HomeMy WebLinkAboutBuilding Permit 99-0428
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I'/~'OO 4:oQ
ADDRESS
4"ZCoO ~I/lINOOO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?q-4-Z b
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL ~-
o 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 GASLlNE AIR TST
o
COMMENTS:
,
~~c
~ -. ---,
~~ -~~~
)~~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~LL FOR REINSPEenON BEFORE COVERING
Inspector: ~ ( Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
........__ ,.... "_"_,_,,,_,,,__,w._,,'~"~'M'_''''''
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
APR 2 6 !999
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
. .zj~ t/ () ffL./J I/V WO'Oc! /l, I Y
3. LEGAL DESCRIPTION
LOT & BLOCK IJt,+ I~ -I- .,4
ADDITIONrr ~ ~ (t.J WO()~ PAR.. K
~OWNFR_- /I /)q / f"
5. ARCHITECT (Nafle)
.... .
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. Olct - 4 U
1. DATE
If,;; {;, qq
,QJSD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
PID~)5 -03f1 -()()t;- 0
(Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
<j';UIl Ii r /lINN NrI t,,- >tJ1#k3.f-.;E)/
(Address) . (Tel. No.)
PAc117'11.d- ~07' 8 3') . S"Cc::> ~
(Address) ".. (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
~ - ~1'2...- ....4o-c:l'~51
ftJuJby
~ BUILDl;B...
(Name)
S{J,w\6
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
13. TYPE OF CONSTRUCTION
OCCUPANTS
SEATS
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
bUm;J'lding 0 icial can revdl<e this Perz! ~st cause.. FurtIJrT7fore. I hereby agree that the city official or a designee may enter upon the property to perform .nE7ged inspections.
xt~/t/)J? cl<~/--U- ~i'~u.99
/ Signature U License No. v' Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid ~4. S" t,I Receipt No. 35/213
Date s-/~/lq By ~
Thi~~~ the r uest in the above application and accompanYin..g documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
Sig7 by r~h ;an const~utes a temporary Certifi~7...0!}}.r1JlJ3mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
7' - City Planner ~~ Special Conditions ff any
24 hour notice for all inspections 447-9850
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I . ~ n6 .I"VJ
USE OF BUILDING
/k'!.. 11-/((,
TYPE OF CONSTRUCTION: I II III IV W
Occupancy Group A B E F HIM (R) S U
Division 1 2 (J) 4
Permit Fee ................................... $
City:
Plan Check Fee ............................. $
5<O.1'=>
3/^ .~~
. 1 ()
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~,~
~\#
I
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~~eco...11 Yo'" Quildin9 Permit VYl}en~ApR!ove.s; 4
By ~ ~ ~ Date -I!- 0-Lf-+-
Certificate of Oct:ncy
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 ....................... $
SewerTap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Cfy,~
cq-428
The Crnlrr or the L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ANq\b (DENle:S5) CAWL-6V
4- / 2-~ I qq" I
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4Z(;O qgA\ NWOOD ClRC~U::
Accepted
Denied
Accepted With Corrections ;>(
Reviewed By:
{li &-F-
Date:
((-28 -7/
Comments:
I, foaJ ~ ckek hJoJ
"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."
~::- /;~:
The Center 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:
I i
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Reviewed By:
/
C).~. ~
~~dto _~d/L.' ~
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W- ~ 1-1-. ff-. (jJ~ ~c/
Accepted With Corrections
Accepted
Denied
Date:
t/J-7/97
,
~~iu
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."
"I
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PRIOR LAKE
INSPECTION
'4~~~~~~P
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK Dee I\-
USE OF BUILDING SF \"")
PERMIT NO. C1tt -<-('2R DATE ISSUED L( -LlJ -1..1
BUILDER Gnu"I., '\/ - .'
NOTE: THIS IS NOTIA PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
yo/ ~~. INSPECTOR DATE
FOOTING~/~'?'~~~>3"" ~ \~~ I Wf I 10- rt~1~
_ - l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING @ '411' I (c; -- 1'-1 - CJ5
ANAL I
-..
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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