HomeMy WebLinkAboutBuilding Permit 99-0507
DATE TIME
CITY OF PRIOR LAKE ~~4-Cj'l
INSPECTION NOTICE SCHEDULED \0 ~~
ADDRESS 1./713 ~tpl
OWNER CONTR.
PHONE NO. PERMIT NO. '1'i '~O7
o FOOTING 0 PLUMBING RI
o FRAMING ~ 0 MECHANICAL
o INSULATION A 0 WATER HOOKUP
)if FINAL,..... 0 SEWER HOOKUP
o FOUNDATION 0 SEPTIC INSTAL
o DEMOLITION 0 PLUMBING FI L
o FIRE PREVo f ~ SITE INSPE ION
COMMENTS: tiu:k .......,.
~~ ~ ~ft"X 5~" ~~
0i.:t1- I t:, If O. c:.-. ~ ~ I
'~fl/
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~R REINSPECTION BEFORE COVERING
Inspector: 7 J . Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I hereby certify that I have fumished informati9.n 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 an construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
\ bUildi~ia revo permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
...~ -
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Colfective Street Fee ....................... $
Sewer Tap ................................... $
$
Q.I\TF R~'::'lVFD
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
"11999
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
... BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
< ~SI;E~D9'1SS !It. 'L
. '17L~ UntLlJ1'flf h,rlli TY"KI
3. LEGAL DESCRIPTION 0
LOT h BLOCK.
ADDITION Kr11J tJ I-1t II .Jv\YI Adtl Jt1 "
>-;,.;0<
'\ OWNEf/JL ^,t;k(~
5. ARCHITECT (Name)
1. DATE
PID
~/
d'1 =-331 -() {f3 -0
(Address)
S' ~ {"..
(Address)
(Tel. No.)
1-'fr- -0 9'1 &:f
(Tel. No.)
:< ~UILDER (Name)
{Lc/b )it eI re'"
~ ,<TYPE OF WORK
New Construction 0
(Address)
(Tel. No.)
51fJ11t
Deck)r'
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Septic 0
Addition 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
Signature
License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
:s; tk,'J I") . r<) c::V'
USE OF BUI~~
.L
If- lie'
I
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F ~ I ~ S U
Division 1 20 4 l S-
Permit Fee ................................... $ "{ I. L
City:
Plan Check Fee ............................. $
I.{ Q . '57
I .'50
State Surcharge ............................. !I'.
Penalty ....................................... !I',
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
QQ-507
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
~R~~OSTNALUE
17. COMPLETION DATE
Date
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
^ .~.Yq
~\~
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
::~~:p,,", :.~;~:;&;:;.;'~.,.-rd
By - - . Date oj , '3 "t I
- -f- . I
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ [rl 4. ~4
Paid /24/. e c./ Receipt No. 35" /t;t5"
Issued
This is to certify that the request in the above application and accompanying documents is in accordance with the C~:~onin~~~i:~c:ta:d may pr::ed ~d. This document when
sign~ er constitutes a temporary Certificate O.f Zoning comPliance~a d allows nstruction to comilence. BJI~\e occupancy. a Certificate of Occupancy must be issued.
, -l'f.-t ';?- A~ r~\.I~..
City P anner Date -- . - Special Conditions ~ any
24 hour notice for all inspections 447-9850
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Thr ("rnlrr of ehr Lakr Counery
White - Building
Canary - Engineering
Pink - Planning
BUIL.DING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
( C:"
L-
1::... /..../
/ .7
'>'/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
';-.
.. I / c (; ! j,.' LJ
,/ /'--~
Accepted ~
Accepted With Corrections
Denied
Reviewed By: 9...lM... ~..~
Date: S-~ I 3 r7'7
Comments:
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"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."
qCj-b U 7
White - Building
Canary - Engineering
Pink - Planning
The Ctnlrr or thf' L.kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;e()t3 N/6LS6N
5 /7 / qq
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
47 L/-~ Ht./HMI NGi B I R.O
Ik.
Accepted
Accepted With Corrections
x
Denied /)/}f) I
Reviewed By: ~~~
/
Comments:
,. U+4-~ ~ J
,
Date: ~-! $'-2"
"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 LAK-E
INSPECTION
RECORD
SITE ADDRESS LIlY B \-\"'-m.r\P\.;A~ \:i., ~ \rt.-. .
TYPE OF WORK ~J2,lc
USE OF BUILDING s..m
PERMIT NO. qq - So 7
BUILDER 1<0 \0 N 'e \ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED ,#)-14-1- r
, FOOTING ,I V
PLACE NO CONCRETE UNTIL ABO
~llllrtG
I 't 'Z,l.(-Q4
HAS BEEN SIGNED
OR
DATE
'FINAL~ i!1J I ~ I b-~-9<j
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850