HomeMy WebLinkAboutBuilding Permit 99-0383
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SClb3
OWNER
PHONE NO.
o FOOTING
o FRAMING
~ULATION A.
FINAL n
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS: ('ec...k-.
DATE TIME
SCHEDULED ~-u. -<1'1
(l %(f^ Sfj.v4 A ~ ;;.-
.4r
I
CONTR.
PERMIT NO.
CrcJ - 3~J
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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1.Jr
)( WORK SATISFACTORY, PROCEED
10 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL :1 REINSPECTION BEFORE COVERING
Inspector: et).f1 Owner/Contr:
V
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
. 'T'"
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
\ 6 \~ 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 ADD..BESS
5Gf53
t toss cu ld {rC'-<... s/- 5 e-
3, LEGAL DESCRIPTION
LOT /3 BLOCK ~
ADDITION ('OAdtJ1 ~
3
({;ckte.
1, DATE
4-;/&;/qq
fuc; D
. I PID~C)-~ - Od.-/-L)
LJ"'!:! /I<1 .
"
~u..vr
(Tel. No,)
1../4- 7'" I Cf f3 fJ
(w) qz-~I~(; '7S
4. OWNER fl_. (Nam~
~~~/< I
5, ARCHITECT (Name)
(Address)
(Address)
6, BUILDER
(Name)
(Address)
S~1"16
7, TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
"
Dec~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Mise,
8, PROPERTY AREA OR ACRES
Sq,Ft.
9, PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
Yes No
(Tel. No,)
I. White
2, Pink
3, Yellow
File
City
Applicant
Permit No. qo, - 393
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
$ '31:>00
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 voke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform .nejlded Tspections.
x----f(t ~. 4-/t& Iqq
; t/ Signature License No, . D&t9 .
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
11
USE OF BUILDING ~D~ ,4 tK--
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION kCY'l. rC)~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Permit Fee ................................... $
Co2 .~S-
40. 'if
I . DO
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~lt
Sewer & Water Permit ...................... ~
"" ~p'm. ....................... .
This pp' ",.k2come~ vn/~ng Permit '{{hen Apllroved.
By W,-- . ~....unu" Date -l~ - q Cj
t
Certificate of Occupancy
Issued
v
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... ~.
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... !t
Meter Hom ................................... ~
Water Meter ................................. ~
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
24 hour notice for all inspections 447-9850
. 'T.- ..,
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $---1M, 12-
Paid /fJ3 1 z,.... Receipt No, 3 ~'" ,
Date 4-1-z..,)Q'1 By ~
in the above application and accompanying documents is in accordance with the City Zoning Ordinan~ and may proceed as tl;uested, This document when
I temporary Certific;:a1 of zOi~comPliance and allows construction to commence. Before occupancy, a Certilicate of Occupancy must be issued.
4 ~ r Special Conditions ~ any
1 ) (
, I ..".1
! I - .-
_./ -'
White - Building
Canary - Engineering
Pink - Planning
The' Crnttr of thr Lakt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(, \~" ~_ c \lj.L\ ' ''-\~I /",\, r-- '.., f~~ i,'<_.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-. .,..-r' ~....-".' ..._,..,,~
,i, j-;...
..........' ' \.
.: l:__ .
Accepted
\/
Accepted With Corrections
Denied
~CA, ivov
~~
:i2J ~
Date: Lf),;om
OIL J ,;vt1) ckvavn~
o
L2tA~ cL .
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."
'''-
I' 'F"O"'O" 'T'I'N' 'CG""';""""",\")I'~"""~"'''!-i;Ci<,;''''";'%'/~.;~tJ.IiX~ll~~""Ji'1>l;"1 ;;(i<V~""Al~~~~.'\t')i"';;"il'C'l'1i;'I"~"~'~~~1'iZ~"~~' '
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PLACE NOCONCRETE,UNTILABOVE HAS BEEN SIGNED )';!''':' '
I I
L' ',-- ,
f FINAL
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, ," " ~'-) \ ,~ *''l. tl.. q~
,Ctin be~~e~ 8:00 and ,9:00 A.M.~orall inspection~, '
'FOFfAI.12,:INS~ECTIONS;447:~9850' '
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