HomeMy WebLinkAboutBuilding Permit 99-0160
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
33~/
SCHEDULED ~ /:/5"'
Ft€6HtJNr ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJq-/(p 0
o FOOTING
o FRAMING @
o INSULATION
FINAL L. '-.
~ FOUNDATION ~
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
~~ ~ S,D,
~ . I
lZ- ~ r"'-J.~eP
~~
\
..~.~
/
/
J. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ALL REINSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
.-... r
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
AAR \ \ \~
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-/(po
1. DATE
....~
c.. .
.~
lS{)
PID ~t5 -d4q -03 Z -0
. l! IIV\
3. LEGAL DESCRIPTION
LOT I()
ADDITION ~
4. OWNER (Name)
BLOCK 2.
Vi ew 4'10 M1Vl'
(Address)
lo I l=,~M.
(Address)
(Tel. No.)
13. TYPE OF CONSTRUCTION
k.. e e\4..1-
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
7
(Tel. No.)
?-'iS2.~
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS ;;)
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement)t
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have furnished 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 'cial can revoke this pennit for just use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perionn needed inspections.
X -. 3 J JO/"
License No. I c(,te
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION :2:000. 06
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F H I ~
Division 1 26) 4
Permit Fee ................................... $
S U
City:
f..o212<)
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty....................................... $
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee ..................... $
1.00
Sewer & Water Pennit ...................... $
~~\\
CvQ
. 1ng ~::it "g~/~~v~7
Issued
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
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 <b "3>. "L.. ..- Receipt No.
Dale ~ (1- By
24 hour notice for all inspections 447-9850
r
) .,;.,
/'
I
/,<',/,\
White - Building
Canary - Engineering
Pink - Planning
The ('enler of the L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"
. ,
\" . {/( Ii (;/1': 'to
j
// /;)./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./ ":',:' / i //""/' 1.1 /' ~/;... /~\./ ( "'-."J
Accepted
v/
Accepted With Corrections
Denied
Reviewed By: Date:
Comments: ~()J..J. lAlf~ ~ ~fG'eV'\
~*~_ d~~p C4re4 ~ lAI\
~, )6 IMI Ef~ vJ trAM \ "S ~ ~f:...9-v\c.Q_ L) ~
*- \~ ~ lL1~ &t-Lu~LW\ ~
~ ~ &<<-lJ~~ C~ /~~
\1b~~ . I~~ ~
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."
T
99 -/?6
Thr Crnlef of Iht L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ /1 ~ V L!?8 f
APPLICATION RECEIVED 3 -//-1tf
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3301 r-Y~futJr/T {';fL/e AfuJ
Accepted
Accepted With Corrections Y
Denied ~~
Reviewed By:
Date: 3. 1I - 'f (
Comments:
&"".0- k~ *I~'~ - tJc-z. -Z,
"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."
'>~.'~_."____'.>..'Ccccc c__._~.~.~.,-__.____c_c_'c.cc_.c__