HomeMy WebLinkAboutBuilding Permit 99-0174
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
L/Jzl, 1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
",,-0 )KSULA TION
'\}1F- FINAL
o SITE INSPECTION \
COMMENTS: /'~
lJ
SCHEDULED
~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
DM~
rJ
I DAlE TIME
~ Ar
'lq..I7l/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ ~..k
/
I
I
bORK SATISFACTORY, PROCEED
o CORRECT AC N AND PROCEED
o CORRECT W R ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3-/~ -99
23;z
;)5- DO!;'" tY13--(J
DATE RECEIVED
t46R 15.
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
S'~
.J..I ~
3. LEGAL DESCRIPTION
/-3
po..~ I-q
~+
S-
PID
LOT
BLOCK
ADDITION
4. OWNER ,I (Namel { l.
So <'-^ -rt c: 0.. YiS D n.
5. ARCHITECT (Name)
~ddress)
Ke-Li "tyl("\- W 4~
(Address) I
(Tel. No.) . 14. FLOOR AREA APPORTIONMENT USE
ij~7 -fftla5i"
(Tel. No.)
6. BUILDER
(Name)
(Address)
1. DATE
(Tel. No.)
R~~R V\ $ ~r"\.- S '1 .7760 E/9/J J2. ~~7 -J-?/tl
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction 0 Alterations ~ Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
ChimneyO Misc. AnD \AJAU--6., 1<eMOV6"1 uJ~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft Width Depth Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
C(q -/7'-/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. tyPE OF CONSTRUCTION
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT CO~LUE
A.5, /Y)O ___
, 17. C6~PLETiON 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 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
:uil~o~n revoke this ~06~hermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
~ Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~1"Yl.r,Y)
USE OF BUILDING
\ Iv
,
I
Alfl-
r
TYPE OF CONSTRUCTI.Q.N: I II III IV (j)
Occupancy Group A (a) E F HIM R S U
Division 1 2 3 4
City:
Permit Fee ................................... $
q1.1~
~~q
2.50
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permil Fee ..................... it.
(YO ~ Ilg~~
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Thi~~n BecomeMfo~ Building Permit When APpro.ved.
By~(' J. ~ Date '3-/1-0/1
(/
Certificate of Occupancy
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
r-
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
paidt!tue ................... ~~~~i~; ~o~
Date :c:..- 21.( -9 S By
L~7.0L
'3L/8( 0
Th?3' i certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
sig bt t~an. ner~nstilutes a temporary Certificate of ZOrg compliance and allows construction to commence. Before occupancy, a Cert~icate of Occupancy must be issued.
- W$L/_'l?tJ~ 3J/~ 77
'-1/ City 'Planner ' Dat~ Special Conditions ff any
24 hour notice for all inspections 447-9850
./ ,/
I 'I I
;' I
I
The Center of Ihe Lake Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.'- "'-/1,'
f \ 1 .
,. ,.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. 1/ I '
", v:,~ /
I'l " -~l
Accepted
v
Accepted With Corrections
Denied
Reviewed By: Date: .:; ,-let .qf
Comments: ~ ~~ ~n<J2 ~ <~ /1;-
~ ~ ~ fX-UA- l;U(y~Y1~
~~Y~61I~< ~ rlt1>lev--!av- uJ\(Bt/~lCjV1 ('
~,~ D.Yp_~(,,~'~ rf2D~M1~
fA _ ~b~o/ M I, J~!V? !7Ae. 0vi. ~ i (2]/
lA (JN~ ~ <M" ~B.v~ ~Mv~
~ CfV\.e 0.J-.k:04'
~~ ttDtN ~~ JJ1Nv~~ (9v7~b
~ ~j)A{V~ e4We.<: ~ t I t~q, (J
"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
QCj-/7Cj
Th. C.nl.. of th. Lok. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
B eve VG C0YtG.f-,
3-5 qf
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lf~" 7 Oo.-KlrIc< S-h 5E
Accepted
Accepted With Corrections Y-
Denied .-
Reviewed BY( 1~ ofZ,.-A-L ~
~.--- 1--
Date: ?~/7-71
Comments:
I. ~e~, ~~~~ ~~
i!pr}t-rrJ ~Gt.
U
"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."
~~~'_'"''.__"''''O~,".~..._""_~n'~____'_''''''_''''' of