HomeMy WebLinkAboutBuilding Permit 99-0107
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o 1NSUm
~INAL
o SITE I . ECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: bCA
DATE TIME
qq -0107
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
ALL FOR REINSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
XT INSPECTION 24 HOURS IN ADVANCE.
INSHOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
ell.
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. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-O/o7
1. DATE
IlPS15"
W tt.DEII\IESS 1r2/HL..
;)-/7-97
Sc ) F! L. K \5 D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
I~ BLOCK
\^.illdL~ Vti-W
-
4.0WNER1?O.e(;1E'SEN
J
(J~
PID c95 -31<6- b 13-0
13. TYPE OF CONSTRUCTION
LOT
ADDITION
::r~
(Address)
sA~ AQ,o~
5. ARCHITECT
(Name)
(Address)
6. BUILDER
(Name)
(Address)
(Tel. No.)
(,J 2.-447 -2(,'1lj
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction a
Fireplace a
Alterations a
Septic a
Addition a
Deck a
Finish Attic a
}-h(YIE" OWN8L I 'DO,JNAy ~MfS 1$tll'-l HeMe J <fCfB"
SEATS
16. PROJECT COSTNALUE
R
Re-siding a
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
Porch a
Finish Basement)('
7
1
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 mentio roperty and at all con truction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding offici n ke th' or just Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertoz 7i5 J:;;ons.
License No. . Dafe
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $
Paid 12f, 2. Receipt No.
Date 2- 2. By
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance a d may proceed as requested. This document when
r const~utes a temporary Cerjilicate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Z-L3-~
lanne, Date Special Conditions ~ any
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM 'fl S U
Permit Fee ..........~i~~~i~~..~...~0?'... $ 8 ~ .'2 S-
Plan Check Fee ............................. $
City:
~
~~
~\,l.)...
~
1
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
2. .00
Mechanical Permit Fee ..................... $
Sewer & Water Permit .................,.... $
'la.DC) &?
s Your Building Perm~ When Appro~<<i.
Date ~ - 2."'3 .....17
Issued
Side
SOIL TESTS
a ENERGY DATA
a
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS a SETS
SURVEY
PLOT PLAN
a COPIES
a
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .............. $
Sewer Tap ................................... $
$
24 hour notice for all inspections 447-9850
"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."
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2-,- 2-L-c.rt
~~ ~ Date:
Reviewed By:
Denied
Accepted With Corrections
~
Accepted
K. L.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i
"in
. ! t
NAME OF APPLICANT
APPLICATION RECEIVED
(; (l c..
"
"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary . Engineering
Pink - Planning
Thr Crnlrr of Ihe' Lakr Counlry
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qq-tJ/o7
Th. C.nl., of th. like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
kobui ~
Qr-(, -Ll1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
}(Py;1'5"' \1\); (,fQCH.uyJ TI{. sf, ~r(OY Ltt/(L CJS
Accepted
Accepted With Corrections
~
Denied ~~
Reviewed B
Comments:
Date: "2 - 2, ~-'/
ll('o.L!) +k ~C;PI~ ..c;~~
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"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."
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,.'electrical:seij!.ce7~ablnet'Y;ridr: to , tOlfg,
o'ils:;,h~ve'bein;~it ."fa'V. :n}~buU"clhj ,."
ii~)el~alfd:.han;b'ft~~'ce(t"'Mairi.i'lhtti~
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,e:.,..,..~IJ",8':~p .a~d ,.~:OO A'.M.:fo..'al(i~'Sp'ectio~...,.,. Co"
,L,:f7;OffALL.INSPECTIONS 447-4230 ':,,::< :.
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