HomeMy WebLinkAboutBuilding Permit 99-0412
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
6/~/1~ 3: 0 0
ADDRESS
/4'S8L/. 8LU6t3/,€D
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OWNER
CONTR.
PHONE NO.
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PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
;! FINAL Di&GJC=-
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 LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
APRt9gs
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'"~q t5tJ.UE:.BIRO -rl? I/~
3. LEGAL DESCRIPTION
LOT
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~N()8
BLOCK 3
#1(,,1..-
PID 2.5"";310,02.-7- 0
12. NO. OF STORIES
ADDITION
4. OWNER
J /:F p ,:'"
5. ARCHITECT
(Name)
5" ,;Q M p~v~
(Name)
(Address)
1'1 i'R'-{ I?LI/e'8/ItO ill )/1.;'
(Address)
6. BUILDER (Name)
(Address)
t{lj72..111 ItltlL:::s' () rA )r
r"Wl (Jc/f..6r~K-()INI.r ~o/.J"i-r
7. TYPE OF WORK
New Construction 0
Dec~"
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
Septic 0
Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-Lf-/?
1. DATE
If/2-Y9C;
I<. J SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
(Tel. No.)
4'16-312..r
(Tel. No.)
13. TYPE OF CONSTRUCTION
Pt2-K-
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
1.(1.(7 - Lf 7 72
17. COMPLETION DATE
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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revoke this permit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X -rcryY\ 6~~ '-c>O~ 9 2-7 fI 'i/22-/7C,
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SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ /0:5, leA
J03. -tz, Receipt No. ~q.3
Date dlv1104 By JuA/ ·
This is to certify that the r est in the above application and accompanying documents is In accordance with the City ZOning-~d may proceed 6fr;;~uested. This document when
sign~y~n e nstitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
~C' PI t.-[-J- ~ -Ctq S . Ie dOt' "
ity anner a e pecla on I Ions" any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~t<_
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION '2:"'1')0'" c
TYPE OF CONSTRUCTION: I " '" IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
~ 'L .~ r::::
40 ,'~l
LoU
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty..... ......................... ..... .... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
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Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Thistt~comrs .. Permit When Approved.
By _ IAA_ Date C(. 2~- qC;
-\.--y
Certificate of Occupancy
Issued
Side
SOIL TESTS
o
o ENERGY DATA
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 Hom ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Paid
.......,
24 hour notice for all inspections 447-9850
; /
The- Ctnlcor of the- Lake- Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~ AAA...lb~
C-/ . - -
Date:
L{ -2-7-tj~
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\W~ 'TO ~ 1~~~
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"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."
"
CC-4-/7
Th, C,nl.. of Ih, Lob Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
TOM BOr<65R-DINGt
4-/2zJqq
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(jON'ST12- .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-564- Bcu6BlR-D IKAIL-
Accepted _
Accepted With Corrections X:'
Denied
Reviewed By: t2.t? ~ / f.-...
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Comments:
Date: if-. '2.v-~)
t. eec..J.. ~ d€Cl ~
"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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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J4S~1 T.\\vp \t)~tA -t-t-c.oil
TYPE OF WORK Dt>r t-
USE OF BUILDING S t= \)
PERMIT NO. 99 - Llt'C DATE ISSUED (f-2J.p- '7"
BUILDER ~IM 5~J,'""., Orf\IIc:)-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING &~te "~5~l/,'~ lk.b'0 I \:S .S, I ~..5Je;
FINAL
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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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