HomeMy WebLinkAboutBuilding Permit 99-0523
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
q; 9?
SCHEDULED ~/Ol
~ x1,(
9: OQ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99 - S;;s
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION /Ji))
bt FINAL \l5/
Id SITE INSPECTION
COMMENTS: ~ ~
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 GAS LINE AIR TST
o .
c-/~ -)
--_..~.~._..--~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: . U I' Owner/Contr:
J .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2. SIT~ t?~R,;SS i) '.' /' /';, no 1 I
ru.:l.L..LJ ..e a:::JJiar' 5/rf)p r
3. LEGAL DESC~PTION ~ 'lr.J.Z
LOT L -'- / tll/Jt- -srOCK
ADDITION l4t MI'" p _ ?:/1 r ,-::>.2 rl ~
4. OWNER Dr:P{;mtA-U ~.f6S ~Qj Vln/".c-h ~g rrJt/lJ-f.t,/~
5. ARCHITECT (Name) ~ ....... (Tel. No.)
DATE RECEIVED
5/IO/qr
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
5~E.:
2-
I. While
2. Pink
3. Yellow
File
City
ApplicllI1t
Permit No.
QQ-5z.3
1. DATE
5/1 (J J 19
Ie f SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
. (Height) JdJ) I ~e~) I
~. OF STORIES
PID
?)-~"'()l2'-()
6. BUILDER
(Address)
(Name)
13. TYPE OF CONSTRUCTION
Wf'tJD./ Pr /I7WJ
14. FLOOR AREA APPORTIONMENT USE
~~
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
J
~bjJ j1 OCCUPANTS
7. TYPE O~~ . Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 SEATS
New Construction 0 . Alteration~ Addition 0 Finish Attic 0 Ae-siding 0 Finish Basement 0 16..KROJECT COSTNALUE
ChimneyO Misc.:rn.~1I 5"ol~ 6fA-=k (~V .~ ? 7)( to' WaO.M ~( ~kJ? ~ 5rolf)Q t~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE .IJ / A- 17. COMPLETION DATE
Sq. Ft. 11 CA 'I _ Width 11.1 { Depth ()b, 6L.. . Yes No Vt5 (11)
I hereby certity that I have f mished 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 pro rty 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 ial c re k this permit for ju t use.) Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X./ '5IJbI1~
License No. . Date
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .....................:ts::.. $ I"'S~ < IS-
Paid ~~ i1?PReceiPt No. .~ J 3~
~ed - -
Date 5;d-1 ~7 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 as reJ;{ested. This document when
signed by the City Planner constttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cert~icate of Occupancy must be issued.
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES AEO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
f 0; F\f R...
,
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM <5l
Division 1 &4
Permit Fee ................................... $
S U
City:
-:z 1.00
''3 u'"5"'
. 'SO
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~. \1\q~
0~yP
Th
By
ur Building Permit When Appr9lJ~.
Date ,/;"""'-/'1- 7 -,
"
City Planner
Date
24 hour notice for all inspections 447-9850
Special Conditions ~ any
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Soo~
SURVEY
PLOT PLAN
Y-
O
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
White - Building
Canary - Engineering
Pink - Planning
Tho COni., or Iho Lab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L/-P b Gc:tf" t-O 5.5
5h~9
. I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for co~ruction activity which is proposed at:
4118 01.~~ ,,0_ - --=>f- .
Accepted -r--
Accepted With Corrections
Denied () (J Jl j l-
Reviewed BYV~ fJJ1wV
Comments:
l~) ""2. )C lO 1-{-eC4ctu-
Date: 5 -Iv-if i
liThe 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 Wfi a.~ 51-
TYPE OF WORK ~ qvo r/oor _
USE OF BUILDING ~,:- 0
PERMIT NO. Cq - ~ 2.s
BUILDER D~ c:: a.t-0 sG..
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
~--/~-fr
~~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING 0] 6/;'(,. I I j
~ - I
I FINAL I A/. I J/4/1J1
Call between 8:00 and 9:00 A.M-:-1or all inspections I '/
FOR ALL INSPECTIONS 447-9850
INSPECTOR
DATE