HomeMy WebLinkAboutBuilding Permit 99-0385
.'
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5-,Q-Qq
q:?o
ADDRESS I~ 705
fro."Juk ~
OWNER
r ~ONTR.
'II q -- nfo5' (&~ PERMIT NO.
q~- 3E)S
PHONE NO.
o FOOTING
o FRAMING
~SULATION
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/FILLING
o LKSHORE~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
.. '"T.'-' 0
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,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4--1.1 -qq
,4'r
ADDRESS flu 705 ~~
TlL
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq - 115
o ~TING ^_
CJB'ERAMING ,..,...
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/FILLING
o LKSHORE/WETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
stuJ S-\-u&.,
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Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.,...- .-.. T"....-.. --' -
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
/
DATE RECEIVED
.Jt.
""
3. LEGAL DESCRIPTION
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L/_J 1-1
B-3
PlOd) - 9())-(J li:J-O
7/:
..$' /'
BLOCK
/J1.1ds fn 1XxLYld""5
LOT
ADDITION
4. OWNER
A
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
QQ"'395
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
, 8'00
(Address) (Tel. No.)
3'sJ j lVev~AA JIve, tV Q7/-0;r7.r
~ ~o,l)1.' . J1'I. cell-'1/&J-/76r
Septic 0
Addition 0
5. ARCHITECT
(Name)
6. BUILDER (Name)
It. -:s;. M. c e/t.~ +-
7. TYPE OF WORK
New Construction 0
Fireplace 0
Al1eration~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
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 constru tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official ca rljllre this pe it for' st ca e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X "u.;,' .... '/-/7-71
ignature License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING J / f~
I
AIR-
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F ",H.. I M
Division 1 2 (j/4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
9. PROPERTY DiMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 1~,rm.t.9o
~S U
~ I';). .~~
[ 31.'i7
,.()O
City:
~
This
By
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PiLING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Date
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed s requested. This document when
t~ :Ian constttutes a temporary Certifi"tu,r~ compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Crty Planner Date Special Conditions ~ any
24 hour no1ice for all inspections 447-9850
'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."
1)-0-~
~~
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Comments:
4 J 19122
~~cr'
~~ ~
Date:
Reviewed By:
Denied
v
Accepted
Accepted With Corrections
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
J.
NAME OF APPLICANT
APPLICATION RECEIVED
~- ~..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary - Engineering
Pink - Planning
Thr Crntrr of Iht Lakr Country
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.',t';o..;'.::n'~"~":::'~"';~"".."''''''''~''~~~_ll',,;~CTY'.tI<~:'''~'''~'''''''',,;.;..."'~ ':"":''''''''~~~''''",,;,,<~'''r.-''''''~~~j~~~_'~~,_:lll .,.'I!",.....~~ l_~.L. lifJI',4 ~ 4. ......~41J.:r...~,1c.,:~I~~
Qq - 3235
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
RTM C,DNSTRUCTfON
4-/1 <1 /q~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I f..o {OS- FR-AN t::-L-I tJ TRAl L- 6, ~ .
Accepted ~
Accepted With Corrections
Denied
0l~k--
Date:
(1- 22-'1 '7
Reviewed By:
Comments:
J. ~~ QC&.f a.(C~sc;'\o~ Ue..nQ\.Od-~ eO'
"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."
.~'--~-'''''''--
CITY OF PRIOR LAKE
BUK&?;%LAII! REVIEW
INSPECTOR
DATE t(-'22..-c('t PERMIT NO. 1'7- J2>c:r-
o ACCEPTED AS SUBr'v~iTTED
o ACCEPTED WITH CCH":;RECTIONS AS NOTED
o NOT ACCEPTED-CORRECT & RESUBMIT
These comments are for yom informatIOn. AU work $hall be done
in full compliance with all applicable bwldmg & zoning cooe re-
Quirements including IH;r";~; ;,0; ~","(;'; Fa!l, noted in this revi".w.
KEEP THIS PLA!\ :~F" C.i ::. L jJ, T ALL TIMES.
Hc..~'co;p Q.CC€t;silolt k~ww--.e. ~\.,,'~ .
Separate permits are required
for Plumbing, Heating,
Outside Sewer and Water,
ElectrfcaI, etc.
.
04/08/99
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Prior Lake Physical Therapy Department
Prior Lake, Minnesota
far~ Nicollet
Crime
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BWBR ARCHITECTS
400 Sibley Streel, Suile 500
Sainl Paul, Minnesola 55101
651-222-3701
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