HomeMy WebLinkAboutBuilding Permit 99-0423
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
((08/r1\
ADDRESS
t..f I tJ. 7 ~ /Nv/). II E:
v
OWNER
CONTR.
PHONE NO.
PERMIT NO.
71-'1J :3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION f
o FINAL <:fb..d3
o SITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
G EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~fU
V
'\( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
~CEIVEQ
APi 21183
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
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 f'9DRESS 13
i..H 2'1o/(J u...l1 l1..Cu/VI
3. LEGAL DESCRIPTION J {k
LOT L BLOCK L cI PID" - ~ \-25 -Clc.,~C\75 -( \
ADDITION ~<)'\'"'f'\~e... t{ ll~ "2\'\- MeLt 1
4. OWNE~. . (Name)
\..:.1-\ ~1\.() t. I ~ II- T'
5. ARCHITECT (Name)
6. BUILDER
(Name)
~~fLtw(2 I ~ ~ r
7. TYPE OF WORK
Awri.
(Address)
~ 1'2... 7 Brouc.~~
(Address)
"
1. White
2. Pink
3. Yellow
File
City
Applicant
(Address)
Permit No.
qq-tlz.'3
1. DATE
ktst
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
"2- -u, -S-3'-1 '"?
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
New Construction 0
Fireplace 0
Alterations 0
LlI2-7 (?;>vou h.GW\ 22&-5"3'-(3
Septic 0 Deck Pr 6 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8, PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17, COIvJt"Ll:: liON 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 menti ned 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 0 icia an revoke thiwrmit fo~ caus6) Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X l. rJAn{/I'~ - ~u~9?
'--- Signature License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING I
flee; . A / l..
I
TYPE OF CONSTRUCTION: I II III IV 0:;
Occupancy Group A B E F HIM ~
Division 1 2 GJ 4
Permit Fee ..,..,............................. $
Plan Check Fee ..........................,.. $
State Surcharge...............,........,.... $
Penalty ......,..,............................. $
Plumbing Permit Fee .....,......,....,..,.. $
Mechanical Permit Fee ..............,...... $
Sewer & Water Permit .................,.... ~
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
113C:O.CO
S U
City:
q "3 ' (')C')
'ZI) .~<)
.(p~
A . L '~
~.tf
)f
Builder's Deposit ..,......,......,........'.. $
Other ..............,......................,.., $
Total Due ..,...................,......, $
Paid -, I. "0 Receipt N.D.
Date 4r I z..-q / q '1 By 1ilt--
in the above a~lication and accompanying documents is in accordance with the City zoning'ordina~ce and may proceed JJ requested. This document when
. stitutes ~rary ce~car of ZOi~CPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
'City Planner .. ~ol -f Special Conditions ij any
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
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 ........................... $
Water Tap ................................... $
7/. ~/)
3510:3
24 hour notice for all inspections 447-9850
qq-42-3
The Cenler or the L.ke Country
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
KAMl CAK'-I WR..l64t-\1
4-/2-&/qq
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-, 27 BRDU6 HAM BLVD.
Accepted
Accepted With Corrections "-/
Denied
Reviewed By: ~~;.p
Comments:
Date: Lf - LB-c; r
I. Re.c.A 4.L ~\~ ~O-J
"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;:"-'7>',::-j;:;'~;;r:'st"_-;'''''~'~~~~~-'f'~;''''',~;''I'fl,~~,;;:~.i',~.o';>-)'~-";~!'f'f"<I~'P'T:_-~~1:-'f<!~r"ll",~-..,,-,-..,< T.V~~iY~~~,;~1"""tI'l::~~'"~~~~",l,""~; '7'-,-~, --;~-:--~'~_ii""i!'" " >~, ~, w""' ...-"" , "~''''":t...,~ ~~....,,"'~".- ,~
, ~~
)
t~ --=..~....
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nl~r of Ih~ Lakr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECI{I..IST
NAME OF APPLICANT
/.\\ \. \ I
~"-~ i
/,,- I
t~, \ ,,: I \_.\ i
APPLICATION RECEIVED
A j., ;i(/ /-7.
,':-r~ {/' ,..., '-
. ."'-- .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,.' '.: ~.. l -. d7 . (~: i_.~\i 1'-./\ '\ L '
, \:, I /-. f --.1 I. I t._.,~ j.
Accepted
/
Accepted With Corrections
Comments:
Denied - )
Reviewed By: [J..4{, ~
\' v~(LJ ~ ()/C- M-D
- "- V() /
,Lo ~ ~c.R-
II v 1/
~ #~/~ ft. H-. W~ ~~
II'
Date:
4/ J-ufC;1
~~
(/
"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
SITE ADDRESS 4\'21') \STo~lo-.- t?tVeQ.
TYPE OF WORK D2( L
USE OF BUILDING SFD
PERMIT NO. <1q - ((? ('
--'
BUILDER C'r.Jv.lIc{ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
L( - 28 - q 9
INSPECTOR
DATE
FOOTING I lJ" \ \{.. -:\.~ I .s--T9-. ,)-11"1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
J FRAMING i3~ror~ iVlskll;~ Deck-..~ I ~L~ ' 15"~
J FINAL
I ~,\\
I s --- ~r;? - '-1c;
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850