HomeMy WebLinkAboutBuilding Permit 99-0443
DATE
~Ioo
5VOCX' 0~ 01 ~ r e-t w r eel
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
.g,J_NSULA TION (;r
~INAL
o SITE INSPECTIO
CO~ENTS:
~\h~
\ ,
"-/
/
/
/
/
/
I ~
~RK
o CORRE
\
\
~
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CJrvrrf w-t J,
v
TIME
J: '50
33 - Lf!:I3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
(' /-00- ~/ )(
Owner/Contr:
CA 447-9850 ~XT INSPECTION 24 HOURS IN ADVANCE.
CODE~E FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE RECEIVED
4/Z7/QQ
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)
BLOCK '-I
fJI){),'i\'~f1...... \
(Address) ~ \. I) \ (Tel. tio.) /HIl1/'17-t3~
6(!/)8 Cl'fO l t I\IV~ Pd ftJK tl9'~
(Address) ~o.)
W. qq2-.'2~l{O
(Tel. No.)
2. SITE ADDRE~ .l ~ t f) I J)
JjOO~ Cf eo ~ F-.. t)~,,-
3. LEGAL DESCRIPTION
7
r
LOT
Cortf/ldS
4.0WNE/11 t' K~a~Ao emffKeR.
ADDITION
5. ARCHITECT
(Name)
"7 A/1) r:
6. BUILDER
(Name)
6f}.f>\~
7. TYPE OF WORK
New Construction 0
Fireplace)r
Alterations 0
Septic 0
Addition 9C
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
f2.d S e
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-44~
1. DATE
tf -~m
1<2..
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) -r<>~
12. NO. OF SIRlES
13. TYPE OF CONSTjUCTION
VV Od 0
14. FLOOR AREA APPORTIONMENT USE
PID :;)~-o04---03{q- 0
9. PROPERTY DIMENSIONS
Width Depth
A
Yes
(Address)
DeckJlt'
Finish Attic 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch a
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
10. CULVERT SIZE
17. COMfLETION DATE
3tA\" 19
. n 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
nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
. ;::use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perf01~"s.?q'f:Js.
- License No. . Date ·
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
f26S Ale..
1
x
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
This
By
No
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN I (."ClOc? e>c) SURVEY 0 COPIES
PERMIT VALUATION --ltJ ~~C.J C}~ PLOT PLAN 0
S U
City:
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ _ r'T'-.
Total Due .............................. $ -;Sf Lf (-( I
Paid 31 ~. t:t1 Receipt No. 351' 3
Date J.l.lse/4'f By ~
uest in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce and may proceed {s requested. This document when
const~utes a temporary CertifiE{r:J~C!r'r~liance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
City Planner Date Special Conditions ~ any
I (~.}7. '2~
I 2\ .~L
It) -00
"J
~
~~
Lio .On
I ding ~:tr:it 'f!:.0f3~~
,
Issued
24 hour notice for all inspections 447-9850
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ............................. ...... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
...-
,
qq-443
Th~ Ctnler or the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M IK..E.. SHo5MAK.5R..
4-/2.7/qq
. I .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5008
GR~Dl T Rt V c.F2- R-D.
<
Accepted
Accepted With Corrections
Denied - y J ~
Reviewed By: (;:CtJ ~~ ...
Comments:
Date: t.{~ 5()- 9 if
"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."
r,;<<~,"f/'I;:;{:':'"'r""~"':-c;"".,~..~I$;;-~.\\I!-4~J"''''lI'f;''.'!~"'~~''''''~''~r~c~~~,~_:"""~T~l;O!' __-P7'~ ,... ~. ~~~.~~~V~~., .:' ~ ~,-.:o,....n..,l,~ .
i i i _ L~..'-.:::j
Tht' Ct'ntt'r of tht' Lakt' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
". C....-..._
-; / /. l
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
( .
/,,-0
./ l I
,
1 v
!"'....----.
Accepted
./
Accepted With Corrections
Denied
Reviewed By:
Q4{~
- /V0 cSl) ~K1c10
.J
Date:
tf{ J9/ Cf<j
ok.,
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."
PRIOR LAKE DEPARTMENT OF
.. . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS --5.0() ~ Q.~, ~ R~"e."'" ~
NATURE OF WORK Po~h. d- ()Qdc:..
USE OF BUILDING ~~A
PERMIT NO. 94 -I/l.f;;> DATE ISSUED '/-50-'79
CONTRACTOR M:kP ~~lM-'~<-t.r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
"SPE~
DATE
, FOOTING
,
I
I) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
"3'.t\ .
I ~...t e. ...~~
W t-M-ri!f'
(/
~-, -1'
FRAMING r.
INSULATION
ELECTRICAL
-
. FIREPLACE . A:r. ~ /!q.. ID-{JI'I
GAS LINE AiR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, ,
FINALS
~)
ELECTRICAL
---
HEATING
DO NOT
w
\
.AlJD
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near In electrical service cabinet prior to rough-In Inspections
Ind maintained until all Inspections have been approved. On buildings and additions
where no service cabinet Is available, card shall be placed ne., main entrance.
CaU between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850