HomeMy WebLinkAboutBuilding Permit 99-0542
...TV OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
Z-~-99 A,r:
ADDRESS
(~ 150
])~L UltT -AIle,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qCJ - 5t.fZ
o FOOTING
o FOUNDATION
o FRAMING @
o )NSULA TION
lSJ/ FINAL
o 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
COMMENTS: ~et>>- ~\ O~MJ,\.
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LRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT vr3iK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QATE RE~
L White
2. Pink
3. Yellow
File
City
Applicant
5/13/'19
9q-542--
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
s-- ''3-'1'1
R2....
d-.Sqa:).. \~ct 0
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS
l ( 1""\4 ~C:>
Av~
Ou\ l ')-\-"'-
3. LEGAL DESCRIPTION
LOT ~erF5 liJ BoOtJO 5
ADDITION
12. NO. OF STORIES
BLOCK
PID
13. TYPE OF CONSTRUCTION
4.~~\ ~
5. ARCHITECT
(Name} (') l _, (Address)
~l~", "e.~Nn+- l~
(Name) (Address)
(Tel. No.)
DcJ..UV\w.. 447 -.,)4~
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
~Lft)- SIE%
<:.... f'
(Name)
(Address)
6. BUILDER
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
:r~~fZ~~
4J..'lS' Co~ 1'\j..V~
DeckQ'
Finish Attic 0
SEATS
Re-roofing 0 Porch go'
Re-siding 0 Finish Basement 0
Septic 0
Addition 0
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
1610t5;~LUE
17. COMPLETION DATE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
I hereby certify that I have furnished 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
~Uild~:01 ~~n~ke~s ~~se. Furthermore, I hereby agree that the city official or a dLl~sytnter upon the property to perfo~~l~~s.
\~ Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
Front
Back
Side
Side
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
--.l2G5 A-/L
,
USE OF BUILDING
I .:; .1') /"'Y', . ('~ (J>
PLOT PLAN
o
PERMIT VALUATION
"...,.
TYPE OF CONSTRUCTION: I II III IV~
Occupancy Group A B E F A I ./or. t) S U
. Division 1 2 V ' I 1 e;;
Permit Fee ................................... $ 7_ 2Lt.
I <{ L . 09
7.sn
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
~ ~~
,,~
CJU-
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $
Paid 3'7 e. :3 4- ReCeiP~I<J9.. 5'1'.1 4-
Date ~ By .
This is to certify that the r~uest in the above application and accompanying documents is in accordance with the City zoninl Ordin ce an may proceed a equested. This document when
nst~utes a temporary ceK ~~Pliance and allows construction to commence. Before occupa cy. a Certificate of Occupancy must be issued.
la~r - Date Special Conditions n any
GaS~FirePlace Permit ..... ../........... $
This p" mes ~r Buildin9-Permit Whoo..APproved.
By j~ Date .6 - 7()-99
/ '
Certificate of Occupancy
~ l';S.-;4
Issued
24 hour notice for all inspections 447-9850
'-~---~-;.r.",.
~...------"" '....... ~ '''..-.......-. -'-
..
The' ('tn.eor of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPI.,.ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{ ,'- / -'
ri ../ i
( , /"--\
.' / I /(<' t";
I . ,........ ?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ !. /'C'
! ,/ t.. "_.! ,/'
\ ' . -r"J"i I I '. ~-'
L~i LiT i -} l f:, .
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~.l~
Comments:
Date: J ~- ~ -1.t:::)
~
"
.,'
"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~5Lf?
Thr ("rnlrr of Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JOHN C-/tSItNOvA
5//3/q9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&4-30 DUf-uTH Av6.
Accepted ~
.J
Accepted With Corrections ./
Denied /) /J!l I _
Reviewed By: (;{' f/~~
'- )/
Date: S- ---W -~g.
Comments:
"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 Il..c/l-S() Dutu~ Ilu--o
NATURE OF WORK Pt:>~L.. cr-- t)~c t<:::- -
USE OF BUILDING '8 ~G
PERMIT NO. q~ ~fJc{? _ DATE ISSUED ~ 20 -9..--9
CONTRACTOR ("() ~t1-A.('n.J-e.t CoI'I,,"^~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,
I FOOTING M..~~tyt4"J
I~~
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
I " - J8Sf 't
FRAMING ~ ~.~~"
INSULATION
ELECTRICAL
....
. .
---:~~ -- __7:.0 -
,
.-
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
P!1N
u,
r- ~~ --1/
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850