HomeMy WebLinkAboutBuilding Permit 99-0543
DATE TIME
CITY OF PRIOR LAKE /:/5
INSPECTION NOTICE SCHEDULED &L/~
ADDRESS ILf35<;; /_IJU (S ~ Jei
OWNER CONTR.
PHONE NO. PERMIT NO. C)9- 9f3
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION @ o SEWER HOOKUP o FIREPLACE FINAL
$ FINAL VS!.L<- o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:(tJ ~ do 114Y-L ~ ~
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o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WOR1?CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr: ~
f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
Mf -ff.
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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
t 4?hS : Lc,~,
3. LEGAL DESCRIPTION
LOT ~,r:;;:; IN &tlN~ BLOCK
A-u~ AJf;lOr\f lCAb, ~~
1. DATE
5! l~{tt4
~t;.::2J4. IZI so
PID 25-t130-oe4-o
ADDITION
4. OWNER '- (Name)
t\\ \ C. ~\b\.p I
5. ARCHITECT (Name)
--
(Address)
j, (()<--It-t~
)lI\'M-L
(Address)
6. BUILDER
(Name)
(Address)
---
7. TYPE OF WORK
Septic 0
Addition 0
Deck)(
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
16. PR~JECT COSTNALUE
~ ~. L ()O
17. COMPLETION DfTE
(p /)0/01.0
rmation on is application which is to the best of my knowledge true and correct. I also certify that I am the own~r or authorized agent for
will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
rtherrnore, I hereby agree that the city official or a designee may enter upon the property to perform ne~q~ns.
License No. '5. Date
Fireplace 0
Alterations 0
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. . 4 \ 0.,,( .-e )
9. PROPERTY DIMENSIONS
Width \0C (Depth \ ~O I
(Tel. No.)
~ \"d -l{ '1 O-ly9q
(Tel. No.)
(Tel. No.)
10. CULVERT SIZE
Yes No Y
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq - 5 t,t.3
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heig~t) \' (Width)
c; q I"~
12. NO. OF STORIES
d-
13. TYPE qF CONSTRUCTlgN
:Re<; ;-J',^-l "41.1 '-)' f( .).. L~... -( I
14. FLOOR AREA APPORTIONMENT USE
(Depth) I
~~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
4
SEATS
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~.(QO
USE OF BUILDING
.ee5 A-l~
,
Side
TYPE OF CONSTRUCTION: I II III IV &'...
Occupancy Group A B E F HIM ER' S U
Division 1 2(3) 4
Permit Fee ................................... $
City:
Plan Check Fee ............................. $
(J)2.~')
qO.<.(~
,. ~-O
~l\
t)1
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
ThiS~. ~r mes vL~in9 Permit When Approve~ f
By ~- ~y..~ Date ,-1(3-
Certificate of Occupal -
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ ,
Total Due .............................. $ /0'-1. ~
Paid / 0 -I, 2... ~ Receipt No. '3 S'''3 ( Of
Date ~ /~ / i <<\ By 1:Je.< .
, ~: ""'.. "'"'"........ """"00 "" ~""'.'" _~". ".in accor dan ce with the City Zoning Ordina'nce and may proceed a#reqUested. This document when
sign the City P nner constnutes a temporary Certificate of Zoning compliance and allows construc~i to commence. Before occuPincy, a Certificate of Occupancy must be issued.
. S-~ 5'~_ - . '" ~ "k' _lt~ :
, C Planner Date V Special Conditions ~ any
I
I
i
Issued
24 hour notice for all inspections 447-9850
PRIOR LAKE
INSPECTION
RECORD
Av-e.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I LJ-sS'c;- Lot s
TYPE OF WORK Dee (,,-
USE OF BUILDING SFt)
PERMIT NO. L'7 -~
BUILDER M",.!..,.CJl-l C\tU Js
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUM~
INSPECT;r( / J DATE
t FOOTING I ,--,,' l/ l.s ~6 S - ~'ir
PLACE NO CONCRETE UNTIL ABOVE H~S BEEN SIGNED
~ I ~J I
DATE ISSUED
'- ~-ICJ -9. f'
FINAL.~ 4/ I J/-- /-1--(Ju
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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Tho Conlo' of Iho Lako Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING 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:
/. j
~,-
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I i ,,__'
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Accepted ~
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
,<)'- 2-0 -C]CJ
- .
.-
Comments:
I~~_ C~AA~"41 .~Nr-R ~ v'c.vJ~v-a:9..
I,~ \, ~ ~ LocJ:e prr~ '1 1V6v1-S,
~ ~ S\AQ-4:-~o VQ/t~ ~.,
).A.~ &.- V'--v~l\ti~ Jo/li -5~~
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f~df)LJS. ~V~u~ tIP ~'tv~tz:9vl~,
"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;-s13
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnlrr of Ihr Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M I eHft 6- L- (!.f) w us.s
.sf f3/QCj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'-1-355 '-01.5 A\!6 tv c
Accepted
Accepted With Corrections ~
Denied -
Reviewed By: (r!.Y L 1-
/
Comments:
I. ~.J.1., d~,.Ic h~ J
. Date:
')-/8-11
"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."