HomeMy WebLinkAboutBuilding Permit 99-0535
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I L, 15~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION I
$..FINAL net c...
o SITE INSPECTION
COMMENTS:
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.
~J
//
~
SCHEDULED
3~~k,'-t... 't
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
7-'2;l. -"
3:3D
Lr-
99- 5~<<=)
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Ek~~ ~ ('~--
,~~-~
NO ~ - ~ o--L-
INSNOTl
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECI1'~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /(lY I Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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(01 fJA<<-
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE RECEIVED
513/99
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
/1,953 SIf1PK:.INS (!,II<-.
1. bATE
5 -13'-70,
I<..J
3. LEGAL DESCRIPTION
LOT
3
(p PID 25-308- 033-0
7V W~{l:5()K l/ po/Vo.s
ADDITION
BLOCK
/ ST /if)OtV
4. O~N1R , _ _ (Namek.., I I
'Y~ f-C-Cne 4
5. ARCHITECT (Name) .J
(Address)
; "C(~~
(Address)
(Tel. No.)
<3 ;-~y~ (~~'^~ C-;v 5 v..J
L.{~()'!.3N~8 s
6. BUILDER (Name) (Address)
7?d~~~ \a. ~~:~ e \ t\-o ( (., ~/
New Construction a Alterations a Addition a Finish Attic a
Chimney a Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
(Tel. No.)
'3 '; V\A {.> (-< :-v\. c; (il~ \.0-
Re-roofing b Porch a
Re-siding a Finish Basement a
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
q9-535
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
I herllby ceiffiY1r1sL1 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 bove mentione(!..1"ope~ and that all constructi"1n wi} con rm all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buil ing 0 'cial can re rke thlsliermit for j~use.. ~;rm ,I e eby agree that the city official or a designee may enter upon the property to performjlSeded inspecjiq~
X ,I' . '- ^< ,-' , ~i:~_/ 3 -7 ~
Signature License No. Date
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS a ENERGY DATA a
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS a SETS
SURVEY a COPIES
~ nt"'}r-.J . 00 PLOT PLAN a
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
\fPR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
.eGS ~/~
TYPE OF CONSTRUCTION: I II III IV N~
Occupancy Group A B E F HIM - (!:i/ S U
Division 1 2""b 4 _
Permit Fee ................................... $ l..D;).. 2 ':l
City:
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
40. 1/ 1
J . <)U
Sewer & Water Permit ...................... $
t\ \v ~~
'(Y~~
Pressure Reducer .......................... $
Meter Hom ................................... $
Mechanical Permit Fee ..................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ _ I _
Total Due .............................. $ /0 Lf ,-' ^
Paid I 0 4-. '2...-- -z-...- Receipt No. ~ 33S-
Date S/l-k/qt:1 By 1te=-
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinanc' and rriay proceed sJ. requested. This document when
Signed;!y.~ C':iIv Plan e onst~utes a temporary Certificate of zon4~mPliance and a. lIows co.nstruc~n to commence. ~~':li-ertilicate of Occupancy must be issued.
~~ ~ -J...t;-~ C - - ~ ,,,~. f'.. .
C la ner Date ~ - -; - -..; Special Conditions II any
This
By
Certificate of Occupanl
. . g Permit Wp. AfJproved-a ("_
Date l) ...... rA-' - c 7
Issued
24 hour notice for all inspections 447-9850
Qc;-535
The ('rnltr of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
p;q /~/(!.jT7 ~EC.Hb LV
5' //3/qq .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I{:,CfS3 S/rlPK../NS (!,Ie... ~
Accepted
Accepted With Corrections /7<.,
Denied ...-. .-t
Reviewed By: W ()~ It)
Comments:
I?-~ ~ Uzcfc ~ ~
Date:
5''''{ 7"'?~
"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."
"7.'-,,'';,';1i'<~''''-'; ._~'-;- ~."..-......~.7;'<'"":-"'-~Y~~",,'-'-" ,~'"":"";~:"""'~:?f"liV"'-""--''':~~''~''~;''''':~r'-~::~~~b'''''''-~~''~~~~~.~-+:-D'i"\f..if~~;"~"'j~'n': ;-
;rr'-.~"'__ ~--~......,..-~--~~..~!,-.',< '."".",--."... ~ ...c...,.........,-
Th. C.nl., of lh. L.k. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, ," ( /l'"-j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted V
Accepted With Corrections
Denied
~ t:4r~
Date:
(L;- 2-e -~'7
Reviewed By:
Comm.~nts:
I-.wL,,~/~kQw- ~O fA:y--/~ l~Y/~~ !v8>t~
~ A\Jz ~ ('~ ~~ ~ v~~~
~\ ~c-vJ<~1
kpk~ kL.vlMk_~> /~V"'A"'I~ V~~v'oJ.
"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 1lt,'1S~ '<\;'^^'P\<.M~
TYPE OF WORK D~cl~
USE OF BUILDING SF.D
PERMIT NO. ~ <1 -s 3s- DATE ISSUED 5-/e- '7 7
BUILDER V~r~~ l~
NOTE: THIS IS NOT A tlERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING t-l rm- ,I {o-!P-99
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l'n^1BIt!.G ' I I J
RNAV~ I~: /7-,),.)-1/ I
~ Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850