HomeMy WebLinkAboutBuilding Permit 99-0445
DATE TIME
CITY OF PRIOR LAKE 7J4k a 3r'3o
INSPECTION NOTICE SCHEDULED
ADDRESS S~9Cj I~O '!:b- Jf{
,
OWNER CONTR.
PHONE NO. PERMIT NO. 19- ~~~
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING ~ o WATER HOOKUP o FIREPLACE RI
o INSULA TI o SEWER HOOKUP o FIREPLACE FINAL
~FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSP CTION o MECH FINAL 0
COMMENTS: ~~
~~-
.---
JewORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~LL FOR REINSPECTlON BEFORE COVERING
Inspector: t/...-jt Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT nfl ./I /1-5
Permit No.~-~
. 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
~I'~~=. J\.t. ~qq~ IL}~~ Nc:..
3. LEGAL DESCRIPTION
LOT ~ BLOCK PID 7~'" O~ - OOL.-O_
ADDITION \ \.51"" A))b\T,e},}\() l\\oR.T~ ~,^~Y'"f' ~c::.
4. OWNER (Name) (Address) (Tel, No.)
M It" Jot A ~J ~ N:bA * lC.eKr~ Sml#1 A6.')\lt,. ~ld- L{C;b-oIo8 4
5.AR~HITECT (Name) (Address) (Tel, No.)
M 0 I\let-.
(Name)
Sel..~
7, 1YPE OF WORK Fireplace 0 Septic 0 Heating 0 Plumbing 0 Reroofing 0 Porch 0
New construction)(. ~e~a~q')8 0 Addition 0 Finish Attic 0 Residing 0 Finish Basement 0
Chimneyo Misc. ~'A
8, PROPER1Y AREA OR ACRES
Sq, Ft.
~PRIO
Q ~
.:.. ~
f-, '7
- ~
U I"l
~
APR te.
6. BUILDER
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
1. DATE
4 ~2.I/q ~
12.1
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO. OF STORIES
13. 1YPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No,)
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
17. COMPLETION DATE
9. PROPER1Y DIMENSIONS
Width Depth
Yes
10. CULVERT SIZE
No
I hereby certify that I have turnis ed 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 d 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 ciat,ean revoke thi peril for st cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to 'perform needed inspections,
x
Uc:ense No,
Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
I
(l'85 Ale.
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
1YPE OF CONSTRUCTION: I II IIIIV~
Occupancy Group A BEl H@,M
DMsion 1 2~
City:
~. Of")""" . c?O
o
Permit Fee ................................... $
-, t.{. 'l rs-
411) .5'9
l f"5'O
\ ~ 9\C\
~~
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Check if
Deferred
Subtotal............................... $
This ~tion~mes YoJr Bu~Permil When ~pproVed.
By (J!H,.)~lJ~ _ ~ Date I.( - "50 - 'l C;
Certificate of~upanV
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn.................. ............ ..... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ .
Total Du.e/.......r.................. $ / dt L..f < >JLf
Paid /Z-/f". 8 'I' Receipt No, .3.5/2..3
Issued ~/~ ./ //% ./
Date .s/ 3 'tj'q By 'fA'V--
1j'S i ertily thatt]ir uest in the above application and accompanying documents is in accordance with the City ZoninQ 0 inance and may proceed 4trequested. This document when
sig By ~~ ~ constitutes a temporary Certif~ning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
" C ann~ t:t:f Special Conditions n any
v 24 Hour notice for all Inspections 447-4230 9:00 a.m. . 10:00 a,m.
cq-#5
Th. {'.nt., of lh. L.k. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
LI NDA 6MITH
4/2.7/QCJ
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
52CfQ 140W ~l. N E
Accepted
Accepted With Corrections ,;<
Denied
Reviewed By: Q;;; a1.... ;::c:;;::
- /
Comments:
L eecvJ +N Dec~ ~ en)f-
Date:
t./- ~O ~9 'f
"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."
"" -", ,---, "
..,. ".:"'-~"-':'"'II:"""~~:":,I(f<<;.t!fl'l~e~',I'-;...~:,,.r.." ~...
,~
-.~-._-;:"---- ~
- --'--~.~-~''JlI~~-;:;';''';;';''.
I : ( __ L.,. "t'- ,/
I' .. , I
The Crnleor of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'\
/ . 1';';"'-1
ill I I
/ / /(,/'
.c-.... I <::... 1,1 J
f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i'
(
\._~
~'.1
I,
....-~- -----
,- I
,-~ (
~....
Accepted
\/
Accepted With Corrections
Denied
(7~. J(flJOA
~d<J ~
Date:
L,) J ~Cj111
Reviewed By:
Comments:
ok,
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SrTE ADDRESS 0;; 'tCf /40 f-~ Sf.
TYPE OF WORK Decl~
USE OF BUILDING SFD
PERMIT NO. 19 - Lief c: DATE ISSUED L{ - so -97
BUILDER 'SV\A~ \-\^
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1..'IiISIlECTOR I DATE
l FOOTING I ''I'' I 10'" tb. 'f/J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l~ I I
I FINAL
~( I ) / / 7/1ro
'" ; I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850