HomeMy WebLinkAboutBuilding Permit 99-0334
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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q ;-00
ADDRESS 45 Cj I
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
CfCJ - ~) - 3s4
o FOOTING
o FRAMING
~NSULATIOrDA
FINAL
o FOUNDATI
o DEMOLITION
o FIRE PREVo
COMMENTS:
/~~
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
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o EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT wW FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
V
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
T"
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3. LEGAL DESCRIPTION
LOT -:.e.- 1 BLOCK
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4. OWNER . (Na.lJ"lV
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5. ARCHITECT (Name)
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6. BUILDER (Name) /2 (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
.--:k.tt r/el/2- L!C{O-3S((p OCCUPANTS}tf\'
7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ Re-roofing 0 Porch 0 SEATS
New Construction LJ Alterations LJ Addition LJ Finish Attic LJ Re-siding LJ Finish Basement LJ 16. PROJ~ COSTNALUE
Chimney 0 Misc. 9f' / ~CJC)
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT ~ 17. COMPLEtioN DATE
Sq. Ft. /~ CO/ . Width :f-rre~t/~ Yes ~ t.. -/9 _ 99
I hereby certify that I have fumished information on this ap~cation 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 al nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildin . ial revoke this perm' or just ~urthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ ~A ~q-99
""1S\;;;;tur ~y License No. .' . Date'
DATE RECEIVED
. 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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ADDITION
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PID
~"d
(Address)
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(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
Y/- 3:)~
,
1. DATE
51-~9
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Hej,gh9 rN~idth) Depth)
q -r. a...,.--
12. NO. OF STORIES
~(Pr
13. TYPE OF CONSTRUCTION
~Q.C' k
14. FLOOR AREA APPORTIONMENT USE
(~r;'~r
/VI'!
Lc.:J.f/'o /I
(Tel. No.)
~'/?-//J/
(Tel. No.)
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OR:~I~DIp- / ~
t
TYPE OF CONSTRUcnoN: I II III IV ((i)
Occupancy Group A B E F H I Q' S U
Division 1 2 6)4
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS CJ PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY LJ
PLOT PLAN 0
SETS
COPIES
City:
I.nm .00
PERMIT VALUATION
PermR Fee ................................... $ '34."1')
Plan Checking Fee ... .. .. .. ..... . .. .. .. .... $---2 '2 . '5' ~'i
;.50
State Surcharge............................. $
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I'
V)
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
By
Subtotal............................... $
mes Y~r Building Permit.When Approved.
A- Date c:-( '2 -7'1
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builders Deposit ............................ $
Other......... ................................ $
Total Due .............................. $ &)l.!iS L/
Paid 51..l; q Receipt No. ~518-Y
Date 5-il-ctC, By U-~
This i~~. .~ at the req in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as reque~ed. This document when
sigPlld ~~wnner nstitutes a "'t'u,,,ry Ce5-.iJl!!t!f::_Pliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
.- .I City Planner Dale Special Conditions ~ any
Issued
24 hour notice for all inspections 447-4230
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Th. e.n.., of lh. Lob Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CI1.ECKLlST
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 /
Denied /' /]I A
Reviewed BJ j.0'l') .. '- J~
Comments: JLJ;' ~ ~
vu
Accepted With Corrections
S--1/-77
~~~.
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."
9q - 334-
Tht ('tn.eor of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
STev6 R,c;6Tz=;-
4//~/qC;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
<'
"
Denied
fL (!IJ/ k--
Date:
5-/2-9(
Reviewed By:
Comments:
"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."
,- ._'-~-----'-'~'-"'---""'-'-.._""'--"'-'~'~'-'-""",~",'--~'-
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS As-en O\Jedoo\c-. ht-~
TYPE OF WORK D~c Ie
USE OF BUILDING ~~D
PERMIT NO. q1- ~3L{
BUILDER . ~~~ 'PtC4. h.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED S- -[ 2,-'[7
, ,...~
INSPECTOR DATE
I FOOTING I %t- I ;-1.... '11
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,~ , I
I FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850