HomeMy WebLinkAboutBuilding Permit 99-0544
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 59 2..5
OWNER
PHONE NO.
o FOOTING
o FRAMING
_D~SULATION @
~FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo t
COMMENTS: cr ecJL..
rY~
DATE TIME
SCHEDULED
~-f5-'1q lo:$o
Cwoywd
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CONTR.
PERMIT NO.
QQ-5W
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
-h ~\SPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~;OR R".S"CT"'" BE'ORE COVERING
Inspector: ~r' v Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
UAIt: ttt:L.t:IVt:U CITY UF PRIUR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
MAY , 3 \999 ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
QQ-5W
Permit No.
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
5q 2 t> Ce&ar vJoocJ <:; t'r~e+ N S
3. LEGAL DESCRIPTION
1. DATE
4-28~qq
Pr-/C r La-Ice PilED
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES -1. .
$p \. \ \ e,,'eJ
13. TYPE OF CONSTRUCTION
Dee. k P~b(.ukf.
14. FLOOR AREA APPORTIONMENT USE
8 )< I ';L
R.Ff'!...-/tlG {)r;c K E'f.."(~t~ t
R ~S;).050 170
(;; t-J q BLOCK 00 d- PID
Sa.fVi1.o6int .- .~n.& l""1..&dLHol'\
LOT
ADDITION
4. OWNER
110'1
5. ARCHITECT
(Name)
f3. f)e~O{'Clh S .
(Name)
! I (Address)
v.c h 1\ () Co!. tlw ,
(Address)
(Tel. No.)
fo 1.).Aj t/S-- {, II ~
(Tel. No.)
'i
J I I ,.LflAddress)
V() II rU_')I/i.J7t:.~_
~<b-os
.'1.......
<It/St,lti'
6. BUILDEF\-::> .
(Name) 1<0 Y
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS lj
t
SEATS
16. PROJECT COSTNALUE
1/000.00 e'>f-:-
17. COMPLETION DATE
"I, /91 Or" SC'()(le;(
DeckJl(.
Finish Attic 0
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
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
bUildiC\'cial can revoke flis pe.~e. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X L'\JIL.~r > S-/3-'9
~ - Signature License No. . Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
Front
Back
Side
Side
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION ---1,.oo~ .t:)~ PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
~6S ~/"e
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer ........................., $
Meter Horn ................................... !t.
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... :I:
City:
34.~S-
~ ? S~
'.50
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Jtrp~~
lI")
Plumbing Permit Fee ....................... $
. Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ '.\~
Total Due .............................. $ } l - U 1
- Paid 57. e~ Receipt No. 353 z.. (p
i6sued / Date ~h~/~ By;1fitl--
This is to certify that the request in the above application and accompanying documents is in accor9<ffice with the City Zoning Ordinance and may proceed as requested. This document when
Sig~y~.l>I~ner <Enst~utes a temporary Certificate of Zoning compliance an allowsYns~~ction to commence. Before occu ncy, a Certificate of Occupancy must be issued.
~~_ ,.I\.UJ-"'~ _1I~~ f ~ ...
City Planner Date Special Condlt,ons ny
Buildina Pe~~~A~rPl'~'
. Date ~77
24 hour notice for all inspections 447-9850
tJ?-5r1'-!
Tho Con tor of Iho lib Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/COV VOI-/N'CJUTI</t
5//3/qer
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SC1z5 ef:;:;u~J.?W()OD S I .
Accepted
Accepted With Corrections X
Denied ~ '7// c7'
Reviewed B ( ~ ~ />-
~: v y
Date:
~(C;-77
,
Comments:
e,,-c.d ~ ~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,"
~"""~":__" ___.~ -"-_...__....-""L~ _ ..-'-"''''''_.~ .~7__.__""'"""""'_"~'''''''''''''''''~~'''"'''''''''"'
White . Building
Canary . Engineering
Pink . Planning
The Cenlef or Ihe L.ke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CI-{fCKLlST
NAME OF APPLICANT
APPLICATION RECEIVED.
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/;"t-;,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
".-~- j (L,.'/
-7"-
Accepted
r/
Accepted With Corrections
Denied
Reviewed By: YLAA j,L\""7"~ Dale: S--W -"'Ji:)
comA;L'~ '\1'0 C~.-+ $,"~ }W't-->t1
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liThe 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 592C;- ~t.&Joo~ 5f.
TYPE OF WORK .J2ec~
USE OF BUILDING SFD
PERMIT NO. 97 - 5t{Cf DATE ISSUED -Z;--/7-<( 9
BUILDER J!rJ~'QDJ.J+l~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
, FINAL
-
M ,{;~,,/~ I
Call betwe~n 1/:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
I
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