HomeMy WebLinkAboutBuilding Permit 99-0465
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \ 3'-12LJ
OWNER
DATE TIME
9: tJO
PHONE NO.
CONTR.
PERMIT NO. q 9 - L.j re, .5
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
A FINAL 0 PLUMBING FINAL
o SITE INSPE", .~i11 0 MECH FINAL
COMMENTS: 'd)EC1L
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~V
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT rJ.RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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DATE RECEIVED
1. White
2. Pink
3. Yellow
File
City
Applicant
fIlR a , Ill)
Permit No. qq-~5
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 ,f...rJ.-o S,:) c. -..yr..o 'I"' c.... T... J. I r r ; ~ r
3. LEGAL DESCRIPTION
LOT / ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
Lo...~ e.
12. NO. OF STORIES
PID 2.l5"-lJq~- ()o4 - ()
BLOCK
13. TYPE OF CONSTRUCTION
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ADDITION
(Tel. No.)
;,tc./7~ 5Y7S
(Tel. No.)
(Address)
-3~ 54eDJ)'le>r~ ,.,../ PI
I(Address)
14. FLOOR AREA APPORTIONMENT USE
4. O~ER (Name)
. 1(0 l'\ J ph"SDJ'\
5. ARCHITECT (Name)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address)
(Name)
6. BUILDER
/Vl~u.;ojJ ev-..;Id~rs;rn.c. 7f,7 W/50 St., PL. ~s4-J.'ff
7. TYPE OF WORK Fireplace 0 Septic 0 Deck'jl( Re-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic<6 ' Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
SEATS
16. PROJECT COSTNALUE
...$ c,vv().
17. COMPLETION DATE
7/, / "i' 9
9. PROP~v;~':; 10. CULVERT SIZE
.\AAEIth/ ~h 5~c.. PIaY\ Yes No
plicatl n which is to the best of my k ledge true and correct. I also certify that I am the owner or authorized agent for
o all existing stat callaws and will proceed in accordance with submitted plans. I am aware that the
. .:.. J c1(;.3e that the city official or a des~3, 7 ;;ter upon the property to perform ~~';:'ions.
______ License No. Date
FOR ADMINISTRATIVE USE
Signature
SETBACKS: Required
Actual
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 (.r;; , ("J C> r::.> . C) C') PLOT PLAN 0
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDIW .
res. / A- ~(L
TYPE OF CONSTRUCTION: I II III IV r.Y
Occupancy Group A B E F HIM <:1f'
Division 1 2 /;i) 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
City:
S U
112.7..S
'12 .'17
~.t<)n
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $
Paid /et3'Z- z,. Receipt No.
Issued
Date 5// z../ t?e; By ~
This is to certify that the r!il<luest in the above application and accompanying documents is in accordance with the City Zoning Ordinar:ce and may proc~ requested. This document when
Si9~~he City PI, ln r constitutes a temporary Certificate of Zoning compliance and allows cr:;:r:.truCti~ com~ence. BeJor;!! CfCup.a alncy, a Certificat~ of Occyp~nc[ must be iSSIfd. .
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C PI ner Date ~ Special Conditions ~ any vr l - e--
24 hour notice for all inspections 447-9850
Gas Fireplace Permit ....................... $
This P9Plica"!Zi Beco es Your Building Permit When Approved.
By i{jJ _ Date 5"-/,,-'17
Certificate of upancy
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Tho Conlor of lho l.ko Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HAHoVVAc-D 13UfL-Dbl2S
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3420 SVC"AMOte..5' I KAf L..--
,
Accepted
Accepted With Corrections >(
Denied
Reviewed By: ;;{ j/ LJ --
C/r~ _ I
Date: -q-- (p -7.7
Comments:
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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."
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The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
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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:
r .,:....-
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Accepted
~
Accepted With Corrections
Denied
Reviewed By:
.~
("~ A AN J
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Date:
t:-?- t1~
Comments:
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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 df
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
SI~~E ADDRESS '"? (/20 ~J Cr. IN\rkH- - \ r-
TYPE OF WORK DPr k..
USE OF BUILDING s;. FJ)
PERMIT NO. CJ? -L.{~~ DATE ISSLJEb' S-"'0~Y;;
BUILDER ~~ ~~..t ~h1.l1 _
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT .
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FOOTING@j~.~D'-'"""~ ~ m 111;1') I
.
PLACE NO CONCRETE UNTIL A
~ I
t FINAL @)
NS::O:AS B~:J~m I
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Call between 8:00 and 9:00 A.M. f r II inspections
FOR ALL INSPECTION 447-9850