HomeMy WebLinkAboutBuilding Permit 99-0215
SCHEDULED
eJz~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
Ii :- eo
ADDRESS ~~
OWNER
~ Tn.-
PHONE NO.
CONTR.
PERMIT NO. '1't ' 21 ~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
~NSULA TION (..' 0 SEWER HOOKUP
NAL :De0 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: f0 ~ ~ ~
!O~ ~ ~a.-
~ ~ /}~
~~ ~,
/~ cfo ('t~ ~ ~
( - )
'" ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
11~
~,:,... ~;
--
o vyeRK SATISFACTORY, PROCEED
IB"CORRECT ACTION AND PROCEED
o CORRECT WIJR;, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
\
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.251999
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
. 1.DATE
;<;- 25 -C[~
tZ / '
2.SITEADDRESS 14247 BLu..Ebittd ,flAIL. fUZ,
PID d'J - 337-051-0
3. LEGAL DESCRIPTION
LOT i!. ~ BLOCK -tJ 7
ADDITION KN<JB }..IlL\... 2ND Addrl,O/'J
(Address) ._ . (Tel. No.)
J41.Yl BL\.\.tb,n.J InCA" Y03 ~'b0&3
JLlL~t7dressh/ll\J,;^-J-r~I.1 (Tel. NY03 "bb~~
'4L~dgSi~b;LiT~,1 (TeI.N~03_6bg3
4. OWNER (Name)
.:r AI'Y\€.~ N J68E
5. ARCHITECT (Name)
.:J P m€5 N I r.,&E
6. BUILDER (Name)
J Arn\:.~ N IgBf.
7. TYPE OF WORK Fireplace 0
New construction){ Alteratns 0
Chimney 0 Misc. ~p t=: (_
8. PROPERTY AREA OR ACRES
Sq. Ft. Z 35
Septic 0
Addition 0
Heating 0 Plumbing 0
Finish Attic 0 Residing 0
Reroofing 0 Porch 0
Finish Basement 0
9. PROPERTY DIMENSIONS
Width J~ l~" Depth ) Z. I'
Yes
10. CULVERT SIZE
A
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq~ 2.-15
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) IO'b (Width) Jq' (; (Depth) I Z \
12. NO. OF STORIES
ONE
13. TYPE OJ: CONSTRUCTION
Df:c.~
14. FLOOR 'LR~ APPORTIONMENT USE
REc.JlE.f~li /)1\ JJUE
15. NUMBER OF OCCl,!PANTS OR SEATS
OCCUPAWS In - /1)
SEATS .8
16. ESTIMATED VALUE
$ )'100 .,)~
17. COMPLETION DATE
SEP7 J I Jf11'f
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~ial ca. n revoke th~S 'rr~t ~r !ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X '>4-~yY\~~ ~ N- In()- .<ab 7- LCc/... GSb>
\ J - - Signature Ucense No. Date
SETBACKS: Required
Actual
Front
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET .') ^ , --
USE OF BUILDING I<-ILS fi i 1<"
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
, PERMIT VALUATION ~. t"lr:;
TYPE OF CONSTRUCTION: I II IIIIV6iJ
Occupancy Group A BEl ~-.M
DIvision 1 04
Permit Fee................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
City:
(p 2 . ?.. C)
Lff'l.ttl
1.00
('1
~\llv'"
!;f! Check if
MATERIAL FILED WITH APPUCATION
SOl L TESTS 0 ENERGY DATA 0
Side
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Amount Brought Forward .. .. .. .. .. .... .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o Water Tower Fee ........................... $
total.............................. $ Water Tap ................................... $
T' Ap.' . BecomJ\..ourBYiJdingpermitWhenAPprOVed. Builder's Deposit ............................ $
~ Date ~ - (L? - '19 Other ......................................... $
" Total Due .............................. $ 106."}2
ncy Paid IO~.// Receipt No. rt)'.{llf[
:i:: to certify that the request in the above application and accompanying documents is in accordance with the c:~on~ ~L~~:~ may pr:ed as rj'~~ ~iS document when
sign By City \a ner constitutes a temporary CertifICate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. ,<,,~-t1i21.
City anner Date Special Conditions W any
24 Hour notice for all Inspections 447-4230 9:00 a.m. . 10:00 a.m.
Deferred
CfI ~s-
Th. C.nl.r of lh. L.k. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DE;PARTMENT CHECKLJ.SI
NAME OF APPLICANT
APPLICATION RECEIVED
~s AJ; l::J(:JL
3 ~J5 -qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructio(l activity which is proposed at:
14:J-L/1 fJ-u-LtuAcL ~ d . iUS
Accepted
Accepted With Corrections ~
Denied n/'J//
Reviewed By: ~ ~ -----
j/
Date:
)-~~7C/
Comments:
-,. ~ ~ ~
~Qd
, ,
"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."
i" / I
Tht ('tnlt' of tht lIkt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
".., ,/,....
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructio[l activity which is proposed at:
. .
I
I
t { L.,
/'(
f
(, i r'
Accepted
Denied
t/
Accepted With Corrections
Reviewed By:
~~l~
Date:
j-2-Q"'1Q
Comments:
"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."