HomeMy WebLinkAboutBuilding Permit 99-0071
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
s/z.~q9 4:00
/5ZP,~ ;::-..q/tel3,e:; N~ I K.. .
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qCJ- 7/
o FOOTING
o FRAMING
o INSULATIOll
liI:1=lNAL I-t
t"0 -FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
^ ~ECHANICAL FII(If'-
It" 1"0 WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
C'*Wv'IENTS: M,q/N All€- ~S r
(.l) ~, \~ P-TC (7 {)-ooh,..--
CD ~~"fl.J>01 f -h~ _P>.cCe<;.S
~ ~~ ~Gu ~~. Up
(~~ rL... ,!<; -T- kle L.~ ~
A.-{.f-l c/ l,
W-*
~
---- ---
(<'l....~~
()CCf I Olj ~ /
~/-,,- ~
hv- 11 )
o WORK SATISFACTORY, PROCEED
o CORRE A ION AND PROCEED
o CORRE :r W ,CA: L FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CAL I. 447-4 !30 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
r
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~2,
"","\
I
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
1. DATE
~~~9?
;2.z. '
/.5.-2/13
~~~~
/!/. ~
-
,h ?/.:>.~.___
3. LEGAL DESCRIPTION
~
PID 2?- -03L.~ ooa CJ
flr~
(Address)
<\:~
(Address)
(Tel. No.)
4~c:?-ZV/ArJ
(Tel. No.)
W . 4'i~ - S'$T)~
(Tel. No.)
6. BUILDER
(Name)
(Address)
;g/<?dC~ .-~~~
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
Septic 0
AdditiO~
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 'lq - 001/
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
16. PROJECT COSTNALUE
17. COMPLETION DATE
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 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 official can '8 this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ~ed,d inspections.
X ~'J/,/'!V"d~e ~/d?9
- /' Signature / I license No. " De& /
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
4Or^~ .~
USE OF BU~~ &j.t
TYPE OF CONSTRUCTION: I II III IVU
Occupancy Group A B E F HIM ~
Division 1 2 fY 4
Permit Fee ................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
L1 ~l\. .le;-
~ , 31S-.oq
20.00
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. .. .. .. .. .. .. . .... $
Sewer Tap ................................... $
S U
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .................~~................. $
Plumbing Permit Fee ......~J~............ $
$
~ () .M
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ......
Paid ;2.f0
Date d~fo .
~
._..~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when ~
sign~he qjty Plan r nstitutes a temporary Certificate o12oni~lPliance a~lIows constru~f{l to ~~menc~ Eftfore occ~a~rtifi9ftt o~ncy must be issued.
~ ~A..-1-1-'" .fr.~ " ~~ ~~ UAiA. ~ ~1Y1
~ C. Ian if L ate Special Conditions ~ any -~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
GaS~ir e pe~n ..................... $
This i e Building Permit When Approved.
By.. ..,., Date ~- J2~'7
"-
Certificate of cupancy
Issued
24 hour notice for all inspections 447-9850
..t
Job Address ISJ.13 Fflt't~~~ 7h
. Heating Cont.ractor~5ey,J 4(~ k
Name of Tester .:u:r-
Ome S-~o-'9
7'0
1'0
0'0
-:J;2 Y ()
Percent. 0.;2
Percent. CO2
Percent. CO
Stack Temp.
.
/
"
White . Building
Canary - Engineering
Pink - Planning
The' ('eontrr of the Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.' C".
- c. . .<..~.{1 'S
c:rct ~ 1 I
'2. /2 I~~
I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'52...<6 '3
f'""A,1{ 134I\JK.s
-
I~ .
Accepted
/
Accepted With Corrections
Denied
Reviewed By: /J ,q.L. rE/l
Erl~c91lA..vN
Date:
1/10 / ~ r;
I I .
H,q s /\k'J
ISSuE'\'
Comments: -ri1E..
EN6./NCEt2../AJG .De PJ4~TWlENr
Ij I '-L-j ~/S gUI L-t::::.I.Jt'., ?EA~lr As
;:;; L.L..o....J / ^' (.... Do &;:iA..l '-r- ~...J fiN I... E :
Ii) E}(./.S -n A.J (.. ~ 1?.r4f)E { DItA-,tJ~~E
-
@ E ~15"'N b 8 VI/.. (;:)J/U( .... .-- -?/tlI\Jf
f- 00"
~ f. ~ 'sr.^, ,~ Dn.lvF:"'AIA c,..'
Lo ^-'<O A"\ -rJ-lE
"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."
IfY'
"
Thr ('entrr of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~q.l ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~~Lr~~
Date:
2 - { 2--CA
Comments:
14rvt!\~ L.0'r~~ ~~/ r~~/L~~l~
~<ilN~.
cO Xt~IM_'1 b ( j~l&..c.'4
~ f\~Le ~
'--"'" - -- .,
"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."
1
~~
White - Building
Canary - Engineering
Pink - Planning
Tht ('tnttr of fhr Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
13/'2-.... c-~ SO~C5
z/~/~\
qq-, (
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections ~
Denied
Reviewed By: (~rftf-"
Comments:
), No C>C(JUra..;....r U dlJH"U- ('('JVt c;.{",ud r ~;' Ck C.U p~ C.1s Q.5iJ~; r,'c~
Date: 2-/z-9;
h:> ?:>L ~ n(
-Z. M.~~v-...~~ 1)-c7:>(~ ~~
? - 'tv,,- OU&""'-- J '" k \" v.o\- ~ I... <; <. \'-l..."" 2' f..",^,^- f ro ~
I l ~ "'-"
"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."
B'H10R LAKE
INSPEC'''''''I''10N RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
_SITE ADDRESS _15~~~ ~"l"'bC\.,^k~ In:...\t
NATOREOFWORK ~...J.. S\o~ ~.
USEOF BUILDING SFtJ
.PERMIT NO." . '1~ - 6()"71 DATE ISSUED ~ ~'3 -7'7>
CONTRACTOR '""B'M. 'r-f' Srl'nN\~C; .<i' .
'., ." ~~ ....,,'.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW,
,." THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
. '. '., -.-'
::\FRAMING~~'-<'~';;';('~);', '. .
'INSULATION
ELECTRICAL
,'PLUMBING.,'1ii;.:,iz/j\
- ',' " .', :;, - . .,.:--'~'-'~!,"~'!:"':::':
HEATING (if required)
."FIREPl..ACE:'.P<:' ,
G'As'..tlNEiA'IRfEST
." .:. ,~:'"
-,,:>--~':.':.:, --:..
'06.'
rI
'~": .
..,',.,;.,'''',;,:
., . Cr
OCCUpy UNTIL ABOVE
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.
HAS
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTiONS 447-4230