HomeMy WebLinkAboutBuilding Permit 99-0470
jl-8.1-ri
\
f~ tV vJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/S~35 vv~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
g, INSULATI~N f} IA\
p. FINAL ~ ~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE
TIME
;0115
?cr -470
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
V~
'::t .
/ /
~~ ~
/
\J
~~
'\
\j{-' ,
(
'?
r
--
l
~~.d e.O'/J~ ~O~~
c&.. #~ r~___
,-ORK SATISFACTORY, PROCEED
o CORRECT ACTION A 0 ~n
~ CORRECT WORK, LL FOR ~EINSPEC~EFORE COVERING
Inspector:
/ft-8\. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
--"',-
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
4/30/QQ
PU6
PID 015- 93 -() / cd. -0
DATE RECEIVED
MallB}
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.5'7935 W l'Id 5 j-Jf0J V IJ lAJ
BLO~ _ /
:1 w.!. Add/{____
(Address) ~ d
I S"2~3S- W Ii ~
3. LEGAL DESCRIPTION
IJ-
ADDITION WI Ids
LOT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qg-47D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
4, OWNER f-tet- be1--
5. ARCHITECT (Name)
nv., (Tel. No.) . (
IY 'UN 01 2-7.1.:, r:~ l{ { ~
I (Tel. No.)
(Address)
6. BUILDER
(Name)
(Address)
~
7. TYPE OF WORK
New Construction 0
Fireplace 0 Septic 0 Dec~
Alterations 0 Addition 0 Finish Atti( 0
Re-roofing 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
14. FLOOR AREA APPORTIONMENT USE
(Tel. No,)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
17. COMPLETION DATE
I hereb~' that I have u mished 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 aOO m tioned p p lrty an at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~.;;. '''" J,,;,ltI..Ran rev ke his e i for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
~~^- -.. '
Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
~;~'~t~~tj:::::::::::::0;;;;~j fijt;t
;0 .. ""'"' OW",,,,,, "d ,,,,,,,,,,,;og """"'"" . ;0 _"""'" ~. 'oo CIty Zoo"", """',,~ Md m" p","", M l. ThO _moot whM
e tem ry cem:t7tJl~~comPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Date Special Conditions ff any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
"?~ . 00
USE OF BUILDING
e.e: s A.! (L..
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F ~ I M @ S U
Division 1 2(;Y 4 _
Permit Fee ................................... $ 74. 7S
4B.5CJ
I.SD
City:
i'
tRl\~
(;;\
V)
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Thi
By
Issued
Tt)hS t c eri?f:' th e requ
si ed th C' anner
,
City Planner
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
~ hour notice for all inspections 447-9850
T
c q- L'.-lO
The Ctnler of the L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1- SF2-BS R
4- J 30/0g
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15235 WIL-D5 Pl<:WV.
I
Accepted
Accepted With Corrections X
Denied
Reviewed By: {if R ~
I
Date:
)-(P-77
Comments:
\. ~ ~ ~ectc- ~~
"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."
~------_._",---,""""--,-~._--.,----"",-",--",,,-,,---",,,..,-~-~_.._~~~.._._,,-~,_.__...,.__._.~...~._---~......._...~..,.-..'--~'~.......->..._--., .".~
T:-::~""""""-'~~'~""i"':~.~H""<:-',fF"~~~"" -:;-:"Z"'~,~1l~~~";'~:~<<f"""'_~-~< ""'-~~l!"I!If--
..:.~.
/'
f ' -.--, '
1../ - Lj-. Ie)
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DePART~NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, '^'.""; '. '., - __'_o_
r-I t-..- (<~ r": t:. k
.L /"7 (, I (I C/'
. . "../ '-.... / I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
". . U'" /"' \---,"\ 1<- .. .\ f Vi
'>,' i (" -, ' \ ; "
\,) I., c........ ~ I ,'\/' \../ .
,.---l
-
:> l'<~-1
.:-. ...-I
i
/
r~ (/;.Jf1;a,U
......, -
Comments: .. !lVf'~ ~ -of-
. {)Li~ /
.~ ~.CfL
V _ J t/
~()/J.
Acceoted With Corrections
Accepted
Denied
Reviewed By:
8 '-1/9CJ
/Zu) ~ ~
(/
tfwJ t+ --H- CL~
Date:
"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."
./
.,/"
.'
. .l."'..
PRIOR LAKE
INSPECTION
RECORD
p~ w'-\- ~w
U'
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15g.,3~ L.J ,"\&::.,
TYPE OF WORK ~ (C'
USE OF BUILDING SFD
PERMIT NO. C;c? - 470
BUILDER l-f.et~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
':) - Cs, -17
INSPECTOR DATE
~ FOOTING ~ V~ ~'to;:P-"" I ~;f' I 6 ~ I - ?:1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Itff- -'---~ ,; I I
FINAL
G
/lr6\ ,
I i/~ ~ '1--1<1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
\