HomeMy WebLinkAboutBuilding Permit 99-0302
II - J. Lf91
5 16(}.. ~ 51. 5 E.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION tJ_ n ~ 0 SEWER HOOKUP
... FINAL 0tJI'CJl. W 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: /1U6 r-t'
~/~p M
DATE TIME
~9-JO~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
A WORK 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.,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
._-~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
DATE RECEIVED
4-/9 /99
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
5q~2
3. LEGAL DESCRIPTION
l'
c,~s.s A. N Dr2-A
=:> \ .
LOT
4-
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq- 302-
1, DATE
4-/q !qq
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO, OF STORIES
BLOCK
CARDINAl-- RIOCib
4-nt
PID 2.5 - 3.22.. -02..+'" C)
ADDN.
13. TYPE OF CONSTRUCTION
ADDITION
4, OWNER
Df!t;.VIO
5, ARCHITECT
(Address)
l.-6 V 6eGN7-
(Address)
(Tel. No.)
4 17- Z-l4-z....
(Tel. No,)
(Name)
<=1.
(Nanie)
6, BUILDER
(Name)
(Address)
SAMb
7. TYPE OF WORK
Septic Cl
Addition Cl
, I
Dec1\
Finish Attic Cl
Re-rooling Cl Porch Cl
Re-siding Cl Finish Basement Cl
SEATS
16. PROJECT COSTNALUE
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 abo mentioned property 'l{ld~t all construction will conform to ~~:1isting state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi off ial call.l:e /' 'err'lit~or just cause, Furthermore, I here, gree that the city official or a designee may enter upon the property to perform needed inspections,
X f'~'
\ - Sigrii!ure ~ License No. Oate
~ FO~DMINISTRATIVE USE
- ) MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA
Fireplace Cl
Alterations 0
New Construction Cl
Chimney Cl Misc,
8, PROPERTY AREA OR ACRES
Sq,Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
SETBACKS: Required
Actual
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
t<.e: 'S A/ f2..
~}tr)Q. ~
Cl
TYPE OF CONSTRUCTION: I II III IV (~
Occupancy Group A B E F H I ~
Oivision 1 2@4
Permit Fee ................................... $
S U
City:
Ill. 7C:;
4~ .s:)
1,5D
1~..il~V\
" ~
~~y\
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~:~s lrel:.;e&m~~~~.;.~Wh'"q_
B}- - (7 "-y Date <{_I -11
- -"'- / '
Certificate of Occupancy
14. FLOOR AREA APPORTIONMENT USE
(Tel. No,)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
17, COMPLETION DATE
Side
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS Cl
SURVEY 0
SETS
COPIES
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... ~
Sewer Tap ................................... ~
$
Pressure Reducer .......................... ~
Meter Hom ................................... ~
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ .
Paid TiJ4.~......~~~~i~;~0~ ,4~.~~
Issued Date~~1 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 requ~ted, This document when
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City Planner Oate Special Conditions" any
24 hour notice for all inspections 447-9850
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White - Building
Canary - Engineering
Pink - Planning
The Cenler of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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: ~e-.v-e ~
Date:
L-/_/ t.-(_ q~
~.
Comments:
,,\ ~l ~~..e.<: ~~ V~/JfV.e,,~
\~ 'tb ~~~ ~~~l ')~_
~ '\ <S.\?.M- ~ '/.e.v-~ I~ to t=-"' ~
~. Wt~" fvt~l€J/\.,
"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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Thr ('rnlrr of fhr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DAVlO LSVER-E-N7
+/CJ /q q
. I ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections Y
Reviewed By:
{2tJd? 9-
t/
Date:
V-/Y-7?
Denied
Comments:
/. ((-eaef2 ~ ~ ~
"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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