HomeMy WebLinkAboutBuilding Permit 99-0257
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
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ADDRESS \L.(. 3eo W~~
OWNER
CONTR.
PERMIT NO. '1q rZ57
PHONE NO.
o FOOTING 0 PLUMBING RI
o FRAMING 0 MECHANICAL
~SULATlON 0 WATER HOOKUP
FINAL 0 SEWER HOOKUP
o FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo d 0 SITE INSPECTION
COMMENTS: ec.k.- -Pn,(
o EXC/GRAD/FILLlNG
o LKSHOR~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:s:~04 roo OS""C"""::,:::"'"G
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
._.....__......_._".,...'"~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QATE RECEIVED
1. White
2. Pink
3. Yellow
File
City
Applicant
APR 11999
Permit No. Cir? -)j I
1. DATE
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(ellt,- ,QtSb
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PID .dS-/lq-015-D
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. Slj L;~!-o
M<
WP'feaJ
3. LEGAL DESCRIPTION
LOTE Y2 /<6 I IH ( t q BLOCK
PiJ u.ol 'n1. c~ tvlttY"lO ~
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
ADDITION
4.0;!ER f (NamM/~ (Address) (Tel. No.)
"t!-
5. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.)
OJ'lL ~ '7 ~ '( XCv. 'l:-l J. f/-C7&,o~-Yf"'"
( ck~'"'5
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
1~R9"IECT COSTNALUE
/P' {5 d?c:>O ~
17. COMPLETION DATE
'Septic 0 Deck I!r"""'
Addition O. Fini~Attic 0/
EJr- L. I...k c:.. k.. .
9. PROPERTY DIMENSIONS
Width Depth
7. TYPE OF WORK' Fireplace 0
New Construction 0 0 Alte~!JPns 0
Chimney 0 Misc. _15~jt> ,LX ACe
8. PROPERTY AREA OR ACRES
Sq.Ft
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
10. CULVERT SIZE
Yes No
ished 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 entio d pro 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
bUildin. g icial n re this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform nfedlt inspections.
X .:~ C/h/t?9
-";/'" {,/'" Signature License No. / ball
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FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
Back
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ ~ ,."..., .~o
/
0-s klK
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
USE OF BUILDING
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV (!f)
Occupancy Group A B E F HIM ---at S U
Division 1 2~ 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
7LI./C)
48.'59
I.C::D
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~
Sewer & Water Permit ...................... $
Gas Fireplace Permit ........ no............ $
Thi~~ BeJ:es Your Building Permit When A~.~,yed.
BY~, Date l{-S
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ . ~
Total Due .............................. $--1d!i. '{("C-I
Paid 12:-4- p ~ 4- Receipt No. 3> ~5'1
Date 4-- { , ~ r 'fq By J2..(} I~ '
This is to certify that e request in the above application and accompanying documents is in accordance with the City Zoning Ordinance a~d :nay proceed as requested. This document when
nner constitutes a temporary Ce~ficrte ~f ZO~in compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
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V ~ity"lanner Date Special Conditions ff any
Issued
24 hour notice for all inspections 447-9850
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The Cenlrr of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i I ,:) I r! / I '-I;
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Accepted
v
Accepted With Corrections
Denied
Reviewed By:
r"! ~.~ ) /L
d-'~
Date:
4~ I fS-~
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."
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The ('enler of the Lak, Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT ()V\G \fJCtLI
. I
APPLICATION RECEIVED .~:~
~nwdd) VL?j
4-( ,Q1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
{W3 ~ (}JcckLrs~e. ~.
Accepted
Accepted With Corrections \L
Denied (Z 7 W L
Reviewed By: d ~~
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Date:
r- 5 ~??
Comments:
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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."
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