HomeMy WebLinkAboutBuilding Permit 99-0337
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
LO -5 -'11 II : ~
ADDRESS ~:91~5 ~~.MFk..r)1S A...e,
OWNER CONTR.
PHONE NO.
PERMIT NO. qq - 337
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~-
~ FINAL ' ,1.\ )
o SITE INSPE noN
COMMENTS: ~
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 GASLINE AIR TST
o
Y': / Cz~
Bu.1r .
I.xJ
~
~RK 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/
INSNOTl
----~--_..-
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
APR t 3 _ 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)
1. DATE
.+ / q I Cf '1
'2.l;ITE~D~E~, ')1. ~ .
" J l, 2S tX S S I YrJ.(Jk1 M '1M--' fr tAr I (1 i~ . m ~j ~S. 2, 1 d-
3. LEGAL DESCRIPTION I
LOT 3 BLOCK 5"' PID 2C5 - '306 ,. 0\ C'\ ,. 0
~DDITION 1$"1 ADDrJ To WE:.STBOe.'-( PONDS
~ER (Name) .. \tJdreSS). ~
ntY'J-Trtitu ~ 1J2i'd\~t.J~fi _
5. ARCHIT~T ~ (Address)
~UILDER
(Name)
(Address)
(Tel. No.)
J.Oj c.t-I.Je"t ~ rol~
S CUYLfL--'
UrvPE OF WORK
New Construction 0
Septic 0
Addition 0
Dec~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
(Tel. No.) ^ ~
~1-14 <.0
(Tel. No.)
1. White File
2. Pink City
3. Yellow Applicant
-
Permit No. ctl1 -~ 3?J 1
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 m 'oned 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
,,;uilding o' I can revo hi it for just cau;7hermore, I hereby agree that the city official or a designee may enter upon the property to pe~e'ti~sP(5tice;'
~ / ~~ ~~
.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
USE OF BUILDING _ P D sit! rt
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Side
-;<. ('Jr?"') . C9r'J
TYPE OF CONSTRUCTION: I II III 1\1' fh
Occupancy Group A B E F H I .~ S U
Permit Fee ..........~~~~~~~...1...~... $ (02 .'25
Plan Check Fee ............................. $ q (I; . t(7
State Surcharge ............................. ll'. I ( f)rJ
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
City:
~~~
~ \~. .r ~
~) 0~'t:
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Thi~li~n ~comes Jour D. 'i1ding Permit When lqoved.
By 'd 1"- ~ C'-V \;y ~ Date q - -'1 i
Certificate of Occupan:}'
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $-1D~ .12-
Paid 103.1 L Receipt No. ~~ I
~ ~IJ.l
Date(j -Ie; - t:t q By ~
fji t.~~a.~I~n~uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as reques ed. This document when
ign bt,;;?').~ ::;;t~rary certi:zn~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. .
, City Planner at Special Conditions ~ any
24 hour notice for all inspections 447-9850
T..-........
rr ~p
Th~ Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-{ /' i .'1'
. I ,
:~ ,
r I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
: \ i ! I J>
(
Accepted
\/
Accepted With Corrections
Denied /\ )
Reviewed By: (/.. tJ{. .:J ~
Comments: ~N'lfjVJ ~
Date:
nfc-.
4/1)/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
0/{-367
The ernltr of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
T ~1 (+eald
\ .
Y~l~-C(q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1<0<(26 SiWUQ~1~'lCS Au-t
, <
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
".. - "T"Oo -......--...