HomeMy WebLinkAboutBuilding Permit #99-0318
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO. PERMIT NO.
~ (. ".m 0 PLUMBING RI
}(f FRAMING 0 MECHANICAL
~ 0 jNSULATION 0 WATER HOOKUP
)Ji(FINAL 0 SEWER HOOKUP
o FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo . 1" 0 AlirE INSPECTION
COMMENTS: M. Ut4Y
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DATE TIME
r- Jo -'19 rfr
eurlt,
qq. 3l Eb
o EXC/GRAD/FILLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
"'- rt'L
~
P)AlORK SATISFACTORY, PROCEED
J( CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
.-.-....-........
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
APR f 2 1m
qq - 3 ( Z
Permit No.
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
4 -- q -1'1
Ql~D
PID (l<::J -o3~ - ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS
Y \ \0 G~^\4~"""'C-e
3. LEGAL DESCRIPTION
LOT y.. BLOCK ~
ADDITION C .-::> ~.'A.. lA../\!:l0 (' 1?..
4. OWNER (Name) n (Address)
~ f'. ~ ~'" \Ai +?.J-' ~~ \ l.t~r
5. ARCHITECT (Name) (Address)
G.,
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
<.f 4 "1 - I O?b
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER (Name)
~c0h,,-~ ~~
(Address) (Tel. No.)
Lid--q.~ 0~^~.SlL,..
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
440~
~/~~
SEATS
16. PROJECT COSTNALUE
. Deck b/' Re-roofing 0 Porch 0
Finish Attic 0 Re-siding 0 Finish Basement 0
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
17. COMPLETION DATE
(0- l- qfj
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
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 mentioned property and that all construction will conform to all existing state and local iaws and will proceed in accordance with submitted plans. I am aware that the
buildin!1'l'flicial cfir rei"'\ th. is peP\'it fo~ j~t cause. Furthermore, I hereby agree that the city ollicial or a des2'ee may enter upon the property to perform need~ inspections.
X ~I<- ~~~ 4~~' LI-~~9q
\ Signature '"" License No. -- Date'
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
Front
Back
Side
Side
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~ os. A-I R.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2"""r'In. o.Q>
, - -
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
<02.2S'
ct/"J . 4l
I.rrv
Permit Fee ................................... $
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~~
~K?
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Plan Check Fee ............................. $
State Surcharge ............................. !t.
Penalty....................................... !I'
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ............................w.. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 10:3. 7z..
Paid ~ I 03.7"2- ReceiPt~o.,
Issued . .
Date 4/1 s;m By.-
T~iS' to ~fy request' the above application and accompanying documents IS In accordance with the City Zoning Ordinance and may proceed alr'equested. This document when
s' ad by . nner c . u es a temporary Certifica e f oni compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
.(- ..
~ /) , . City Planner . Oat Special Conditions ~ any
V 24 hour notice for all inspections 447-9850
Mechanical Permit Fee ..................... $
T" ..........
. .
,
,
White - Building
Canary - Engineering
Pink - Planning
The Crn't'r of Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
<'t"f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
; j !/
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Denied 1 (
Reviewed By: (i;15.~VVCV\ Date:
Comments: -~. ~ . ~
1JA S'J:e wcuv~'OJ-;
Accepted
Accepted With Corrections
~
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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."
T
erq -3{~
Thr ('~nler or the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHe.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
~~CLVL \Ale({(en fel (ev
Lj-l2-qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lf 110 0vdlvluJmd QL--
Accepted
Accepted With Corrections.><(
Denied '~/J
Reviewed By:(~;:.e~r
Comments:
Date:
l(-Ilf -1r
/. M~ ili-t~ ~~~~
"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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