HomeMy WebLinkAboutBuilding Permit 99-0460
9h/~ 2:30
5(0/0 C-EOflRWOOO-ST.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
FINAL ~~
~ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~
&.a
Y\-O ~
~.
DATE TIME
Q9-4(po
o EXIGRADfFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
LK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wf)-K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: fJ=+ ' Owner/Contr:
- /
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
QAIF RECEIVEQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
APR281999
1. DATE
5T
/(/j;
'1- 27-'19
PUD
LOT
/
3 ICCI
PID;;;5 -J.llf -6(j s--o
Addt1,
ADDITION
(Name)
DM>r~ 8-
(Name)
(Address)
SAtt1 e
(Tel. No.)
~96 -10/7
4 (Tel. Ng,J, _
o'S -t;XR 2-~
(Tel. No.)
(Address)
6. BUILDER
(Address)
(Name)
7. TYPE OF WORK
New Construction 0
Deck 0
Finish Attic 0
GAeA60-E.
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Fireplace 0 Septic 0
Alterations 0 Addition 0
D~-H};D
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq - 4~ 0
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
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 prope 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
:uilding o' can r .,k ~e. Furthermore. I hereby agree that the city official or a designee may enter upon the property to p~.: .2:7~~
r \ Signature .__) License No. ~ Date ____/
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
{2sS A/t<.
.
PERMIT VALUATION
Q . (;(9C'J . ~CJ
GJ-,
TYPE OF CONSTRUCTION: I II III IVC;;)
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PlANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Plan Check Fee ............................. $
State Surcharge ............................. $
S(J)
I '3'1. 'Z. ~
8~ .2.'L
li.C)a
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~
0\/t
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $~. 4-1
Paid 230. '-1-7 Receipt No. 35/ '-f.t./.
Date 5);/91 By ~
the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed arrequested. This document when
e porary Certifi~lfI~Pliance and allows construction to commence. Before occupancy. a Cert~icate of Occupancy must be issued.
Da Special Conditions ff any
Sewer & Water Permit ...................... $
Issued
This~. .~request
Signr b:;r ~~er .
{J City Planner
24 hour notice for all inspections 447-9850
'j- .
qq-L/-W
Th. C.nl.r of lh. Llk. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M/~HA~L DODqE::
4/2S/QQ
. I .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5~ l 0 (~DARV\fOOD 5 I N E
Accepted
Accepted With Corrections Y
Denied
Reviewed By: {;)flLJs
- /
Comments:
Date: S-- s- - '7 (
"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."
~_.__"___________'~__'.'____'___"_'_'_"_"_~_M_"__'__-.-"---.---.---.-.,-...-.-..-.-...-.-------.-~--.-"T""."-'~-_""_-,+--~,-_.,..~-~._--_...,.- ........-..... .,.,.-...----~,.,.,.._,.-
^"~~'<~'r%-,.r~'l"~~""-;;;v.f'-'"i':'~~.I<i.~",,~~~"'"
.......,..-w:""'."'7T....-.-~........'""';:;....\....,,,....-~..:,.,...,n;".-'-..,,,'."*.;-:,"".,.,i'~_~';o.j,,.~.i,~"i'''".....,_,...~W ...,!;,,;...,.._,.....,...~'"'"
(7('1. L I r;(>
l r r
Tho Contor or Iho L.ke Counlry
White - Building
Canary - Engineering
Pink - Planning
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'. '/' , 'I i I/-'\r I I ", .' j" /- .-
;- If rl!- l !( . i )('" .........
.f I ~., "-",,.......-..,,/ '_.'~" ,....,./ '--"""
, f .I .-, /'..
Lj I .~; &- I (. f' .....',.
. .-", (--."i .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:~ .~ J t.{ , . .... .,', ; ; ". . j" . .- -". .t"'. l~ '. ~ :-""....
. I. I I I (' ),..... \ ,.. ,( f 1) , , j.....
\___) ~....~' I \-j L... 1. <,_.', i<.... \ \1 \,._._' ,_.j '....../ ,,,,-,,,, . .1 ~-J \.~,
Accepted
(/
Accepted With Corrections
Denied /'\ /J;
Reviewed By: ~ V/). ..inJ1'JAJ Date: 'f)! J-/ I o/'j
Comments: Lr\ ~()f) AU;;/?k,.,Jz;-J AM( ~ -~
i/:" u . U
,".IAn ~ - O~a.fj()/7~ CfJrrt ~ ~
'f'u I . U 'UL7 I U ~
f~ 1 ilLiUeJi//)- WJ .~ WavJd.4J<~
a f~ riff vlc,Uo.--,. a~ .91.M Illl iAJctftk.,-
JY~cI. ~ -1D ~ ~,sfind-
Yu~.
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."
P.RIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
'r
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~PECTOR
DATE
I FOOTING (LJ) ~/~qlF 9
,I "
I FOUNDATION (Prior to Backfill) I '0.../ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WALLBOARD I I
FINALS
YJ7 B~E/99
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
. DO NOT
&;,
9 -j .-91'
I'~'
I
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
J This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance. 4
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850