HomeMy WebLinkAboutBuilding Permit 99-0480
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
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W~ kt..,
SCHEDULED
ADDRESS
OWNER
CONTR.
h. {., - Ol-te SS
PERMIT NO. ~~ _ e19-~i',1
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
FINAL
~ SITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~L-
~
M
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
Inspecloe ~, OwnerlCont<
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
.,-,t.
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
l(Pqo7.. lv,'{der .f(.U -rr_ SE,
3. LEGAL DESCRIPTION
LOT Cf BLOCK
ADDITION \''\J i lr:t ev-YlLSS
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq --{l60
1. DATE
5/4/'QQQ
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
1..
PonciS
PID d5-31t-O,~'-o
13. TYPE OF CONSTRUCTION
4. OWNER
Gf~
5. ARCHITECT
(Name)
$' Lc.>c:':\.ASot
(Name)
(Address)
tv.ldv,A ~J.J
(Address)
It/lot
c;.. .s~-:
6. BUILDER
(Name)
(Address)
S I\~'
7. TYPE OF WORK
New Construction CJ
Deck )l'
Finish Attic CJ
Re-roofing CJ Porch CJ
Re-siding CJ Finish Basement CJ
SEATS
16. PROJECT COSTNALUE
Fireplace CJ
Alterations CJ
Septic CJ
Addition CJ
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
(Tel. No.)
LILlO - 5"7 t. ~
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Yes No
10. CULVERT SIZE
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 official can revoke thi permit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
')/ L( 1199Cf
Date
x
c'''''
Signature
FOR ADMINISTRATIVE USE
license No.
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~S 1411<.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ
PLANS & SPECS CJ
SURVEY CJ
PERCOLATION TESTS CJ
SETS
COPIES
PERMIT VALUATION
3~.0C)
.
CJ
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 & 4
Permit Fee ................................... $
Plan Check Fee ............................. $
(tJS U
~q. '1.S-
'lR.51
3.eo
~ ;ffA
~
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Thi
By
Your Building Permit When Ap~roved.
Date l)- (p- c;
Certificate of Occupancy
Issued
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
WaterMeter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid 12(, .~4- Receipt No.
Date {;" I~ 1
24 hour notice for all inspections 447-9850
I....
qq -(J;(j
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nler or the L.kr Country
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Grf~ 5LAJCdl'/SCf1
'J-q ~q1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
[(PqOJ. L-l ),' lderf16S TY-u.i I 5 r;
Accepted Accepted With Corrections
Denied
Reviewed By:
Date:
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."
. ...... ...-....-.. ... .. -.....-..-..----. -_.-. ......... ..--.--r--....-...---.
"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 qf II
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."
Accepted With Corrections
~
-qWUaJIo~
Comments:
~/(()191
Date:
O~
Reviewed By:
Denied
Accepted
'( \ i Iii' ! ,._
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. /
l l ( /
NAME OF APPLICANT
APPLICATION RECEIVED
I
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White . Building
Canary - Engineering
Pink . Planning
Th. C.nl.. of lh. Lak. Country
..
, ::.
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS \lp'ta:l~: \~I"LSS" ,..... C;.e:.
TYPE OF WORK tkLo-k
USE OF BUILDING S ~ t)
PERMIT NO. ~W DATE ISSUED 5-~-.99
BUILDER G.ri~ '5~~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING rk- I gJ, :/ I 5 r,/?_ Y?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I ~ I I
I FI NAL
I h. I 9p1/D'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850