HomeMy WebLinkAboutBuilding Permit 99-0469
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING y@)
o INSULATION
,.! FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
19-~" ,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: d)€i7' k.. .;. It.^/L;~ -,-~
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rt WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT !~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f) +, Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE RECEIVED
CITY OF PRIOR LAKE
\ BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
UWhii:';.
2. Pink
3. Yellow
File
City
Applicant
11"\ ri- ,,1
APR 3 0 1999
Permit No.
(Vl- 4-&/;
,- ,
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
I~ 75 D B/, ~)cl. LCf ke... TRL
3. LEGAL DESCRIPTION
LOT / . /"
1. DATE
5 II / {jq
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t"\lor- L..\-<~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
,--. ~
.,:).c::: ,
12. NO. OF STORIES
BLOCK
.c:...-
PID ..>" '.-:- . / / 7 - " q -: - ()
ADDITION
4. OWNER
.1-e.(+
5. ARCHITECT
/ j, / ( 1<..-
, (. I .' Tl--I
13. TYPE OF CONSTRUCTION
(Name)
S"-I-O( fe.r
(Name)
(Address) (Tel. No.)
I fa 7 <:; 0 8~ ,]C) ( c,1{e ff- ;: ':i F Lf,/ 7 - {;,,).;;:L
(Address) (Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(.11 3 Y (>1 (! ( til () S I~
(Tel. No.)
LllJ ('. 7 i-: 55 Ss'
15. NUMBER OF OCCUPANTS OR SEATS
'Du, \.L ( ~\ (~ , (:.
OCCUPANTS
7. TYPE OF WORK
",
. . New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Dec~
Finish Attic 0
Re-rooting 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
. 8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
, ~. ~ ~ I hereby certify that I have furnished infonnation 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 property 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 official can revoke this permit tor just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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Signature License No. 6ate
/,
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
I r' '~ '). r)/) PLOT PLAN 0
I
BUILDING DEPARTMENT VALUATION
USE OF BUILDING L.'r, III ~~\
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Plan Check Fee ............................. $
v)
Ff S U
4~~~
"3~" 53
.~ ns-
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F, HIM
Division 1 2/ 3 4
Permit Fee ..........................:........ $
State Surcharge ............................. $
Penalty....................................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
I ,~
This Applicati~!1Beconuls Your Building Permit When Approved.
By ./,/' ,1<- Date '.r . -:
Certificate of Occupancy
Builder's Deposit ............................ $
Other ......................................... $~, _
Total Due .............................. $ rJV. IIA
Paid 5'-1-Cf,CJ1P Receipt No. Al~515tJ
Date 2:V,1~V</ By U,(( t )
This is,~ertify that the request~'n e above aPPlication, ,and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requ"ted. This document when
Sig~ed b t~e C' Pia er cons' es a temporary Certiticate.of Zoni~g compliance and allows construction to commence. Before occupancy, a Certiticate at Occupancy must be issued.
" . '-' -1 'to 21 ,.::1 ftIj 1-
/' hy Planner' . ..' I t Special Conditions ~ any
Issued
24 hour notice lor all inspections 447-9850
QC;-t/69
The- ernle'r of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHE.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
DALE r/HAR-D
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1&750 BLI ND LAK-b 'I k:A.lL-
Accepted
Accepted With Corrections
oL
Denied () [) I
Reviewed By: ~ j)!'iJ ~ Date: ,,-? .J7'7
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
.!3UILDING 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:
I (,
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_JC)
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r .
f""\ t ~~
Accepted V Accepted With Corrections
Denied _ j. I
Reviewed By; (1,05, ~ Date; e;j '-I11"!
Comments: '~d~ ~ oJ;. /J.ti) ~q/
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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.
srfE ADDRESS \lp lSO B\\r..~ Lo..k \""'rL. S.E.
TYPE OF WORK De..c;,.k.
USE OF BUILDING SPD
PERMIT NO. 9 q - 41o~
BUILDER T)c. \~ C h.(1,"~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ECTOR DATE
FOO;~~CE NO CONCRETE UN~IL AB~E HAS B~~~~~~:D
~ I I
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
5 - 3-q 9
, FINAL ~V
I ffi,
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850