HomeMy WebLinkAboutBuilding Permit 99-0426
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
5"-18'
3: ()Cl.
ADDRESS
C::,~ 00
~I-.
1.50 ~4-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'1q - lf~ <0
o FOOTING
o FRAMING
~~~~~TI~Ec.K
o FOUNDATION
o DEMOLITION
o FIRE PREV.
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 LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1 I ~. Owner/Contr:
'-- -
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QATE RF~EIVEQ
1. White
2. Pink
3. Yellow
File
City
Applicant
.fIR t, ~
Permit No. 3q - tJ..2~
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
(PLOO 15011-\ S I
1. DATE
4-{) b -99
e.ISP
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height( ( (Width)
12.NO.~IES
(Depth)
3. LEGAL DESCRIPTION
LOT ~cr D
PID 3~- \ 2..3 - 005 - 0
ItL5 #:,4-
BLOCK
13. TYPE OF CONSTRUCTION
A/..u.u-
14. FL06R AREA APPORTIONMENT USE
ADDITION
4. ()WNER (Name)
....:I2lirl-t-lWJ &..-
5. ARCHITECT (Name)
(Address) .prtPv~e-
&;fl&.l 15fJS7-, se.
(Address)
(Tel. No.)
~7-~ 7!J'Y
(Tel. No.)
&e-A
6. BUILDER
(Address) i
p0f ov ~~
412Y f-r~0,.Ijt;-
Septic 0 D~ Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
(Name)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Kod'4.'k B~(ld~
7. TYPE OF WORK
4q7-~~^1
SEATS
Fireplace 0
Alterations 0
. 16.PROJE~~c1Yl1L~
17. COMPLETION DATE
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
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 tioned property d at all construction will conform to all eXistin~tate and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding 0 ici can revok th' p . for just c se. h !le. I he~e r:;.~Jat the C~~C;.';7d~9~~3ter upon the property to perform ~~i:ections.
siQiiature . ~ license No. , Date ~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
Front
Back
Side
Side
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
BUILDING DEPARTMENT VALUATION
USE OF BUILDING -.f;s tlLK
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION '2000. c:>C)
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I " III IV (if)
Occupancy Group A B E F HIM ~ S U
Division 1 2 G:) 4 5"'
Permit Fee ................................... $ (p:;{ :2_
QO.l..{ '1
I.(~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 ........................... $
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
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Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
::~i~~ti:?2~.~~.....iI.:;~~.~.e:it}Nhen ~p~~
By ~~~ir Date(J.-ZB 77
1 . .
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid 103. 7 2- Receipt No.
Date S J~/qq By ~
rtify~e reque in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a's'requested. This document when
( City P. ner ttutes a te porary CertifiJl f Zon' g compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
, -tity Planner Special Conditions ff any
/tJ3. 7';}
..3S I 2. (,
Issued
v
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
The Crntt'r of Ihr Lakf Country
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:
t"'. ('
Reviewed By:
~
fl!l{ j~ Date: t{/~ftj7
~I ' . .
~Jd ~ ()~) .-no ~~
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V ' v
* /YLUd ffH. 1A)u4C1 Lk~~
Accepted With Corrections
Accepted
Denied
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."
White - Building
Canary - Engineering
Pink - Planning
The' Ctnler of the L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISt
NAME OF APPLICANT
APPLICATION RECEIVED
KODIAK- BUlG[)ER;3
4-/2ro/ qq
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
G, 200 150~ ~~EE (
Accepted
Accepted With Corrections .~
Denied /) # ___
Reviewed By: ?If 'Ly~
jlo-~ ~ tJPr[C ~ oJ
Date: I- 2B ~ t( 7
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."
./
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS G,;)CXJ / t)() -I-,^ s+
TYPE OF WORK /"'u::;r ~
USE OF BUILDING St-O
PERMIT NO. q1- L( L le
BUILDER Kr--.rO.'c.fc K(},'roleJ-s
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
{j- ').8 -czr
INSPECTOR
DATE
FOOTING I ~.~~. I S-~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
J FRAMING I .:s . ~ . I S- -- (<(-Cf1
t FINAL
~ . \\ .
I S-/t-~~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850