HomeMy WebLinkAboutBuilding Permit 99-532
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
S-/&/(j)
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ADDRESS
/4-704--IK.OI/6KS /K/1IL
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~ 0 SEWER HOOKUP
'g.. FINAL P€c.1C- V!f) 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: &-..- ~,/) ·
,
qq -05'3 2-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~. -
" r2~ MJ1__
--
-------------
f)~ ')
-------
0(e~ ~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:,:::CT ~~ FOR REINS:::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
//-a73- rr
/<;701 I~ ~
t'RIOR LAKE
cCTION NOTICE
.~
SCI:IEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
~ FINAL /.J6c/r ({!J
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
79- 5~ a
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ .~ .j;jfL~ ~ err- ~ k /..1:~
/~('
~
~
;B( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
M-l
. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
--.------~_....~-~"~"--_...,~_._,_.... .
DATE RECEIVED
6'"/II/ClCif
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
14104 \\-v~rs \~~~\
3. LEGAL DESCRIP:ION /"II I
LOT cL e, BLOCK '1\' ~
ADDITION dAJetel rt~6 Hfds ..3Jec)
1. DATE
S/l~ /"''1
J2./
PID 25-300-045- 0
1'1 DON.
4. OWNER
\Cs
(Name)
(Address)
\4-1D4-
(Tel. No.)
TwJk.s T\C.<11 441-1.51(
(Tel. No.)
~n'(eI\A
5~ECT
(Address)
6. BUILDER (Name)
~~ (Tel. NO'440-11S0
-:IW" . \Stlbb B~ \:>0",- S'-<l~
Septic CJ Deck ~' Re-roofing CJ Porth CJ
Addition CJ Finish Attic CJ Re-siding CJ Finish Basement CJ
(Address)
~~r ~'5~
7. TYPE OF WORK Fireplace CJ
New Construction CJ Alterations CJ
Chimney CJ Mise,
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-532-
BUILDING INFORMATION
11, SIZE OF STRUCTURE
4lHeight) ~ (Width) ,-l (Depth), Z (
12. NO. OF STORIES
13. TYPE OF PONSTRUCTION
~~Vt
14. FLOOR AREA APPORTIONMENT USE
\44
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
"ZttO. GO
17. COMPLETION DATE
'$ 144.
-------
----.......
ished 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
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
is permit for just cause. Furthermore, I hereby agree that ~~,i6 es rOgnee may enter upon the property to P1]3; r;;;opections.
Signature License No. . Oate 5/11 ht:}
I hereby certify that I have f
the above mentioned p
building official can rell
X
1/
SETBACKS: Rtfquired
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
.-.
USE OF BUILDING
12&5 ,I'i//L-
1.7(')('). O~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS CJ
SURVEY CJ
SETS
COPIES
PLOT PLAN
CJ
Division 1 2 3 4
Permit Fee ................................... $
cJJ \o~~~
Amount Brought Forward .................. $
Pari< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid (p 7. 0 I Receipt No. 353qq
Issued .
Date (0 /~ /qq By ~A----
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi~ance and may procee4'";;uested. This document when
'~VJ'rn: City PI er constitutes a temporary Certificate of Zoning;:,W1pliance and allows const tion to commence. fore ugan_ Certificate of Occupancy must be issued.
~A._. ~ .5\ {0}''1f1 < rtlP-
City lanner Dale V'"
City:
() () . C .c;--
~(".l iL
. ( ,,(L
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ............ ......... $
GaS~ir.~a P~'" ...... ........... $ --
This .. n ,mes uilding Permit W)fen.J.R~~
By Date V -' L -7')
Certificate of Occupan:/ .
24 hour notice for all inspections 447-9850
(;1. 0 I
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~
Th. C.nr., of lh. Lak. Counlry
White - Building
Canary - Engineering
Pink - Planning
J3UILDING 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:
/' .(.'/....'
i
Accepted
v-
Accepted With Corrections
Denied
Reviewed By:
~14.,~
Date:
l<;~ /0 - ~~
Comments:
~\u~ /!<..J, lk- "'G LBu:k. (rlr~1 '1,
rV&\<..J~ ~'\t.L14 &-.-- 'S10-~( '\0 V~1
(~re-<~ ~~~ \fa ~/' k:o
klBld k:~,le.<.<;. I~~ VerJr.J~';~
"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."
qq--532-
Thr (',nlrr or the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PI< ON 77 6Je.. ClJAI S-ne- .
5/II/QCj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-704- lleo'/ / EI<.S
/KA-/L
Accepted Accepted With Corrections
/Z
Denied ~ 7//
Reviewed B~(:/ tL,./ ~.
Comments:
Date: ~ - 2-7;
~ ~ cPQrk ~~
"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 /</7 o~( {;.;:;fu;-~ ~ d
TYPE OF WORK U<2cK.
USE OF BUILDING SF fj
PERMIT NO. 0,1 <132 _
n U
BUILDER +r.a,--h'~ Co,~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED t~2-{7
I
INSPECTOR
I FOOTING (/v ~(1/~q I I
PLACE NO CO~RETE UNTIL ABOVE HAS BEEN SIGNED
rR~G I I
I
DATE
FINAL
I /IIlP II I'.J. 3kq
~ ,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447..9850