HomeMy WebLinkAboutBuilding Permit 99-0550
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED,
!j )LJ.q<:{
ADDRESS
3/gr L~ u.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
<( '1- SSG
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o 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 GASLINE AIR TST
o
COMMENTS:
~~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 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 & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
IJ..- ?-1q
ADDRESS
.3/ ~1
L~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'17'-~5S0
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~O WATER HOOKUP
~ INSULATION", . ,A 0 SEWER HOOKUP
/""0 FINAL r"'.- 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Oh
.
r_~ _b/O
"- ~ORK SATISFACTORY. PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/V/'-- Owner/Conlr:
Inspector:
l:AU, 447.98sn FOR THE NEXT INSPECTION 24 HOURS IN ADVANC~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
H \3
_.._.._-,._---~-_...._-----_._...,...-- .-
-------~._._,.'._.~.--'_. _..._..~-- ...-------"'..-..-"---.-
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
MAY I , 1999. TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
. IlIRECTlONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
::SIRe;
LrJ~
Cf'.-
3. LEGAL DESCRIPTION
5/
/VO/€7}-ftVooO
1. While
2. Pink
3. Yellow
File
City
Applicanl
Permit No.
C/Cf - 550
1. DATE
s~ I f/:~ <1
1</5D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
tH~ht)\ qtt~ (5e~ I
12. N~OF STORIES
LOT
BLOCK
PID 25"'/'-1/- 030-0
--~ 5~c,,,"~# L~~u:m
7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ Re.roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding ~ Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 1,. 10. CULVERT SIZE
Sq. Ft. Width?O Depth Jro Yes No
I hereby certify that I have fumished in ation 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
t all n ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
se. t-lJ111ermore, I hereby agree that the city official or a designee may enter upon the property to pe.:sneeded inspections.
/ :~~Cc) ~~~NO. -~Y- cu.
ADDITION
4. r.NER J"' (Name) (Address)
/lAa vA~Ja(j-
~5 I..~
5. ARCHITECT (Name) (Address)
6. BUILDER (Name) (Address)
x
(Tel. No.)
13. TY'Ie OF CONATR)lCTION
L J 0 1'-.1/.("
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
~CJ. I 7 ( r
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
75DO~
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
8ack
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~JOl'J") .0("")
USE OF BUILDING
12.6S ~/R..
,
TYPE OF CONSTRUCTION: I II III IV (V 1-
Occupancy Group A B E F.lt I M ----61 S U
Division 1 20)4
Permit Fee ................................... $ elJ .1..\
5&.. /7-
2.00
City:
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
~~~
~~
If)
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... ~
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Thisf):I~lf2n Be~~ding Permit When Approved.
By 0... 11 I'5e:..:. <;tg~ . vu. uun' Datet:; _ t ~ -91
~ I
Certificate of Occupancy
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
CLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... ~.
SAC ......................................... ~
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ ~
Other ......................................... $ It '.C-c l' I
Total Due .............................. $ I.'.J.
Paid /cfr."11 Receipt No. 3.s-1 r1
Issued .
T~i' 0 certify that the equest in the above application and, ~__~"""o """"ore'" ..c:;oo;~ItJ1:.;,. ~y":: 1!!~ Th"__
s' ad)~ Pia r constitutes a temporary Certificate of Z~1 ~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
, ~/ ).-: t?:'" I)..
., - City Planner' - I -Date Special Conditions ff any ,
(,
24 hour notice for all inspections 447-9850
~".,.....,
"f~1~;"
~~..~.;-! .
-~
.~
''''--t
..
--~,.>'
.II
The ('enler 01 the like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ It,..
;'- I, (
.~... /
s:-~. i.
,.-
i l.,''..
-'
,
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J........
./ j I
,(....- ' / .~
! i
,-. .- ,.....-...
...
Accepted
v
Accepted With Corrections
/' I
! i I
Denied ) )
Reviewed By: l 91. :'}f'tO/)
~~ ~ I ~ :,.J r..--/1 _ ,r (II -
Comments: A}~ ~vo.J(. (,0 W W/~A~ -.
I ~cf)(r'n J/ OLI. ~ 0 a. (~) a flaws h)/' 1)-7~. mcroc(vh~-7/5~
'1k:;rT"'r,~-J' .r:l::teI&-- ~~CdfuJ Ovffro A /1 'fD M YN)LJ. fhc~ S '.- Ok-
~dL~ ~Ju:J -6/2.., ~5'/LIO-r.~' ~t(J)-OJL-
hVO ~rtJ I tufI1f~ ~vd ~\;~
Date:
t!)/;;' 419~
"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- 50 D
Th. C.nl., of Ih. tab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ i rvt S~;-fM I T2:: (!.,Of\! b I :
5" //q;./qq
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
316q LIN'06N cle.
Accepted
Accepted With Corrections
><
Denied 2) d:J /
Reviewed BY,( ~7A:..., -
Comments:
Date: c.;- -18 -9'7
I, (2ecccS) ~ t)Q~ l+--...Jt 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
TYPE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED
BUILDER
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BelOW
THE PERMIT IS BY SEPARATE DOCUMENT
""'
I FOOnNG~ r, If' 1 ~. 1(>3-9')1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING J L
I FINAL ~) 4..( ~- 1 &Y 16 -/~~9;9
-, ,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
INSPECTOR
DATE
--.-,,-. '- ._~- ....,-,...-.._-,._~-~ ...
l