HomeMy WebLinkAboutBuilding Permit 99-0446
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
,P...JNSULA TION
~FINAL p~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~
N~~r
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eet:V
DATE TIME
Q9-cNfo
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
j)o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 1JRK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: fX' ' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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OWNER
<;'ry~
CONTR.
~
ADDRESS l (,7 7 ~
PHONE NO.
. n~c;nNGA
\5Ir'RAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
PERMIT NO.
'1q-L./L{~
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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Inspector: Owner/Contr:
CALL ~7-4230 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'Prior Lo..k-e., MAl S537~
2. PID 25- ~- ocn-r/<-I
I u W5STBUrz...y Po~Q..5
, (Address) (~b""-L) (
~Y1\ lA..E" l SO Y\ \ (PI:2 )
(Address)
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
-Lt. 778 S;mok,'nJ
3. LEGAL DESCRIPTION
"3
/-5r ADD....,
Ave.
LOT
BLOCK
ADDITION
4.'OW~
U~v;d
5. ARCHITECT
(Name)
c...,d Krist:
(Name)
6. BUILDER
(Name)
(Address)
ft+ers
MiKe
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
1.0ATE
4- ;2(p - 99
(Tel. No.)
4L(o-~ 77~
(Tel. No.)
(Tel. No.)
Fireplace 0
Alterations 0
LfOLfi 13L/-k s..""'!fb ~95-oI95
Septic 0 Deck^ Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq - W~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLt: "UN DATE
I hereby certify that 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 above mentioned pro rty 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
building j'~1 \;afl ?"O is permit for j cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perlo. rm needed in;p~tions.
XC' J~ \. - -.!I-.2~.. 'l7
License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
2..E=; S Ajrz....
PERMIT VALUATION
2;~o
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E:E.. HIM "'fir S U
Division 1 CY 3 4
Permit Fee ................................... $ ~'J. :L c;-
40.47
1.60
City:
~" ~~:N
ri~~4
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty. .... ........ ............. ............. ~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~:s ?((!tJ~. ~ ...~.~...... ..~;I~i~~.~.e:it When App~~d.
By tJf;:~ Date C)- 7-'17
Certificate of Occup cy
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
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 ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ ID,L. -rl
Total Due .............................. $ .J 10\
Paid / tJ3. 7 2- Receipt No. "<I!:) /.30
Issued
This is to certify that the request in the above application and accompanying documents is in accordance with the c~:;on~~~~: 1d may pr::edJ~ted. T~S document when
sig~b~1!1 ~itv Plf1\" ~~s~utes a temporary Certificate of Zoning compliance and allows con~ction ~m~n~e. Befor, CX/fu~an~Certificate of Occupancy must be issued.
~~ f...-L'"'~ cq-~'~'"~~i
- City Planner Date Special Conditions n any
24 hour notice for all inspections 447-9850
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Th. C.nf., of lh. Lak. 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:
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I,
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t'..~....., '-.. ~,-/
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Accepted
Denied
v"
Accepted With Corrections
Reviewed By:
~~~
Date:
L'l-Jo-~'1
Comments:
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~ ~\~.Q.Q To tI ~~.tv ~ -h/A/ k ~ ~
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"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."
~ q- 44-C4
Tht' Crnlrr of Ihe t.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHE:CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
DAVID SA.t1UE-I so~
4-/27/QCj
- ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1 to "7 7 8
51 MP~INS A.VE:..
Accepted
Accepted With Corrections /.
Denied
Reviewed By:(;J~L ~
V
Date: 5-3~c:r
Comments:
l. e2AI'L +k--~ dk: k_ L.{~~
"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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.....
~~
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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1& j76 <"~f<.\~ AvO.
TYPE OF WORK ().prk
USE OF BUILDING SF!)
PERMIT NO. '11' _LI q l DATE ISSUED ~-]'-'17
BUILDER l)a.VI'c.O s...~\, of" \ ~~- _
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
FOOTING I I {) I ~"'Zl...4fq I
PLACE NO CONCRETE UNTIL A~ VE HAS BEEN SIGNED
FRAMING I I J
I FINAL ~ f,f I g I :;/rr I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850.