HomeMy WebLinkAboutBuilding Permit 99-0483
OATE TIME
CITY OF PRIOR LAKE (p -I7-q~ '1 :3D
INSPECTION NOTICE SCHEDULED
WDO~ L-MyJ
543/ ~ ~r ":~"f"~' ~:'l'clr, ',""
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. qq-483
o FOOTING 0 PLUMBING RI
o FRAMING 0 MECHANICAL
~SULATION@. 0 WATER HOOKUP
.t! ~~NAL.p< 0 SEWER HOOKUP
o FOUNDATlO 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo 0 SITE INSPECTION
COMMENTs{j)4f~ ~:'f~/~ _~
-, 5j ~ _ u.J,,.,L I
~W'~.
o EXC/GRAO/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
..,/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C L OR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
T
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5'-5- 9,
56 It>
PID /)~ -o(PI- () () to-D
~~~ ~N.r-
(Tel. No.) 4,q,1~~'
L - ~~ c..,...
(Tel. No.)
DATE RECEIVED
MAY 5!999
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
3. LEGAL DESCRIPTION
(0
-
BLOCK n J.
G-~ ~~'irhA,...
LOT
ADDITION
4. ~'jVNER
v..e.: \..h. ~
5. ARCHITECT
(Address)
ck-: .\-'l- 5'
(Address)
(Name)
:S-..,
(Name)
6. BUILDER
(Address)
(Name)
J~~\L~ eo~ ~ b~"t\~
1. DATE
(Tel. No.)
44D~ "5/8e
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deckf'J'- Re-roofing 0 Porch 0
Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
QQ-'-I83
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. W20tZ::.UCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT CO~ALUE
, ;:.;00--
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
buildi offi' I can ke thO ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform neede~ections.
X <-tes-I S- --~ -~
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~/0Cr') .0 0
USE OF BUILDING
S U
City:
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F J1 I M
Division 1 2 {J 4
Permit Fee ................................... $
/4.tt.?S
(n :~~
4.<0
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~~
Sewer & Water Permit ...................... $
This
By
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
"
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 ................................... $
Date
jQCf
By
This 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 requeste . This document when
signed the C' P a er const~utes a temporary Certificate of Zonin,9, compliance a allows const ion to commence. Before occ pancy. a Certificate of Occupancy must be issued.
(S:~~'-\
ity lanne, Date
24 hour notice for all inspections 447-9850
T'..
"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."
Comments:
7ijjv ~~ ell' -L-k:... ~vuJ: "
~9- ~ ~~ v~~ve~t,
~e-s~ WwlAGy c{) ~~ ~.IeJ
S:-1C6 ~4 CJ
~l~ Date:
Denied
Reviewed By:
.V'
Accepted
Accepted With Corrections
I'".~-
, ,
.. ;
.. I
...- yt.~. " '-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
NAME OF APPLICANT
APPLICATION RECEIVED
/
,.-..".,. -'"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White . Building
Canary . Engineering
Pink . Planning
Th~ ('eonlrr or the Lake Country
\,....
./
~""~"-'''''''-''''''''''~"T*'-,,~,~~~~ 7"~~J'W""-~-"'!r!~::,~~-~~..,-.,.~.,.~~~,,,,,,F'''''''-.Y'''C:~,,...-r-'~,-~'f"1'"'''''''-~\~~,~~~;~F~"~~, ,~",~~~..,.. ~ ~ .,~ J. l.'.il......"....."G'-~.
qq-L/63
The Cf'nler or thr L.kt Country
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
CJ7)H/\/ C/tS~;VOVfi /serlJv;l~
S/S/qc; /
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5+3/ WOOOL-AWN c.J~.
Accepted
Accepted With Corrections x::
Denied ~~k
Reviewed~\
Date: ~-/ e3 ~ 7'9-
I
Comments:
~e:.cO. .\-l.e ~\'- l~ ~ *-
"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."
~~~._-,~~_.~..,. ,......,_..~--+.~,..,,-'--,.---~_...............-...
-.J
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 54 3( tJo,,~ lCL.....J"'-- Cr.
TYPE OF WORK ~L
USE OF BUILDING SF[)
~
PERMIT NO. 77-l{o3 DATEISSUED ~(8-l'5
BUILDER C'a ~<;~ ~k ../
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 /3 Pod ~~ I ~# I 10- 'l-9~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I-rll~ I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850