HomeMy WebLinkAboutBuilding Permit 99-0457
SCHEDULED
DATE
~~~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
It:30
ADDRESS IloO(2. 5a.cf C"Jrll ~A
OWNER CONTR.
PHONE NO.
PERMIT NO.
'i'c( - ~ S-7
c...>0 - '2.. ~ -,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
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 GASLlNE AIR TST
o
~.o - 99 - 4/5"7
~
~ WORK SATISFACTORY, PROCEED
b CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
...........-....
File
City
Applicant
I. While
2. Pink
3. Yellow
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QATE RI;CEIVEQ
APR Z8 IS}
gq-457
Permit No.
1. DATE
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 / / _ '- /J ,-
/~o72.. r~U2 ~ ~~ S.t:. J
4-27-qq
f.'~O
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Widt~) I (DBPth~
/{p V It
12. NO. OF STORIES
3. LEGAL DESC~TION '
LOT ~~!::f1 ~ BLOCK
ADDITION - sid p PA-A-k
4. OWN1T\ . I (~~me) 'h (Address) _~ / I (Tel. No.)
\~)fv*(;I$~ n"JXUe1~ /1mJ72"'- tUld-147-4-1J,(,
5. ARCHTTECT (NamB)' (Address) (Tel. No.)
S>~
(Address)
PID 2.S-oqt.- 031- 0
13. TYPE OF ~TION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Tel. No.)
(Name)
6. BUILDER
~(VLe-
SEATS
16. PROJEClj,COSTNALUE
.:t1 f3t.20. -
17. COMPLETION DATE
7-30-QQ
Re-roofing 0 Porch 0
Re-siding 0 Finish BasBment 0
Septic 0 Deck~
Addition 0 Finish Attic 0
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc. ~~~
8. PROPERTY AREA OR ACRES
Sq.Ft. (\
I hereby ~. Y that I
the abo' mtioned
building) . II c
X
~
10. CULVERT SIZE
9. PROPERTY DIMENSIONS
Width Depth
No
Yes
ve 'ynished information on this application which is to the best of my knowledge true and correct. I also certily that I am the owner or authorized agent for
ropl fY and that all,ponstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
ke .. i or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
. , 4- l1-9-!1-
License No. Dale
v
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
o
o ENERGY DATA
SOIL TESTS
Side
Side
PILING LOGS 0 PERCOLATION TESTS 0
Back
Front
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
I
BUILDING DEPARTMENT VALUATION
SETS
COPIES
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
RES K/tfi!-
USE OF BUILDING
2occ>.(9 Cl
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
TYPE OF CONSTRUCTION: I II III IV(:i.)
Occupancy Group A B E F HIM @
Division 1 2~ 4
Permit Fee ................................... $
Cily:
S U
~2.2..c:::
Y().c.{7
1.()'O
Plan ChBCk Fee ............................. $
State Surcharge ............................. $
Penally ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn................................... ~.
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
~,1Il"')
~I),
WaterTap ................................... $-
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 1U::5. /J...
Paid t (Jj .7'J.... Receipt No. .3":)/ c; 1
Date 5-1~4'1 By L}~
e request. the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
utes a tempo ry Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
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. ~ ..~~....t1~~i~~.~e~it~.:~~~ved.
By ~ Date .s ''> -(
Certificate of Occupancy I
Issued
Special Conditions ~ any
24 hour notice for all inspections 447-9850
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White - Building
Canary - Engineering
Pink - Planning
The Centor of the Like Country
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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Accepted
./
::::::ed By: (J?J1.}f/VW-J Date: S-/ldN7
comments:"-L ~ ~.hJ V<- <<- ~ rn
/WM - ~ ::l\' ~ - f4 '>I<h ~~
thld ,nJ,o o"h /~. Jd1;Qcta - DIe.
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Accepted With Corrections
"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."
cq- L~57
White - Building
Canary - Engineering
Pink - Planning
Th. C.nt.r of Ih. Lak. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~HA RcE5 BRA2l t:..-R..
4-/Z6/QQ
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1(0072-. 5AGtLE- CREEk-. AVE:.
Accepted Accepted With Corrections 7--
Denied /I IS ()
Reviewed BY~ - .;?)'.....-/
Comments:
,. ~ ~..L~l ~JL~~.
Date: )-""1- 9 or
"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 I f.90 17 2:c..cyL
TYPE OF WORK J).ocJ--
USE OF BUILDING 5t-. \) ..,..'
PERMIT NO. C}7 -Ll5ry DATE ISSUED
BUILDER (\~J..w r- br-e-z..~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/\ INSPECTOR DATE
, FOOTING ((A) I tb-\ I Q-7-0CJ
PLACt' NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~_ "''I~ I I
I FINAL ~ Vbr.lf.hr/o, .~ I i',/1!8fJ
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850