HomeMy WebLinkAboutBuilding Permit 99-0533
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS '34 7 f
OWNER
PHONE NO.
DATE TIME
Rclt~
Lf4C;
~.
3:00
SCHEDULED
CONTR.
PERMIT NO. 9 9 ,- (j s: :s.3
o FOOTING
o FOUNDATION
o FRAMING
o ,INSUL}{.ION It:'Y't
tv' FINAL \.Je...c.L U:Y
Y01mE INSPECTION
COM,~NTS: fiJ ~ ~~, I
~ ~j cil~l ~~
I
U~
J
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
fJ~ ~:
.-.=- ---
(~ C&?k~
--- ---
)( WORK SATISFACTORY, PROCEED
10" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~
Inspector. ~ ( Owner/Conlr. _,J ~ t r h LJ.
CALL 447-9850 F~R THE NEXT INSPECTION 24 HOURS IN ~DVA~CE., ()
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
QATE R~
" ,./2, S 2>'1
~ 41 (White File
BUILDING PERMIT, 0 0 ~ ;: ~~ow ~~~licant
TEMPORARY CERTIFICATE OF \~
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
CITY OF PRIOR LAKE
MAY J J 1999
Permit No.
Qq....s33
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. s'ITE ADDRESS
"l.l'lATE
ADDITION
BLOCK
St/Jl/St:;./
c:::. -\- SW
S
H/l..-/..-S'
.~/~, /199
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
7, I.n \
1:?\a1.s.CU'h-
3, LEGAL DESCRIPTION
/
12. NO, OF STORIES
LOT
PID 2.!5-n'2-- 0ftJ5--0
13. TYPE OF CONSTRUCTION
4. OWr\.:. (Name) (Address)
j ( reo LI (' r'") ~J f7 3'1.:J..1J-p /'\~
5. ARCHITECT (Name) I \ (Address)
6. BUILDER (Name) ~ (Address)
(Tel. NO,)
<;J.,<;L) {o[;)-LJ({c -.:!!lJ1
(Tel. NO.) .
14, FLOOR AREA APPORTIONMENT USE
(Tel. No,)
15, NUMBER OF OCCUPANTS OR SEATS
7. TYPE OF WORK
New Construction 0
Fireplace 0 Septic 0 Dec~
Alterations 0 Addition 0 Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
OCCUPANTS
SEATS
16, PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq,Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17, COMPLETION DATE
I Rereby certify that I have fumished 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 ca~se, Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform ne~ed ipspections.
X "'Ot.A~ OJ} G;, J ~ S"//' /,..,
U - Signature /J ...... license No Date
~
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~eS #/~
r
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ .C!)a,)
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV (.!Jt>
Occupancy Group A B E F H I ~ S U
Permit Fee ..........~~~~i~~...1..~..~... $ 7q .is
City:
Amount Brought Forward .................. $
Pari< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
tit!> . 57
I.~O
State Surcharge ............................. $
Penalty ....................................... $
Pressure Reducer .......................... $
Plumbing Permit Fee ....................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ . r
Total Due .............................. $ /ol~ L YY
Paid /2-4.~"t Receipt Nq. ~.r I gOj'-
Issued . -
Date 5f..,/QIf By ~
T~i~c~~~e_~~ in the above application and accompanying documents is in accordance with the City Zoni~g ~ and may proceed ~e~ed, This document when
Sir'ed) tlma~~~rary Ce~/'!.m:....Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued,
\../ " City Planner Dale Special Conditions n any
, 24 hour notice for all inspections 447-9850
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~ ':..., ,. _"'"Tor- _.~4 ,~,"", ',~," 'T" , '''~'iiIljIiio,~,..........
'-'Ii-'l"".......J~_,'
~
~~-~
.",~."
,~"
,/--- ~'-' ')
...... '.-.' '.......-'
Th~ C~nl~r or Ih~ l.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED.
,l~' /, c~. L C..-
"1 (
.f / i'/j'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ,
Accepted
y
/
Accepted With Corrections
Denied
L) t?; JnDA-J
~10~
Date:
5 - J 3 - 9/
Reviewed By:
Comments:
~QJc;<: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." '
QC;-533
Tho Cool.. or rho L.ko Couolry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
DAI<R6~ tOYL--~
5/// /q9
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .1
3 '-1-7 I BA 1--511 M u I. S VV
Accepted
Accepted With Corrections
~
Denied ()-/}/) /J
Reviewed BY~/~....
Date: Pi/-f.'!'
Comments:
II~eJ~k~ ~~
"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 3W ~
TYPE OF WORK I~ec rc
USE OF BUILDING SF7J
PERMIT NO. 7'7 -~c; -- DATE ISSUED S--(c(-9 7
BUILDER 7)a"~ I ( ~Ji 0 I
NOTE: THIS IS NOT A PERNlIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
FOOTIN<<{f\) Ij)/t. I ~, I f]-dJ3-91
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I J
FINAL ~h 0 k-- I (1..., I '! &/<<7. /j} '1~.;S-rH
Call between 8:00 and 9:00 A.~; all inspections
FOR ALL INSPECTIONS 447-9850