HomeMy WebLinkAboutBuilding Permit 99-0336
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4/{4-
2...'.00
ADDRESS
4200 GRAIN\J\JooD (OEN/SF.: LAWL.€-Y)
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99 - 3~6
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
y S"1""A I R-S
A
COMMENTS:
Stu, '\r Con6h~t Cf\
eM-
~JL
We...U..
~
~~
V
t~Vu:6 w ,~~
c)\sreJM t~ ~~
//
/
/
tWORKSATISFA
o CORRECT ACTI
REINSPECTION BEFORE COVERING
Inspector: OwnerJContr:
CALL 447~23~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~\HENTS ARE FOR YOUR PERSONAL HEALm.. SAFETY!
,-u,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS LJ-Zko
OWNER
PHONE NO.
o FOOTING
o FRAMING
~SULATION ^~
FINAL ~
o FOUNDATION
o DEMOLiTION
o FIRE PREV.
COMMENTS:
(:) ~~
(iJ e ~tl 50
\~
DATE TIME
SCHEDULED
L\ -1.<0 -~'i
\(): 0::>
~w-oai ~ ~~./,.}
::::~~~7 ~ ~q~
o PLUMBiNG RI u C^...,,,,,~1!l;P'IL_ .('
o MECHANICAL 0 LKSHOREIWETLAND
o WATER HOOKUP 0 COMPLAiNT
o SEWER HOOKUP 0 SEPTIC FINAL
o SEPTIC INSTALL 0 FIREPLACE
o PLUMBING FINAL 0
o SITE INSPECTION
~ let l\It ,..... u..v. cL,..
(~.aJ.
o!J $~ 0;
~
0"
~J~
-
~/
l/\
....:1
--
Inspe or: Owner/Contr:
~L "TOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COllI!; lt1!,t.!.UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
.-- .
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
42.<,0
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
?\CE~TS: hYLJ
11l r lb.JJ.L
r'l
VtJ1
~
lU.41ttt
~ "hJ t.-
D
\2u..-i U/.l tl
/
/
/
o ~RKSATISF T
~ORRECT AC
o CORRECT we K,
SCHEDULED
DATE TIME
4-zr-c;q ,/O;uv
(Sr~~ elL
CONm.~a
OPLu.:::IT . qq-i~-)
~ "a:::MECHANICAL f=f\Jl.,... 0 LKSHORElWETLAND
/' 0 WATER HOOKUP 0 COMPLAINT
A 0 SEWER HOOKUP 0 SEPTIC FINAL
""'~S PTIC INSTALL 0 FIREPLACE
UMBING FINAL 0
o SITE INSPECTION
U
II
p~
~ loWr\. v
~&6J
()(~v:r tc!y:
,
Inspector: OwnerJContr:
CALL 44"l~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
,- . '--. . .... ..... T""'--'-''''''''
DATE TIME
CITY OF PRIOR LAKE LI-I-'f.L ) 8:1lJ
INSPECTION NOTICE SCHEDULED
ADDRESS L/-l.(d) &t1~ W1J1YJ. ~
OWNER CONTR.
PHONE NO. PERMIT NO. CJlf~-q l.
o FOOTING ~MBING RI ~ o EXC/GRAD/FILLING
o FRAMING ~ECHANICAL o LKSHOREnNETLAND
o INSULATION o WATER HOOKUP o COMPLAINT
o FINAL o SEWER HOOKUP o SEPTIC FINAL
o FOUNDATION o SEPTIC INSTALL o FIREPLACE
o DEMOLITiON o PLUMBiNG FINAL 0
o FIRE PREVo o SITE INSPECTION
COMMENTS: "~r>
~ r.c:.s:: ~\L. Co V" t..\ ('j'Q
~ ~ ov--
~ ~ C:>~
,/ ~.- ~~UL.AY ~'-
If(;I~/::> ' .
Or. ~K.~
AN(?/l!! ' ,
SOl'
~UI -
Cu..u) {(ll
U
8'35 - boo4
f?'7 -1.,(121
I.,.(...J
t-{-
~"--
/
/
d WORK SATISF
Inspector: Owner/Contr:
CALL 44~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-r ..
DATE RECEIVED
APR II.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
" 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
42.~
3. LEGAL DESCRIPTION
1. DATE
4-:/11 99
e"5V
,
GIZA IN wVOO e,f<.
LOT
(p
BLOCK
tbo..A.,.J u.bt'J?
A.
ADDITION
4. OWNER
!.Pc f-Qr-
p~
~IA .v ley
5. ARCHITECT
(Name)
Pen Ie, ~
(Name)
6. BUILDER
(Name)
PID
25-o~4--~
(Address)
f l t7 51dlL..2AtA trlI~
(Address)
(Tel. No.)
SJlJ ' 'I $S, JIIdJ
(Tel. No.)
(Address)
(Tel. No.)
~1Y'.e-
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
~~:~:;~ru~:::.o ~AA;;;;ns 0 ~~~~i~~ ~ttic f~.Re.:;: o_~ment 0
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
1. White
2. Pink
3. Yellow
File
Cily
Applicanl
Permit No.
qq-330
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
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 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 . ial can re~k_e t!js perm~1 j~S~ c~us" !.u~ermore, I hereby agree that the city official or a designee may enter upon the property to perfo~. nee edep ip!>P~.' ns
X 'fiI' ~ -:!t. // i 7 -q
Sign ure ( / License No. Date '
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
/
A,IF-
USE OF BUILDING
I2e:s
.;-..0
TYPE OF CONSTRUCTION: I II III IV~
Occupancy Group A B E F HI"" '-R""" S U
Division 1 ~
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .............. ......................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... ~.
Sewer & Water Permit ...................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Z-~_ -
PLOT PLAN
o
City:
~4..1c;-
( ~ 'Z-~
Pressure Reducer .......................... $
Meter Hom ........... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ ~,
Other ......................................... $
Total Due .............................. $ 7~.t!:2!::L
Paid 1 ~ .Cf) Receipt No. .2J~:::h:z.f""\
Issued . A...JV\J, }..../
Date ~-\5 -'(4 By \.1tJ
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 requJ:d.-ThiS document when
signed by the City Planner const~utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. . '." r ".'nut ~en.y~
Date -J
I
City Planner
Date
Special Conditions ff any
24 hour notice for all inspections 447-9850
T'.-'
~
.
.Permit...
.JobAddress ?ta ~~.,. ....drleJ
.Heating Contractor #~ C;""VJr~-;-r
.Testers/Signature y- A /.~
.,
.Gas Une
Pressurized
Inspected
Q!!!
Ii!!!!
PERFORMANCE TEST
.Percent CO2 --B..e> , .Percent CO
1.0
.Percent ~
Final Inspection
. .Stack Temp.
Dale
Pounds
Pressure
o
S ~$'.,~
"
c c. - 33 (0
The' C~nler or the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DEN I E:/SE
4/ Is /qot
( t )
CA vJ LE- vi
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted X-
Accepted With Corrections
Denied
VcJ)(IJ~
Date:
1- (~- ~
I
Reviewed By:
Comments:
fZJ~} 0 o'If~ oj
~PvJ&'~),~
I '
"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."
--,-