HomeMy WebLinkAboutBuilding Permit 99-0514
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS L/ 5 <04
--6.12..lLVt/Oot:J ~
OWNER
PHONE NO.
CONTR.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FRAMING 0 MECHANICAL
o ~ULATION 0 WATER HOOKUP
lJ2"FINAL 0 SEWER HOOKUP
o FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo 0 SITE INSPECTION
COMMENTS: -30./\..& Levd
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DATE TIME
7-/q-Cf1. A~pv
'1'9 - '8'72 5/4
o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
~~
(/ v
/
ntWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WlrK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: .17~ Owner/Contr:
V
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
5" /7 /91
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottoml
(Address)
6. EllJILDER (Name)
WPEO~ R'~.~O
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
I hereby
the abov
building
X
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.!l9 - 5/4-
1. f)ATE
BUILDING INFORMATION
(Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement)(
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
Signature
FOR ADMINISTRATIVE USE
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 103. d')
Paid /tJ 7. 2-r Receipt No. -:s rJ ....-,
Issued ... I
Date "'/LJ/Ii~' By ~ f
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 Is requested. This document when
signed by the City p~nAr constitutes a temporary Certificate of Zoni~ :?mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~ j' ~_ "'1-- It.t-TL
'-J City fJIlinner Date Special Conditions ~ any
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~.OO~ .00
USE OF BUILDING
Je.cS It / R-
I
TYPE OF CONSTRUCTION: I " III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ................................... $
(Q'2.'2.S-
Plan Check Fee ............................. $
State Surcharge ............................. $
l.O~
Penalty ...................aa:.....j"...... $
Plumbing Permit Fee ....n:..5..,f.... $
MeChanical Permit Fee ..................... $
4 t). 00
~C\~
~\~f
Sewer & Water Permit ...................... $
Gas Fireplace pe~rmit ..... ................ $
Thi~li . Beco Your Building Permit When Approved.
By Date ~-/~ 9-
- I
Certificate of Occupancy
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
24 hour notice for all inspections 447-9850
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Th. C.nl.. of lh. Llk. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j'" I t:" I
" , .........
! ,
'!-j-/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"'j""
/<'
"""....,../
/..,.,/ ;~..
Accepted
Denied
~.
Accepted With Corrections
Reviewed By:
~b(~
Date:
..~, 13-tJ0
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."
c;CJ-51'-/
Th~ ('t'nftr of Ihe Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
OA;V / g L.. !3E-C'/::::...W I TH
5/7,/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~5"e4- P.l9Ae/LI'VooD DIiL.
Accepted
Accepted With Corrections \./
Denied n M f
Reviewed ByV~V~A
Date: '5 -("3 --t7f7
Comments:
~t)~J;.Q.. ~ ~C<.--~ *- -h' '.-...,'s L ~er-~
"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 Llffitt P6r~W~ CD-
NATURE OF WORK ~~ ~~,~
USE OF BUILDING <.:;.~()
PERMIT NO. '19 -5\'-l DATE ISSUED S--Is - c;r
CONTRACTOR iSPrk~~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I j
~_. .- - :Wlllt- I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~L w"r~ · ~111"?p
FRAMING ;/ ~(~
INSULATIONW ~V
ELECTRICAL br . I
PLUMBING CJf/ ;r/r/
HEATING (if required) I(p- ~
.......... . /I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I 1
FINALS
BUILDING (It)
ELECTRICAL ~Pk' U ~
PLUMBING
HEATING
DO NOT
.'
fJff
, .
~ ~t;:
~-(1-?J
I
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