HomeMy WebLinkAboutBuilding Permit 99-0169
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
d;i).3/tJ1_ 'j {I)o
ADDRESS
S~8' 7
ISo]::k. Jf,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
cpj-!&cr
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: 'SlJvVV ~ fL4.I
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
__ \1.-
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
~ <6' ~1
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
91-/tpC(
1. DATE
3. LEGAL DESCRIPTION
) S- 0 #....
/
JO/I"/q'f
,
AE p\ IS])
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
/11-t
---:
(Address)
.s- ~ 7'11 e
(Address) (Tel. No.)
, PfZ=l( I;;'
(Address) N.e>>J ~~pfVlAJ .(,S'"/ ~
J/23 oTi.( ~I..,f" t,/JI"/ltJtJ
Rej!OOflng a Porch a
Finish Basement a
s~
LOT
ADDITION
4. OWNER
fY\ar ~
5. ARCHITECT
.<)
If=) fL/(
BLOCK
f7 :; ,.;~o
PID
Q5.
(Depth)
12. NO. OF STORIES
VIe
, -
'9(::; <;. ('\
13. TYPE OF CONSTRUCTION
(Name)
.J~. <~.)1
(Name)
L\ ~7 ~.), 2 '3 1..(
14. FLOOR AREA APPORTIONMENT USE
(Name)
e...n~.J".ru t-e $
Fireplace a Septic a
Alterations a Addition~
6. BUILDER
f>~+4tJ
7. TYPE OF WORK
New Construction a
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Heating a Plumbing a
Finish Attic a Residing a
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESTIMATED VAL.Uj
'1,000 .0
17. COMPLETION DATE
31
Yes
10. CULVERT SIZE
No
j~Yl.
9. PROPERTY DIMENSIONS
Width Depth
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
~n';", -n :~~Z"'''' r":;.1:~ ....by ...."""...dio:;"~t ~ ''''Oymay'''w "P<"'" ",,_10 "";;; i:i;Y"'''
-If Signature ~ - Ucense No. · 'Date
V FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILD NG
~?-. I4/L
TYPE OF CONSTRUCTION: I II III)'1fGL.)
Occupancy Group A BEl H ~
DMsion 1 i!l4
Permit Fee ................................... $
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
q,<lXJ. () (T
City:
I ~cq. .1"1
~~
4.5'D
~\tO
'1 J~11
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Check if
Deferred
Subtotal............................... $
Thi~~~~.r Building Permit When Approved.
Blf~b--,/f::r., Date )-/7-77
Certificate 0; Occu~ncy ~
Side
MATERIAL FILED WITH APPLICATION
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 ....................... $
SewerTap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
a Sewer & Water Connection Fee ........... $
o Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
To~D~ .....::.(.'................... $ .' ZS f . ~1
Paid ,;t) /. 5 1 Receipt No. ;/) L/7 l/
Issued '7 -" J</ -(1(1' ~. I J I ,
~l) 0 L ~ ~~
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 reque d. This document when
signed I?Y the City P ner constitutes a temporary Certifi. cate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
c...~'. .' ~t -,. ~
.~ Planner - Date Special Conditions if any
24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m.
"
f
,,,"';
"~I
~ "i~"'~ ,1:~':'_ f ~',t,--;>,
The Crnter or 'he L.kf Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
..,.....~..,/
..'
,': t';'
//
{\1.~'7~- (l,,':' L\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i
I
/ ...-".,,~' $'
." /
~/.
Accepted /
Accepted With Corrections
.'
Denied
Reviewed By: S:>\~l(\..,~ Date: ~"l )-tJ0
Comments: ----A~O ~ C!:[ '" /I!J I rJ.~1z9v\
?J ~~ L~~ 6/\.~ #
'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 violatio~ of
any of the provisions of this code or of any other ordinance of the jurisdiction. . Permits
.J)' presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid." ~
t
Y9-.((r9
Thr Crnltr of thr L.kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
: . ('"' /
iff [-t(! (!U!( (c'J(c,LC J./
.3 - /";J ~ Y 7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5f/g7 1<)(;'1& J 5t
Accepted
,/
Accepted With Corrections
Denied
6 )/'-1+1
~t.U J.;(c()~
,--
~A~~ Dpf
U.
-1tA~~ ~.
Date:
~ 1/5 / q Cj
I I
Reviewed By:
Comments:
&~
/f't/1 1-5~
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."
99-/tb9
Thr Center or thr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHe..CKLlST
NAME OF APPLICANT
a1L(J & dt.v(]LvLRAV
..5 - /;;J --C{ 7
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~g7 /~?Jt!:t SI- 5cF
Accepted
Accepted With Corrections Y
Denied --- /J .
Reviewed B {~/f? p
~k1~t?
Date: <; - {7.--C(/
Comments:
I, ~~ 9eJl'V\~ \-- () V\ l ~
U
~ ~i r-e~Ul'l--o.-<9--~rJ-ec~
<....
"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."
"-..-....'....-r-'.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPEC");~ON ,
SITE ADDRESS SAR7 (~S\-. ~€..
NATURE OF WORK 3 3p~ctv'\~J-.
USE OF BUILDING 8Ft)
PERMIT NO. jj - ~ DATE ISSUED "3 -/7-7~
CONTRACTOR Jrd'lT'l ;1JA..C(~a..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
./'- - INSPECTOR
DATE
FOOTING JI'" I ~..~
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. FRAMING -
ELEOTnlGAb
..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~D I I
FINALS
. g)
-
~(
!
d/,;L3/~ /
I
. '
BUILDING
. ELCGT~
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850