HomeMy WebLinkAboutBuilding Permit 99-0485
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
JI~
fJuJ t/:{,uJ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
7"Z7'Cft /1.1"0
qq- 48'5
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATION ~ 0 SEWER HOOKUP
~INAL " 0 PLUMBING FINAL
/ 0 SITE INSPECTION 0 MECH FINAL
COMMENTS: ~
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$"', D, ~ - 0-1.-
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
MAY5~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITlf1l'ii
P6 tJdv1 fll,J If( SE
3. LEGAL DESCRIPTION
LOT
8
Jr / N 0 ST/'J Ie.
z.
4D.o/\/.
PID :25-;33(,-0/8-0
13. TYPE OF CONSTRUCTION
BLOCK
ADDITION
4. O~ER (Name)
"7/ M .f{ t:t&J
5. ARCHITECT (Name)
-1'1 tj I
(Address) /.
1b~I~w II( Sf:
(Address)
(i"I)
6. SUILDER
(Name)
(Address)
S/L . J E..
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qc;-L/BS
;;.</9,9
/<.1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
(Tel. No.)
aa4 /(.71
(Tel. No.)
~Z2--2-ifZ-1
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic LI
Addition LI
Deck LI
Finish Attic LI
Re.roofing LI Porch LI
Re.siding LI Finish Basement~
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK
Fireplace LI
Alterations LI
New Construction LI
Chimney LI Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
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 ~ i~ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne~~ in~p1':tions.
X~ 13- ~ 4'/_</99
Signature License No. ...,.. I Dati
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS LI ENERGY DATA LI
OFF STREET PARKING PILING LOGS LI PERCOLATION TESTS LI
SPACES REO. PLANS & SPECS LI SETS
SPACES ON PLAN SURVEY LI COPIES
PERMIT VALUATION 5,Q:Z:>. r'lrj) PLOT PLAN LI
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ .
Total Due .............................. $--1.1.f.p < ciS
Paid / / ~.2- t;'" Receipt No. 35'1" 7
Date ~A.3/~q 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~requested. This document when
signed ~porary Certifi~ t' ~n~ compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
r City Planner '\.. 5" Date '\ Special Conditions ~ any
24 hour notice for all inspections 447-9850
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
I2IES nile.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
74,75
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
/ . S-U
'-/000
~
Sewer & Water Permit ...................... $
~ :P'"'~:~:;.~.:.Wh'" ^",-_
By Date l) -{O { '1
, ,
Certificate of Occu~cy
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
T
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The Centor of Ihe Like Counlry
White - Building
Canary - Engineering
Pink - Planning
.aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~?7rd:-
i./ ,..
/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(j
. "
I. Ii / L
-.... ~ .
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."
qq-L/-85
Th~ ('rntC'r of the' Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-
T/H HOE-N
5"/ 0/99
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lft./L/ I POND V /6W 77eAI L S.t;..
./
Accepted Accepted With CorrectionS-
Denied
Reviewed By:
t2f~
/
Date:
J-Io- Y c;
Comments:
J. U ~ j;'ct.5~ -t;V\.\~ h-.~ o..J--
"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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Lf tl L( I VaYlJUI'ecu ~.
NATURE OF WORK . SF b '72nc;-p~ 'RlA(S:~
USE OF BUILDING Sf'b .-
PERMIT NO. q7-q8~ DATE ISSUED 0-lo~ 7:9
CONTRACTOR -, i 1M.. tjl1-T" V\.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I
ill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING V}/ (.11) & / ?-'/
HEATING (if r.equired) If 4 M/??
(7 ~
~..b4-.
j. \\.
$'- 2-IJ ~
. ~-- '2,0 ""'16
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~\
T. \(,
~
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UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
ing)
BUILDING ~~. ~ (R
ELECTRICAL
PLUMBING ~
HEATING cr\v
DO NOT OCCUpy
ry.- J7-~~
fo - l-q~
1)-,)')-44
'1.,) 7 -44
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850