HomeMy WebLinkAboutBuilding Permit 99-0291
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1/-~'1.~?
ADDRESS
.5500
5~ r.J.JJ.E.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1'1 -~1/
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIRN n III
jj!( FI NAL 0tJl.<.It'.'tt)
o 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 GASLlNE AIR TST
o
COMMENTS:
~.~
L ,C?O-VL ~
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
QATE RECEIV~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
/J. f) ~
f-Y~ 1 Olq
A--'
Permit No.
qq-zC//
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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P3/;QjCJ1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS I
55lYJ St1CcrU
fJu 5 ~
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
~ al1damiren
5. ARCHI~ (Name)
14. FLOOR AREA APPORTIONMENT USE
~DEt:I
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
"k~~~ Io:i:'l,;h" WOftK
New Construction 0
Fireplace 0 SeptiC 0 Deck~
Alterations 0 Addition 0 Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
"~~":I~'d'':'''~j''''':UE
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. I also certify that I am the owner or authorized agent for
the above mentio d property a~~~~~~:tl\lction will conform to all existing state and local iaws and will proceed in accordance with submitted plans. I am aware that the
~Uilding official r ok thiS, ,pe~ . rther ore I hereby agree that the city official or a des, ignee may enter upon the property to per1orm~, ed,., #,719
"~l"" R;1<f~~NO'. ',.:,,::tWo.,' " .
..'~r~l~'" /' ~'t:~ . '~" :~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
USE OF BUIL~ fl. //2
t
TYPE OF CONSTRUCTION: I 1/ III IV r:;)
Occupancy Group A B E F _ Ii. I M ~ S U
Permit Fee ..........~i~~~~~...'...~~~... $ 74. 7 S
4-fJ . ~ I-
I.S-O
PERMIT VALUATION
~. ~oC). (:9 (T)
SURVEY
PLOT PLAN
o
o
COPIES
SPACES ON PLAN
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
GaS~ire ce p.e .~.............~..... $
This' m rBUiiding Permit When Appro~.
By ~ Date V-IS - <r 7
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $_/ ---J4~ l../
Paid l,.l L/ - f (j Receipt No. ,~~{) LIe;
Date L/~/9 -tfr By {J I!tA.J
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 reque~d. This document when
s~ I"~ ~I ner constitutes a temporary Ce~fiC"fte of Zoni~ complianoe and allows construction to commence. Before occupancy, a CertWicate of Occupancy must be issued.
~ ~ \..I-12-'1CJ
, . lanner Y - Date Special Conditions ~ any
Issued
24 hour notice for all inspections 447-9850
...
i
"j"'
White - Building
Canary - Engineering
Pink - Planning
The ('tnter of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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4-/7/qq
K-ICE ITz.BVIC..6j
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
~.
Denied (J/J
Reviewed By: r2-t4t-y L
Comments:
~~.Jeck f1Jj-
Date:
it--7 ;;
"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,"
..--.. .....-.. ....T.-----..
~y 2At
The Crntrr of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,':"':j/ /.: ':...
/'<.~ L / I ...'~_ /...J l.." }.;."-- C""}
I
APPLICATION RECEIVED
,., ,",
'! \.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
q~~
Date:
Lt . t 2-~Cz
Comments:
1\ ~. ~1W~1l~I~~ ~ ~.c.t-
io Jl'"A/';Gv.. ~~,
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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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