HomeMy WebLinkAboutBuilding Permit 99-0440
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/J-J,9.qQ
ADDRESS
/73a.O -r ~ ~ .s.E.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
71- L1ro
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TU~N /7 /"1l)
J5f FINAL Q!fz..d6 \l!/
o SITE 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 GAS LINE AIR TST
o
COMMENTS:
(' ~-a..o ~
X WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
./JLI!A.
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~%
QATE R~
APR 2.1 ~
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SITE,!-DDRESS
i'T32D --rDR.ON. ~
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
QQ-440
1, DATE
l-( - ~- <tq
f'R'o~ LA>l<c g,1
PID 25. '3r1- 064- - 0
"3e..CJ AQD^-'.
(Tel. No.)
4~v -- ,"2.q
(w) q03-7BItf~')
sc'
,4,\16
3, LEGAL DESCRIPTION
4-
WOODe'D~6
4, OW~ER '\ (Name) .
. 1\""0-" SIf\chce("'"
5, ARCHITECT (Name)
LOT
BLOCK
J
ES-rA-fr:;;.>
ADDITION
(Address)
56 ,,<
(Address)
6, BUILDER
(Name)
(Address)
5.t\ ME::
7, TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck)l
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16, PROJECT COSTNALUE
Chimney 0 Misc.
S, PROPERTY AREA OR ACRES
Sq,Ft.
9, PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
Yes No
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO, OF STORIES
13. TYPE OF CONSTRUCTION
14, FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
17, COMPLETION DATE
I hereby certify !hat 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 a~e 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
buildi officjlll)ca~ke1his I)8rmit for just cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections,
X. 'y-, ~ ^"-^ L/- 2bR1
, Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
WaterTap ................................... $
Builder's Deposit ............................ $
OtherT..!a...I.D................................... $$ 0.: . S I {
o ue .............................. ~{ ., ....,
Paid '14,64- Receipt No, 36J.3/
Date S/",jqq By ~
TIE~..er.l" ..;, th''''' _OM Md """_ """~"".;, """",'"... '" C", Z"'"9 O""~ """~, """""~ ,""00"",,. Tho .."~"' ",",
slgnr ,.'W)~nn stllutes ate rary Ce~e qfj;,? compliance and allows construction to commence, Before occupancy, a Cermicate of Occupancy must be issued,
[/ City Planner Date Special Conditions Wany
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
flew.oo
USE OF BUILDING
~~ J4!r~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Permit Fee ................................... $
Plan Check Fee ............................. $
5~ .(~
3(" .A '1
.10
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
(l~
\~ ?Jc)~~
~;;(
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
.............. $
UI ding Permit Vj;.en A!:mrollJl..~
Date '1-27-,';
Thi
By
Issued
24 hour notice for all inspections 447-9850
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 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 ........................... $
qq-4-40
Thf Cfntfr of Ihf L.kf Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
AND\! 5PlCt1cR-.
4-/'27 / qq
I ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17320 TORON lU Ave;. S 6
Accepted
Accepted With Corrections <
Denied /)-tlZ-,k/
Reviewed By: L/i<..-, _ .
/'
Comments:
{. feJ~~ ~~
Date:
f(-}:)'-77
/
"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 C.nl., or Ih. Llk. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
rl
, ).j 'u\/'
I
,
i__,
I .-
, /
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,.~, ..,~~~ (..~
" J (.__
Accepted
1/
Denied /) /J j
Reviewed By: (~vI/(..{teU/(/l/ Date:
Comments: ~o.ch ~ -O/L,_
b~.~.~.
Accepted With Corrections
L1b1JCj1
A/UJ ~f6
"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
Iry3~o ~~ 41N; S -
Der(c
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. C) 9 -4 c.f () DATE ISSUED c.( -50 -7)'
BUILDER A~ c< 1J~"'ku-- ' ,
NOTE: THIS IS NtlT A -~ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Sf"A
INSPECTOR
DATE
, FOOTING I ]"' , \-t . I s -S- -,~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
-
FINAL en {,Jt~/~ M IIJ~7~,1{
Call between a:do and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850