HomeMy WebLinkAboutBuilding Permit 99-0519
ADDRESS
/(c;/O/
DATE TIME
SCHEDULED ~ 3 ~30
/t/ 0/<.-77-1 tV 0 () 0 R-O
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJQ-5/CJ
o FOOTING
o FRAMING
o INSULATION@
INAL
~OUNDATION .
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND P CEED
o CORRECT WOR. L F R 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
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
MAY I 0 \999 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
Fill
City
Applica.
Permit No. --3-CJ... 5 L3
1. DATE
. 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
/t.. II) I .u.. _...,1.. ~ j ~..-I --z.<
3. LEGAL DESC~T~
LOT Y>J' ) BLOCK
c;...<" -
ADDITION t:Jf)gJ1IfV~
">:"'/1.7' 9 <?
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2..1' '(0
12. NO. OF STORIES
~
13. TYPE OF CONSTRUCTION
..h'tI1;;J F'~~/Wf c:
14. FLOOR AREA APPORTIONMENT USE
,Q.IS[)
PID .2.5 "'4/- 057--C
(Tel. No.)
).J~..1LW~.{1J U
(Tel. No.)
(Address)
1(,,101
(Address)
(Name)
c....,.a ~...... "'__
(Name)
4. OWNER
r-- a.-......,.
5. ARCHITECT
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address) . (Tel. No.) :rl$l
~~<7'1J. ~11(":e~ c..;o../t.
.ri1- J I ?K
-'V..,L"",J _ HN 5'~,(,f
Septic 0 Deck V' Re-rooling 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
6. BUILDER (Name)
Utl..... S · iJ 1.,(, ...j K..e.. -.0 -I
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
7. TYPE OF WORK
New Construction 0
.;- 0"". "V
17. COMPLETION DATE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
10. CULVERT SIZE
9. PROPERTY DIMENSIONS
Width S.J Depth.3 .:r;;J
No
Yes
',.1-4t:;
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 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 official 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)'lI!leded inspections.
X~ __ ~ t'7 ~ .r~'fI f-U)..e.i"
Y "S'ognature License No. Date
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
SETBACKS: Required
Actual
.Side
Side
8ack
Front
OFF STREET PARKING PILtNG LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 'llOO.QD PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~ S /1/ J2..
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
S U
:S'l .S 0
2..l[. >1:
.S'S"
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
J1:.
I~
~ {r
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid "z... t../ ~ Receipt No.
Date ~/z,#t:j9 By
, ,
TF;liS . certify that the r uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a requested. This document when
s' ed b I th~lann 0 . tes a te porary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
.Kn~ &- Jq. '1'
. City Planner Dale Special Conditions ~ any
(~ol. Y3
3 r-3 7P1
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Issued
24 hour notice for all inspections 447.9850
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White - Building
Canary - Engineering
Pink - Planning
The Center or the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
Accepted With Corrections
x
Denied '\ )
Reviewed By: l J?J) J 1///CueJ
if ~li..ld
Comments: ~ ..e-Xl()~Y'\J r1<'Cjc.-1~ ~ Y't-rn0veA fmyn e 4&:rr'MJ i.,r~'~s;tA!.,
"* T ~ ~i r7n, - f- t S R.. y ref' I'i Cerrv2/J- r(l, 't 1# ,t .'" ,) &' dJ de. (( I en <,
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Date:
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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."
00
qq-s/Cj
Tho Conlor of Iho L.ko Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
DoN:S BLDG; <f
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Je..6H006L-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ /0 / NOR Irlfl/OOO ,eOAD
Accepted
Accepted With Corrections
v
Denied /J t? L
Reviewed By: ~.e~ Date: "!Y(?~ '7 ')
Comments:
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f'.N.o"J ~r <I~' x. 2.5 ' u~~ D.e.c..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."
PRIOR LAKE
INSPECTION
RECORD.
SITE ADDRESS I (olOl t\\~'t-t~~ooJL ~,
TYPE OF WORK DLc-\C
USE OF BUILDING .~t=' \,
, --
PERMIT NO. q, - .'5"'/'7 DATE ISSUED t:;"-{ er -9)
BUILDER Do",,'-=::, etct~. .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING.1~t) ~:J~. I ttJi, I "-9-99
PLACE NO CONCRETE UNTIL l'BOVE HAS BEEN SIGNED
J F . .MIUG I I
DEPARTMENT OF
BUILDING AND INSPECTION
J FINAL ~ I tJ)( 1(,-17-1~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850