HomeMy WebLinkAboutBuilding Permit 99-0503
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9-:5~-17 /1,'36
ADDRESS
/ (p ;;;, "-Is
ITASr?A-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
9Q--0503
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION df)\
~ FINAL (~
TI SITE INSPECTION
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: G~I;
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTlON BEFORE COVERING
Inspector: () f ( Owner/Contr:
~ J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE"
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~
QATF R~
MIl h. ,) 11I9
I. While
2. Pink
3. Yellow
File
Cily
Applicant
Permit No.
qt:l- 503
. 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
:!T~5cA
Au, S, ~
3. LEGAL DESCRIPTION
LOT
to
PID
25- /67-020-0
2-
rtlt...t....S
ADDITION
BLOCK
8.eoOK.S V 1l...{..-6
4. OWNER (Name)
L€.f\J~3~ (Y\ ~ IIJ~'/(?'
5. ARCHITECT 1 (Name)
(Address)
(Address)
6. BUILDER
(Name)
(Address)
5' If Vi.'l .f.
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0
New Construction 0 Alterations 0 Addition 0 Finish Attic n
ChimneyO Misc. ~~J.'+~en.-v
8. PROPERTY AREA OR AC~ES' 9. PROPERTY DIMENSIONS
Sq. Ft. ' Width Depth
1. DATE
0-7- r7
(Tel. No.)
~rCfIJ~ ((n,W/)
(Tel. No.)
(Tel. No.)
.,....
Re-roofing 0 Porch 0
Re-slding n Finish Basement n
10. CULVERT SIZE
Yes No
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heighlk' (Widlh);).21' (DePlh)3o'
12. NO. OF STORIES
(
13. TYPE OF CONSTRUCTION
Q..~~ QjlD~
14. FLOOR AJIlEA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
I hereby certify that I have furnished 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 menlioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submi"ed plans. I am aware that the
building o~cial can revoke this permit for just cause, Furthermore. I hereby agree that lhe city official or a designee may enter upon the property to perform needed inspections.
X ":'tJ'- - D_ ~M ~~L<ji~(... . S/7/Q9
...........- J. - Signature License No. Date
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
FOR ADMINISTRATIVE USE
Fronl
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING
,e.es A /A2..
,
SPACES ON PLAN
I?.J~{')r)
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV (])
Occupancy Group A B. E F HIM @ S U
Division 1 2 (j>4
Permit Fee ................................... $ t.a!l.~c::;-
I 21 . '12-
G,.~
Cify:
Plan Check Fee ............................. $
State Surcharge '" .......................... $
Penalty....................................... $
. Plumbing Permit Fee ....................... $
~~
I~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
sig
Side
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
SURVEY 0
COPIES
PLOT PLAN
n
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
24 hour notice for all inspections 447.9850
Pressure Reducer .......................... $
MeIer Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ .~./ I LI ~ Cj 7
Total Due .............................. $ ...,
Paid 314. Q I Receipt No, S t;:"3 L/. s
Date .5/"2.-5' /CfQ By ~ ~ -
est in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce and may proce~~e~ This document when
~nstitutes a temporary Certifica~_ of Z~ing compliance an~ al'OWS construction to commence. Be!ore occupancy. a Certificate of Occupancy must be issued.
-,.; ,,'. ~/11f!i S-~"' S..,t:'b,..tk' rl~ A a.o ,<; ~
CIty anner Ie 0 Srfecial Condilions ff any
-
,
Tit. C."..r of .he' Lak. Co...ry
QQ-:.;u3
White ... Building
Canary ... Engineering
Pink ... Planning
. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
L.6/'/IVY /'lELVIL-L.-b
~ 5/7 /99
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6'24-5 /i/i5CH ;--} '16. 5.6.
Accepted
./
Accepted With Corrections
Denied
Reviewed By: tJ... ...,..u' E.,I1t.lEslltlt~.v
Date: S/z'/91
Comments: D.IES ;VOT
APPF All.
71-1 Ar
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'P~J4C.TICAL.
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"Z. e:"ftoS oO,.J C -.JTfIl~1... R....AJ
"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."
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QQ-5V3
Thr Crnl.. 01 lhr Lob Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L6NNV nE-LVIG~6
.'.5/7/C;C;
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
16Z45 /'//'1564 AV6". S.6.
Accepted
Accepted With Corrections 7<...
Denied _
Reviewed By: (d.,.Q ~
Comments:
Date: ~-(~-? 7
"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."
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",re. ~~
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Th~ C~nl~r or Ih~ L.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKl.lST
NAME OF APPLICANT
APPLICATION RECEIVED
I
I:. C
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,"~1
/
I
/
,I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
- . t I i \
Accepted
/
C-t15. 3VlaA
V
Comments: -vMH.:l 12-/
~ h-i VCw'O' sdbud'- V)
COrrt!- fed .
Accepted With Corrections
Denied
Reviewed By:
Date:
5-/tJ -17
JD' $1- ck ;;2)"1 vtur vCf-vd S<..:tbaJc:- -d<-.
.
5 (Fn;m t?(1JfW'~ 1,'f\IL - .-/0 be..
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
"_,_"_",~~,,,,._'_"'_"_"'__"___._'_""""__"'_",.. _'n_~ ......."'-"'__..."n..". '--"~'--' -..-.. ".
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
~
SITE ADDRESS Jip'JLIS-- L ~
NATURE OF WORK o,~tc4~ M
USE OF BUILDING SF r>
PERMIT NO. 07 -'S"O~ DATE ISSUED 'b"-/3 .
CONTRACTOR l-e~A M P\\li \V
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING 1<. /-d. I ,/ I A I'd
I FOUNDATION (Prior to Backfill) 1$ I fjJ.f. I Iv;;J /-'1'J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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7 /~Cf1
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
BUILDING
ELECTRICAL
~
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q/:3D tJ1
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DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
1