .. .. .. .. .. .. ... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ....... ............................ $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid '/ C; 3> i"7 L Receipt No. "3 4 '2, (.) "7
Date ,/tfhc, ByfZ.OY-,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin6 Ordina~ce and may proceed as requested. This document when
sign~ thft. City PI n constnutes a temporary Certi1'ficate of zoni~mPliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
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(/ Ily p nner "Date Special Conditions n any
City:
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
''1 \~).:(4t
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\ \?o \"
\V
MeChanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace pe.rmit~... .................. $
nv6'2~ Becom Your Building Permit When Approved.
B~ ~ Date I 2..- 2A..tf8
Certificate of accl:ancy
Issued
24 hour notice for all inspections 447-9850
IOd.72-
Tho Conlor of Iho lIko Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ct.rI'jt.A fl ~
APPLICATION RECEIVED 12 - 2 3 -~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J'72~
I&~
Accepted
Accepted With Corrections ><
Denied /)';/ I
Reviewed By:lftl ~.A--
Comments:
I. &J !-Ix /J~t I-f-JJJ
Date:
I 2.. - 2~ - 7',
'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."
White - Building
Canary - Engineering
Pink - Planning
The Cenler of the like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ih4^ foZc~
APPLICATION RECEIVED J ),..--7-'2.,... qf/
v-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l7J-SO ~oVt9v\\D ,~ ~ ~
Accepted V
Accepted With Corrections
Denied
Reviewed By:
~~~
Itmv~ tw ~~.
,
Date:
t2--2-3r?;g
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."