HomeMy WebLinkAboutBuilding Permit 99-0274
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
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ADDRESS /-19~4
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
19-::7. ?~
o FOOTING
o FOUNDATION
o FRAMING
o . INSULATION /f))
g FINAL ~
/0' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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COMMENTS: (J~ / I?/ULH
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
IIRSJ999
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 ,...,.,.,{. 't
i.:r '-' 1. d ,(l/J 0, '" I h.' .,j (! '.' ..". .J
1. White
2. Pink
3. Yellow
File
City
Applicant
SCC~1 \ 8~
Permit No. 'Ii - "( 7 t/
1, DATE
~-b,-qq
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
LOT
I (
f\o~
BLOCK
~
025
PID 2t; . 9'2lc. ~ .e'"J~
~t~
.c
3, LEGAL DESCRIPTION
ADDITION
4, OWNER
l~'.p ..\
5. ARCHITECT
(Name)
jV ~ ..... <. '/
(Name)
(Address)
[L-<,v""f .~ r
(Address)
6. BUILDER
'-~,hr e...r
(Name)
I 1\ 't.
"j f-J< S>O (. i~" -e 5.
(Address)
..i- ....... l.
7, TYPE OF WORK
New Conslruction 0
FireplaceK
Allerations 0
Septic LJ Deck LJ
Addition 0 Finish Attic 0
Re-roofing LJ Porch LJ
Re-siding 0 Finish Basement~
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq, Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel, No,)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No,)
(Tel. No,)
15, NUMBER OF OCCUPANTS OR SEATS
{;. .... ~<;.., (;
OCCUPANTS
SEATS
17. COMPLETION DATE
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 o~ial can revok~ .~s permi.t for just cause, Furthermore, I hereby agree that the city official.\l{ a desig~~ may enter upon the property to perform needed inspections.
X -40~ ,/j{,. c '. ~O( ~? t) (,,"f '1-6 'f?
\ .j Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Sewer & Water Permit ...................... $
GasrJm;lf lac 'r........ ........... $ '10 .00
This PR" mes 'g ermitWfr- fi1JF,?ed. Builder's Deposit ............................ $
By Date - s. er Other ......................................... $
CertilicateolOccupa Total o;;e ...7...................... $
Paid ljp,. L":J Receipt No.
Issued l
Date t-f. lIt ltfl1 By PB
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 requested. This document when
Sign~t City Pia n constitutes a temporary Certifirqe ~I zo~ ~Pliance and allows construction to commence, Before occupancy, a Certificate of Occupancy musl be issued.
a C PI ner ~ Special Conditions ~ any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDINts /J-IP
I
TYPE OF CONSTRUCTION: I II III IV Oi.?:;:..
Occupancy Group A B E F JA I M R.JS U
Permit Fee ..........~i~:~i~~...1...~.......... $ B 1, ~ ~
SPACES ON PLAN
PERMIT VALUATION
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City:
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Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
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40 . rf)
~
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS LJ
PLANS & SPECS LJ
SETS
COPIES
SURVEY
PLOT PLAN
o
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................$
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
t e: T. ~
{(ocr .25
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
24 hour notice lor all inspections 447-9850
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Thr Crntrr of Ihr Lakr Counlry
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Caffii'..y- Eng~ring \
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:
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Accepted
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Accepted With Corrections
Denied
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Date:
l-( - ~ -C;0
Reviewed By:
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. II
Tht' Ct'nlt'r or Iht' L.ke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHe..CKLlST
NAME OF APPLICANT L.e,^~er- ~ t)C?SO (2("~
APPLICATION RECEIVED l.( -S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
Accepted With Corrections
Corp-rents: r
KPr...2
Denied f)-(J () j
Reviewed BY:V J fLr
~~ -L~'.~'~) A. J G2~)J
, " " - - - \;
Date:
"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."