HomeMy WebLinkAboutBuilding Permit 99-0534
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~.s;I~ A . T.
ADDRESS /5 335 S(!.lT;e()60~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99 - 634-
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~
FINAL .tj
4 SITE INSPECTION
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 GASLlNE AIR TST
o
f\~NTsr
J, . 0 t-
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Inspector: I Owner/Contr:
CALL 447.1850 FOR TiE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ 'JIREMErfS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
V INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF /.
ZONING COMPLIANCE \/
AND UTILITY CONNECTION PERMIT Permit No.
QATE R~
6/;7/q1
1. White
2. Pink
3. Yellow
File
City
Applicant
qq- 534-
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
J J;~1.t;
3. LEGAL DESCRIPTION
r;
1. DATE
{--/'-/-- qq
~~ fit)." W-SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) 9, I (Wid!).. (DePth) ~ '
12. NO. OF STORIES
>
flc-,.o r
(~,e~~_ Lt'.
t
'~k~
PID ~ >' --7/). -00 )".- 0
AJ..1.-nv 1.
LOT
ADDITION U;I'~ (.O"'~
4. OWNER (Name)
~l 2~~1"~
5. ARCHITECT (Name)
BLOCK
D 1\ +At'-
;~ nJ.
13. TYPE,?I\ CONSTRUCTION
Ijf:~ h
14. FLOOR AREA APPORTIONMENT USE
')Jt
(Address)
/ 5) J {' sJ /"o.,.k CPo
(Address)
(Tel. No.)
4Lf..J -(..,) Y 0
(Tel. No.)
(Address)
;q'lv f71M >r. ~
Yliur J-..b~ ~
Septic 0 Deck ~
Addition 0 Finish Attic 0
(Tel. No.)
6. BUILDER
(Name)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
ji2-,",~:':> /h".iI...I€/ lco, ,1:'
Fireplace 0
Alterations 0
If'io -4/7L
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
7. TYPE OF WORK
16. ",OJECT COSTNALUE
(?, 00 <J
17. CcrMPLETION DATE
~;'-;-7c,
New Construction 0
Chimney 0 Misc.
9. PROPERTY DIMENSIONS
Sq.Ft. ;AI. t:j/.,i,. Widthn,'1pepth/)-}-,d-,? Yes No~
I hereby 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 abov 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
buildin icial c rev e this permit for just cause. Furthermore, I hereby agree that the city official ~ designee may enter upon the property to perform needed inspections.
X ~ . J 771.1 J ,,-/ >'"'~ 1
Signature Licen~e No. Date
10. CULVERT SIZE
8. PROPERTY AREA OR ACRES
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDIN~ iJ-/L
f
TYPE OF CONSTRUCTION: I II III IV . d)
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
SURVEY
o COPIES
2/ooC>oC>el
PLOT PLAN 0
PERMIT VALUATION
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
S U
<.. "2:2. <)
40.'-17
{ .00
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
~f
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 10 j. /.J..
Paid / () :/, -rz... Receipt No. 3,s:3 9/
Issued
Date (, h h 9 By ./fl#---
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 C~uested. This document when
Sign~he..2!!X.flann~r ~nst~utes a temporary Certificate of Zoning compliance and~1 ws c.onstru~' to commence. Bet~Y., a ClIl. rtificate of Occupancy must be issued.
~~~~ t:},..~~ ~;. ~~ t" ~ ~~~.
V City Planner ...... Date ~cial Conditions ~ any
:~.:t~:;;~.~~$"'~ "
By - - C Date (:) "7.,
Certificate of Occup~ '
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
Thr Crn.r. of lhr Lib Cognlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT . ~ IfA-LC.fA~..o-l ~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ISSss- Sk~ W--
Y
Accepted
Accepted With Corrections
Denied 0 /J ;;)
Reviewed By: (~ (j.5 -L I~
p-'
q- ~ 28 ~
Date: . (7
Comments:
U?o=~~~ L~JL~
"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."
.~_.--...,. -..
"'4:"'~'."""" _c__~__._
__......._..P""t--
The Cenler or the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APP,,",ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~'I~ 1J\k~ L:,<wL~ J'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//;:$35 ~l5>~ ~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~l~ lh~
Date:
<r-, 2-, L;~
"'-'" -
Comments:
/r2vfv~ r;l-iA9-/~ r1 ~~
~ (~ ?S2c46 Th I/~b-~
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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,"
.,
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 15~35 S~ <1-.
TYPE OF WORK SFD O~
USE OF BUILDING s:'r--- _n
PERMIT NO. c::; 7 - :s 3C{
/
BUILDER -ZuekLv--
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
<5"" - LC -CZ- s..
INSPECTOR
DATE
....
FOOTING {A ) Ic-~# I fo~ (7-9<1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l r .AJ lIIJD I I
'.
I FINAL
/A
(( ./ I I tf./r-?1
I . --:eall between 8:00 and 9:00 A.M. for all inspections
VFOR ALL INSPECTIONS 447-9850