HomeMy WebLinkAboutBuilding Permit 99-0473
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~k.~/Y1 3: 30
5B7 2... CA-~??INrt-L EIOClE;-
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq-~73
o FOOTING
o FRAMING
o INSULATIO!!. u tfr>..
FINAL.o~
~FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHORE~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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tl'WORK SATISFACTORY, PROCEED
o CORRECT~ ATIO ND PROCEED
o CORRECT W .' C LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
'I
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
T ..d.
QATE R~
MAY - 3 1999
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No._qq-Lft..3
. 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
5&7~
eA-~f) I VIIL
3. LEGAL DESCRIPTION
LOT I 7 BLOCK
ADDITION e H~ /) I )./A L
3
'K, L?~L
4. OWNER /1 (Name)
e-h/Z IS 2!~'-IAI.<';K I
5. ARCHITECT (Name)
----
6. BUILDER (Name)
SPl;. CIA- '- "1"'ttJ", C II-
e#~CK. 1JC>J'2ToA-1
7. TYPE OF WORK
Septic 0
Addition 0
New Construction 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
1. DATE
s: 3- 99
PvD
1?1t?~E- R/9IL
PID d5 - dJf-o Lit-o
/ sr A-.tJP.
(Address)
-S"A-m ~
(Address)
(Tel. No.)
.:J..:z~- 53'1/
(Tel. No.)
(Tel. No.)
'18 TN ST ..y'/3-;Z 3 e>e1
(\.. \ \ ~ '-1'1 ,f'-lf/97
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
(Address)
~}l.T /2-0$;
/ 38 :.::0~//;.., IJ~
Dec~
Finish Attic 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 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 offici can rev ke t~"perrniJJDr ius~use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X AI~7/~ 1,...00,(.,,18'';;- 5-:3-99
!ii/nature License No. . Date
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
RE.S lilf<...
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~~mes i2r Building Permit When AQpro~~
By ~r Date (- ~')S;-'1...,
Certificate of Occupancy
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ..._.:-2/"T'Y'''lo t9 D
SOIL TESTS
o ENERGY DATA
o
S U
City:
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
~ 2."2.<:c;
qr; .~p",
,. a:7
~
~ "t
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... :t
SewerTap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 1M - 7~
Paid I Cl ~ :13 Receipt No. 3~~ 1 S-
Date Co ~ ( - q ~ By U KG\. )
is is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as request~. This document when
1~ ~.=porary Certificate of Zon~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
/{" - 2-~
. --..
City Planner Date Special Conditions ff any
>sued
24 hour notice for all inspections 447-9850
I"
-
~
Thr ('"nfer of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Q~ ~~~I
5"- 3 -91
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S-Sry 2 C'~,~
Vo \;-
Accepted
/'
Accepted With Corrections
Denied
Reviewed By: ~ ~
Comments:
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."
.;' ,
qq-tj7:j
Th. C.nlO' or th. Lob Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 0 PE5C--1 A L-- IOU cH / Z I ~I- IIVS /C-I
S/3/Q9 I
,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5872- ~rtICO/N'rtL- KIOq6 TRAIl-
AccePte~
Accepted With Corrections
Denied /) /J# ~
Reviewed By: l;d~ ~
y
Date:
5= 2&-7)
Comments:
"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
SITE ADDRESS 5A L:2 ~~ I ~ '\1;:-,
TYPE OF WORK A,,-- ,
--. , ,
USE OF BUILDING _ ~Fb .
PERMIT NO. iJ - (fr") -7, DATE ISSUED --'---~. 2f:2 --'29
BUilDER G~LJr -L v\)ot-h,:- . ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
-
.....
INSPECTOR DATE
I FOOTING' q -t.4 I/j$) ~ -/ !fl... -I: _ Li 5' _' 7'7' .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~O' jFRA~'NG ~ . - . --1djl! . /6 -dJ-7Y
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