HomeMy WebLinkAboutBuilding Permit 99-0136
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
34-10
WI (,)!"OW
CONTR.
OWNER
PERMIT NO.
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @O WATER HOOKUP
~NSULATION 0 SEWER HOOKUP
FINAL ". (, . 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:
DATE TIME
iJ3- _4; (/l)
~fJt(7f(
qq -/~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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d'k- ft, ~ - -,~.",,,,~
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ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Inspector: \ _ owner/Contr: -
CALL 447-9850 OR THE NEXT iNSPECTION 24 HOURS IN ADVANC5,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
T
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
.28_
. 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
34.:l:.c W; ~r.V.J... -(12
3. LEGAL DESCRIPTION
~
LOT t::
s.w.
ADDITION
4. OWNER
---FOra ....."..
5. ARCHITIltJr
BLOCK
j('(51f33
(Name)
f)~~
(Namer-
(Address)
i/ZJ1:. W. JJ.~t!1 sf-
(Address)
6. BUILDER
(Name)
(Address)
Fireplace a
Alterations a
Septic a
Addition a
Deck a
Finish Attic a
7. TYPE OF WORK
New Construction a
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft. IS: 000
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
QQ-/3fo
1. DATE
Z/<.'I/Cf9
f.( lS D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)" (Depth)
12. NO. OF STORIES
PIDc;?~') -Ihl,", .-L' {5"--o
10. CULVERT SIZE
Yes No
Side
.2/'Y,.....,. C>t"'1
City:
Jr lArA,
.1{1
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
~/Z-' 9S'1-11'5=r
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Re-roofing a Porch a
Re-siding a Finish Basement;(
9. PROPERTY DIMENSIONS
Width lCD' Depth I~O ~
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 abov mentioned prope 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
buildin flicial can rev IS pe it fo~sj..cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe~, needed inspections.
X "//1.- .... #ZS-/fJ
Stgnature License No. 'Date
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUJlJDING I
1~J4 lL..-
I
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H I ~ S U
Division 1 ~ 4
Permit Fee ................................... $
PERMIT VALUATION
{n/.~
Plan Check Fee ............................. $
State Surcharge............................. $
l.~
Penalty ........................~........... $ _
Plumbing Permit Fee ...rl....~........... $.
~.C)U
Side
SOIL TESTS
a
a ENERGY DATA
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS a SETS
SURVEY
PLOT PLAN
a COPIES
a
Amount Brought Forward .................. $
Pari< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ ----
Total Due .............................. $ 106.d!:>
Paid l03.Ze; Receipt No. 3-(71:l
Issued
Date 3~~-4q By (,\tlW
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 reqJJed. This document when
sign~an ~ry certi~t~ Z=~l\mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Cil)-!lanner Dale Special Conditions n any
Mechanical Permit Fee ..................... $
24 hour notice for all inspections 447-9850
C;~1-/3~
White - Building
Canary - Engineering
Pink - Planning
Th~ ('rRlef of Ihr Lekt Country
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
&Cif?l/ {)c/SI!l~
V ./
c:l-Jlo-9C;
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construc~on activity which is proposed at:
3LI70 ludf(J-uJ &aLA JIf. .~~ W.
X
Date:
'Z,,- U -qC;
\
Comments:
/. Peo~ ~ ~CLJ .k~.~_ ~),,-
liThe 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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Th. C.nl., oJ lh. l.k. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i
t ; I I
_./ ' .'
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construcljon activity which is proposed at:
I i /-
"
<: . (/1 / / I
Accepted
v
Accepted With Corrections
Denied
~~4'~1~~~
Date:
<: .2- .C)Cj
'-
Reviewed By:
Comments:
Arvvt>J reJ2 /...v.1 -6c.l:"IM/Tt ee.O t ~.~.
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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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NTI L:i>:;l A B_ ' . E,,;.,H A S,.:E E' .
"~"'~" \"~'" ....,S"!~%'.N;;Ot{C~':;~:..,::"'.~:.~~j2C:t!:;<j;,iJ~~'.
'.' . ....'. . .......' ....:.. '. ust; ....... posted 'n~ai"';an el~ctrlcal service'. cablne(priC)r:to'rough~i
"di'Malnt~l~ed";untn~all::lnspectlo'ns.. have been approv8ci.:!':On" buildIng.';'
ire~n~{s_."lce~~a.,in;ef'18'ilvallable'l:card shall b.placed 'rielli!rr.ain.;entra*:!"
~:~~~':~'~';h,~f4~:~:'{1~~~;;;~,~-~':~~~~V;~'t~~; ::.~.,t{ ,:,.-";~,~;:)i?j:' ,- ~,~;:~,~~~~:, ~,; t~>,;j"~\1~~.-;(t~';:i;};){&~~';.'.:, ~..~~Vf~'~{i;!~:G.~?;,::':1~~~~~{
.:'~~;:Calhbetweeri;8:00'and 9:00A.M. for 'alf:inspections .
',..,:. ':"""(FbR'ALLINSPECTIONS447:t230 . ....
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