HomeMy WebLinkAboutBuilding Permit 99-0262
o FOOTING
o FOUNDATION
o FRAMING
a 0 INSULATION
r ~FINAL BI\--TIt EDbN)
o SITE INSPECTION
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1'-1 h ;:"1
OWNER
PHONE NO.
COMMENTS:
DATE TIME
SCHEDULED 514100. ;;1:50
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CONTR.
PERMIT NO. 9ot- 0 a b~
o PLUMBING RI
o MECH-RI
o WATER HOOKUP
- 0 SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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K, CALL FOR REINSPECTION BEFORE COVERING
Inspe tor: Owner/Contr:
t,;ALL 447-JSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
APR29S
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit Nei. en - 2tJ Z
. DIRECTIONS 1. DATE' .
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ~ I 99
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) -, / ( / () r ~ BUILDING INFORMATION
2. SITE :?~~S ~ ... 0 I. r") ~ ^-.D J ;..... 1\ (....L ...... Kl,-~H 1. SIZE OF STRUCTURE
IL{~ U~ ./V~1 r+-d,"",' ,L. ~f 3~J (Height) (Width) (Depth)
3. LEGAL DESCRIPTION r 12. NO. OF STORIES
LOT 16-.. BLOCK J.. . PID j:)~ - ~G -O~'C)-O
ADDITION (I a~ {.{1 \ l ~ 21'-'L MeLt \ '
4'::f.. (~)':'. n ./ (AddreS;),(. f)~ N. /1,:;
. {M I"<JWl( l'A ('f , ~ 7 j;".fAJLlU _ ~
5. ARCHITECT (Name) (Address)
':J:M- k~
7. TYPE OF WORK Fireplace 0
New Construction 0 AItEJliations 0
Chimney 0 Misc. nW kfnl'V1
8. PROPERTY AREA OR ACRES
Sq. Ft.
(Address)
~~ ()JJJNv(/
13. TYPE OF CONSTRUCTION
(~ 5" _14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic 0 Deck 0 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 .r:~ :}"~, " .l/.
Fm VV1t'., '{I(\ffi V\ (e\.iU
9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Width Depth Yes No
SEATS
tir~.OJJ~C C~TCOSTNALUE
~,,&e>
17. COMPLETION DATE
I hereby certify that I have furnished inform . n 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 m tioned property an ~~struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:...., off' '" ,""'" ." p . fa if ~~,. F"""""'~, I hereby 'g~ ,,,., ., city """" ''" d~'g~, m., 00'" "P'" ., pro"", " "lJ?"/~oo'
(~ ~~ ~
\.../ FOR ADMINISTRATIVE USE
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Depos~ ............................ $
Other ......................................... $
Total Due .............................. $ -I.:> .010
Paid /6 -'-J..S- Receipt No. 3~
Issued / I --nO ~
Date ,. ~-7 t' By
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 req ested. This document when
S~l9n by the City P nner const~utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. A L{J7("""-~.
- City Planner Date - Special Conditions ~ any
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
()
USE OF BUILDING k<JS It/ K
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IY (J~
Occupancy Group A B E F.~ I "'M""(B) S U
Division 1 0/4 '711 7 -
Permit Fee ................................... $ ...:>,. ~
City:
Plan Check Fee ............................. ~
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
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Sewer & Water Perm~ ...................... $
... :;Fi;?,..... ............... $
This' eco i1ding Permit f/en .A~ved.
By Date -? ~
Certnicate of Occ~ncy
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
SURVEY 0
COPIES
1.000.00
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
24 hour notice for all inspections 447-9850
QQ-20l.
Th. C.n.., of Ih. L.k. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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:
J 4lo37 13rl d It:. r<"dLJ f_ ~/ ( .
Accepted
Accepted With Corrections r(><(
Denied
Reviewed By: (dd!e.., ~ ------ Date:
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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The Crnter of Ihr Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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:
f 1 ~ /
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If, /' I,.. 1- ! J
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Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~!:J.~
? - ,
Date:
t-f -S"'- 09
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Comments:
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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."
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