HomeMy WebLinkAboutBuilding Permit 99-0399
ADDRESS
I t,R'IS-"
DATE TIME
SCHEDULED I~ ~-CJC) ~;cJ.2J
L.vl//(Jluuocd
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C?~-9q9
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION /f\\
FINAL ,-" /..... l!:!J
~~ITE INSPECTION
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 GAS LINE AIR TST
o
COMMENTS:
~-~-
'\
~
l WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:.:::CTWO~~OR RBNS:::::FORE COVERING
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
"_H-Y-""""'"
DATE RECFIVFD
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
qq-3qq
APR I 9 ~
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.SITEAODfIIf:SS Itog'-/.5 Wil/owU/a()o/ Ct,~
1'~7tO /qq
~U
PID~5 ~(p' O()5.o
'31"'& -
(Tel. No.)
4lf7. If 9:~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
S
12. NO. OF STORIES
J
Ij)-esfbf.J~'f fI~
4. OWNER I' ANam~ " D (Address)
. J~rf -(~IIW~
5. ARCHITECT (Name) (Address)
LOT
BLOCK
13. TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Name)
4~t"J;c.k
(Address)
(Tel. No.)
44'7, 701L\
6. BUILDER
---
/:~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. P'ifJECT COSTNALUE
500 "" 700
17. COMPLETION DATE
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
Deck 0
Finish Attic 0
(~/J .[..:
,
9. PROPERTY DIMENSIONS
Septic 0
Addition 0
~iu.
Re-roofing 0 Porch 0
Finish Basement 0
Fireplace 0
Alterations 0
p G~ HJw. I J
(5^,~
8. PROPERTY AREA OR ACRES
Sq. Ft.
10. CULVERT SIZE
~
Width
Depth
Yes
I hereby certify that I have furnished 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 construct' . I conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uild~n;~')hi~" . F ermore, I hereby agree that the city official or a designee may enter upon the property to perfoZ/ lz~e/r;;;-tions.
Signature License No. Dele
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
-.EOIL TESTS
o ENERGY DATA
o
"--
Side
Front
Back
Side
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~ K-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
2, (9t<)n . ~-6'
PLOT PLAN
o
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV (,vl
Occupancy Group A B E F G) I M "'U\' S U
Permit Fee ..........~~~~i~~...1...~...~..~... $ (q? .'25
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... .. . . . ... . .. .. .. .... $
Sewer Tap ................................... $
$
City:
Plan Check Fee ............................. $
1.00
State Surcharge ............................. ~.
Penalty ....................................... ~.
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
.\ -
., V.I} L..I
~
~~
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $ _ "
Other ......................................... $ rJ / ?"":./
Total Due .............................. $~
Paid ~1:z3. 2.SReceipt No. ~ S"" 1'70
Date 5/1~)t'1 By 1JA-
e application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~ requested. This document when
. mporary ce~! of zm-comPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~te Special Conditions if any
uilding ~:tr;it v-rr- ~~~9 or
Issued
24 hour notice for all inspections 447-9850
White - Building
Canary - Engin'eering
Pink - Planning
Tho Coni.. or Iho Loko Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
',....,....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\, ~
I'
Accepted
/
Accepted With Corrections
Denied
Comments:
C,:IX- ~
'1-
Date:
4jn)Cjtj
Reviewed By:
'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."
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CJUl~3qq
The Center of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHecKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JeFF TOLA.Ef-SRUD
4-/ {C1 / q q
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(&64-5 WI~OW'v\lOOO ~1J2:CLE S.E:.
Accepted
><:::'/
Accepted With Corrections
Denied
(/JJ ~;h
--
Reviewed By:
Date:
((-2"5--'T7
Comments:
I. R-eeu:t -tZc ~e---~ -'~l-~ ~
'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 /(o~"\Lf c:;- t.A) ~ t l~LU ~oJl.. vCr.
NATURE OF WORK -Pnr-{"J ~~ -J<< "","'~
USE OF BUILDING SF D
PERMIT NO. C;C;-3rr DATE ISSUED 4- --:2"5-7'7
CONTRACTOR .:k:rF ~ 1I .pr~t- u~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
ill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
W -spr
W ,,6r
(/
cH/ S /d'J
v
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
h-~
/t)/~/~
8~
e~
OCCUpy dNTIL ABOVE
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
HAS BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
I