HomeMy WebLinkAboutBuilding Permit 99-0147
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
G4~&.7 .3 :30
/5// / /I-l ri N I 7?) u' e'L::5
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qc; -/47
o FOOTING
o FRAMING
1:NSULATION ~
FINAL PE. C
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
CI WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHORE~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
~
COMMENTS: JUJ ~
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~ORK SATISFACTORY, PROCEED
o CORRECTPnfCTION PROCEED
o CORRECT W C L FOR REINSPECTION BEFORE COVERING
Inspectol\. Owner/Cpntr:
V
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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DATE RECEIVEQ . CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
a .i<-SITE ADDRES~ / .1./ .L /J /
/.~'j /D411//aJLKd
3, LEGAL DESCRIrJION
LOT \.f BLOCK
_ ADDITION Kopps 8:P-y ~ '"
~I OWNER ,(N~) ~ (Address) /
~8"'-.r;;~ ~K /!f"tiL/f'UJI1;,Ji1
~,ARC~CT (~ Av {(AddreSS)
l. ~UILDER (Name) (Address)
!f /d~&III('J~/,~ CortdoeJ;C.L- 7O/-'lf'gf
tyPE OF WORK Fireplaceg' Septic Ll Decl)ll1 ~ 1:;..... 'Re-r06ffil'g Ll Porch Ll
New Construction Ll Alterations Ll Addition Ll Finish Attic Ll Re-siding Ll Finish Basement Ll
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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1. White
2, Pink
3, Yellow
File
City
Applicant
Permit No. qC( -, 41
1. DATE
4-0 -qCj
v2lSD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO, OF STORIES
PID
'2t;;-o51 ~ooC.l- CJ
13. TYPE OF CONSTRUCTION
/Iff
8/7- 1l:f3!i-t{
(Tel. No,)
Chimney Ll Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9, PROPERTY DIMENSIONS
W' th Depth
1 0, CULVERT SIZE
Yes No
17. COMPLETION DATE
(Tel. No,)
14, FLOOR AREA APPORTIONMENT USE
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
is plication which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
, conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
urthermore, I hereby agree that t~6~2tgeSig~ enter upon the property to perf~~~d inspections.
~seNo,\- ~ate
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDIN~ J
lle-S. A If(
I
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM '-Fl S U
Division 1 2lf3 4 '"') _
Permit Fee ................................... $ qc(. .L7
~4 . flJ <.f
'2.'50
City:
Plan Check Fee ............................. $
State Su rcharge ............................. lI'.
Pena~y ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
*~l;\
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Side
SOIL TESTS
Ll
Ll ENERGY DATA
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS Ll SETS
6': 1'lM'':J . t:!) (J
SURVEY
PLOT PLAN
Ll COPIES
Ll
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ . .
Total Due .............................. $J 0 -/ ' OVf
Paid I (P { . oq Receipt No, 350 2..-4".-
Issued
Date 4:/ ( Iv! q "\ By 1/J-t--
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 req!ested. This document when
sig~~ City Pia r constnutes a temporary Certifif?lte of Zon~ ~mpliance ~ a~lows const9' "~tion to comme ce, Beff~ ~cupancy. a .~i1icate of Occupancy must be issued.
~ _ ~2.^~ ~.~ V" ~ ,..~ ~/~~ -e.-
anner Date Special Conditions if ;~^' ~A J... ~ X. <;;. l 11.. j.., _
24 hour notice for all inspections 447-9850 .... V......-r... ,,""'"'-'.~ ~ ~
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l' 9 --(L(7
Thr ('rnlrr of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DePARTMENT CHECKLIST
NAME OF APPLICANT
/2v~~ ~40SS
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I~/ II 1}Zu//l,L~ /r!;I/JE_
Accepted
Accepted With Corrections
x
Denied? I'
Reviewed B/.;lJJ {j;7~
Comments:
I, Qed ~ Ck.clc ~L o-J.
Date: 5 ~ '7 (-Ie:;
"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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White - Building
Canary - Engineering
Pink - Planning
Tho ('on I.. of Iho lob Counlry
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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I' r,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I /
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Accepted
~
Accepted With Corrections
Denied
Reviewed !3y:
~AA- ~
Date:
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Comments:
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IA-:;t- ~ Yt../: ,I ~ (~ 1V{e:.ve.'-'.s~
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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,"