HomeMy WebLinkAboutBuilding Permit 99-0236
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ b./11
I "
/:30
ADDRESS
/(P093 WI<.SN cY.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
QQ-23fo
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI 0 EXC/GRAD/FILLlNG
o MECHANICAL 0 LKSHORElWETLAND
o WATER HOOKUP 0 COMPLAINT
o SEWER HOOKUP 0 SEPTIC FINAL
o SEPTIC INSTALL 0 FIREPLACE ,_ / LJ
o PLUMBING FINAL )l.. PtJO t.- FINr7 t-
O SITE INSPECTION
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COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL R REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
pi;
:./ 'J 1999
3. LEGAL DESCRIPTION
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
LOT
/y
L.
ADDITION
4. OWNER
n~1:.
(Name)
(Tel. No.)
~/(7-:?7~
5. ARCHITECT
(Address)
(Tel. No.)
6. BUILDER
(Name) 1311 JAdt;.S;k151 'oj !(t/d t#tflcf[,elJ;:i)'. 5'53'f 3
~ r~f5.- ~5:t;,<:... [(p/2) ~33-3::>{O
Septic 0 Deck 0 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. ~-l"3Jp
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
;J ZOo
17. COMPLETION DATE
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for
the above mentione ~roperty 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 official can oke . pe 't for' caus~_ FU'Jhermore, I hereby agree that the city official or a designee may enter upon the property to perfo~eedehections.
X - .. ~ r. ~ Zr$': '?
License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
USE OF BUILDING _~S A tR
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
}'3,oC>rJ - ~
TYPE OF CONSTRUCTION: I II III IV V
OccuPllncy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
PLOT PLAN
o
Plan Check Fee ............................. $
seW
I 'l"t .{~
\?'9.t)4
q ,cO
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~ ct\
~fAl
X
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Permit...................... $
................ $
.. ~:tr;:it 'IJ~~p~v~1'
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
~".
I
CM-?30
Th. C.nl.r of lh. Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Ye.J-e rson p(5() { s -I- Spec .J:11c.
APPLICATION RECEIVED 3 (!::9.( q cl
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ICo00~ LAh~Vl ~
Accepted
~
Accepted With Corrections
Denied
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Date:
L(-2-9,
Reviewed By:
Comments:
I. ee.W\(")ve... ~xc~ss. f,\\ ~OW\. S:'\--f
01. Do no t- pu \- wo.t."" i VI. ~ ~Oco \ u '^ +- II l ~ sS*'a- ~c~
f ~ i II\s~l~-'2Cl +0 cc ~~ ~~~)
3. Qa.ll ~op4t- s.~ ~ p..Q..r;;tt QQ}1SLNCL'dvL 4SQ -roC) 2-
CITY 0 E..EBlOR-LAKE
BUIL~G P~MIT PbAN REVIEW
IN5PECTOK ~~ ~
DATE Lf-'2~ IV" PERMrTNO. Cf'7 - ~3~
o ACCEPTE AS SUBMIITED
o ACCEPTED WITH CORRECTIONS AS NOTED
o NOT ACCEPl EU-COHHl:t;1 & Hl::SUBMIT
These comments are for your information. All work shall be done
In fl:lll eemplisflee with all applicable buildih9 &. 4UllillY \M.!tlltl-
quirements including items not specifically noted in this review.
KEEP THIS PLAN SET ON SITE AT ALL TIMES.
"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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The ('rnlrr or the' l.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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1 ',.., ViI ..'; !(
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i \," ! (':) i t (,7 .
Accepted
v
Accepted With Corrections
L{ - 2- 4<1
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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."