HomeMy WebLinkAboutBuilding Permit 99-0401
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
\ 5351
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TIO~ 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPE ION d 0 MECH FINAL
COMMENTS: uk-
f1~u-:t~ 11~
JU~~ ~ ~
DATE TIME
16,1 S'",'11
q;~
C:,..
'1"l - 40 t
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
At.
+4
./
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: f7;r, Owner/Contr:
- I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
QATF R~ CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
APR I 9!8) 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
/5*""3 S/ 9C;-!-tu;f Of'/( C, IlCL.i.:
...u€
3. LEGAL DESCRIPTION
(p
tV I N D SOM9
(Na~~)
-::::rt "" H-o"V ~
5, ARCHITECT (Name)
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-~OJ
1, DATE
t.( /:H>/ 1 'f
Pt/!!5 D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO. OF STORIES
LOT
BLOCK
I PID 25-3IZ"OOfp-O
ON ~J::6 SECoND /'100N.
13. TYPE OF CONSTRUCTION
ADDITION
(Address)
1~.51 SuftzcCd)f(.
(Address)
4. OWNER
6, BUILDER
(Name)
(Address)
4- /l?.4A-S
7. TYPE OF WORK
New Construction a
Fireplace a
Alterations a
Septic a
Addition a
Deck)li'"
Finish Attic a
Re-roofing a Porch a
Re-siding a Finish Basement a
SEATS
16. PROJECT COSTNALUE
Chimney a Misc,
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
(Tel. No,)
LlV7-/SS-/
(Tel. No.)
14, FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
17, COMPLETION DATE
IS d information on this p .cation which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
will nform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
urt rmore, I hereby agree that the city official or a designee may enter upon the property to perform nyj i~,n9 0,
License No. 'Date'
X.
(
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ IV!) & LI/
Paid 1~5".q7 Receipt No, ~>3-z, I
est in the above application and accompanying documents is in accordance with the C~:;O:~i~~:a~ may pr::ed ~s document when
onsf es t porary Certi,~mPliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued.
ate Special Conditions ~ any
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
USE OF BUILDING
~os
AiR
PERMIT VALUATION
q .()(9(') . <Xl
.
TYPE OF CONSTRUCTION: I II III IV (Jy)
Occupancy Group A B E ~ I M l'Fi
Division /2 (3/4
Permit Fee .................:................. $
S U
City:
e'l.'2S
5(P.7'L
2. DO
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~~
I
Sewer & Water Permit ...................... $
~:D2.?l~*~;:;:;:,;.~m9
rt=?Tpz;
Certificate of Occupancy
Issued
Side
SOIL TESTS
a
a ENERGY DATA
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS a
SURVEY 0
SETS
COPIES
PLOT PLAN
a
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 ........................... $
24 hour notice for all inspections 447-9850
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,l.( .;
The Cenrer of rhe Lake Counrry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i , - \
,
.I j I I
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
; '~.......~..
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Accepted
~
Accepted With Corrections
Denied
(]~' ~ Date: 4/~"I'1
::iv ~ ;to ~ '~ueL
tiedL ~C0t(J tD~ ~JU:J
/YLR.lci fl. iI. w~ ~
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."
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /~S5 J SJ..,-, ~~ Crl
TYPE OF WORK 1)e:r:J:-
USE OF BUILDING S F,D
PERMIT NO. Cf7- C/O!
----: -
BUILDER :J" ~ 1.{C)w~
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
,
4-25 -9/
INSPECTOR
DATE
FOOTINGrA) 11))1 I h-IR~? 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I FINAL ((W)
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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