HomeMy WebLinkAboutBuilding Permit 99-0447
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS l '" t. 35
p~:~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
.9 INSULATION 0 SEWER HOOKUP
j,lJ"FINAL n PLUMBING FINAL
o SITE INSPE~ 0 ~L
COMMEN~ ~
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Inspecto : Owner/Contr:
C LL 447-9850 F~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
APR 2 7 1999 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BfORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS I.)
lb'J.3S- 'rarIVil.1J) 2>r. S~ . Ift/ol- La.Jr.t
3. LEGAL DESCRIPTION
Cl
~AROINAG
4. eVYIjER . J.- (N\re)
~QrQ.J11 ~ Snn<;a..K
5. ARCHITECT (Name)
LOT
BLOCK
ADDITION
6. IJJILDER
(Name)
1. DATE
'-1-;),1-9 ~
ttW 5S37,;J- PUD
3
iGIOq6
t~
PID .;2S - z.'fGj - 04-0 ...()
AQ[>~1.
(Tel. No.)
!/;J.-tft!O., ~?Io
(Tel. No.)
(Address)
(Address)
(Address)
(Tel. No.)
~bl'v(..f #)IIrc-- ~p. SAM~
7. lYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Septic 0
Addition 0
Deck.D(
Finish Attic 6 '
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
I. White
2. Pink
3. Yellow
File
City
Applicant
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
Permit NO..-9g - 447
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. COMPLETION DATE
that I have furnished' ation 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
nd 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
, ennit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to 1>0/'. orm needed inspections.
'l!'JJ/l~ 'f.i-;J... J~~
Signature License No. Da(e
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
Il
~S ftlK-
USE OF BUILDING
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 2~A .(')0 PLOT PLAN 0
Division 1 2 3 4
Pennit Fee ................................... $
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Cify:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Pennit ...................... $
U2.;?"(;;
(f 0 . t.{!J
J, (90
Amount Brought Forward .................. $
Pai1< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other on...................................... $
Total Due .............................. $ Itb. 7:J..
Paid 103. 72- Receipt No. 351 f!Jt:J
Date S/17/9t:j By ~
Gas Fireplace Penn~ ....................... $
This ~i1kmes YO~U~ing Pennit When Approved.
By __~ - Date s-"",;-99
)'~
Certificate of Occupancy
Issued
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
Sign~e City B ner const~utes a temporary Certificate of Zoni~comPliance ~co~ommen e. Befor occupancy, a Cert~icate of Occupancy must be issued.
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, cll} Planner Date - ~ Special Con Itio ff ani
24 hour notice for all inspections 447-9850
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Th~ C~nlt'r of Ihr L.ke Country
White - Building
Canary - Engineering
Pink - Planning
I3UILDING 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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Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~~ ~
Date:
w ~ 3DL]q
Comments:
.~t)~\I\~ I~Te_ ~t-"V~"lv f>Ms.
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V~IlUved.
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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."
qq-447
The Crnttr of the L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
KARA.\Y 50NSAK
4-1 2-7 / qq
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ilo 2 35 PAR\<..\J (SW D~. SE
Accepted
Accepted With Correction~
Denied
Reviewed By: Il~
Comments:
J. ~J.. fle.. Ck.k. hCA--c...at ~
Date:
5:" - <.-<7 0,
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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."
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS lln'J..<C:;- f)t-k-";~!l OJ- r
TYPE OF WORK [)pr ,"--
USE OF BUILDING SFrJ
PERMIT NO. q, -L( ~ ,., DATE ISSUED ~,. S -7 }
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BUILDER Kcsr:t-n 5=>V1 C:::c. L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING~) I ~.~, I L, '-.)\ -9~ I
.......
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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