HomeMy WebLinkAboutBuilding Permit 03-0396
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
COMMENTS:
/
~ 3:.30
1..4320 ASPeN AVE:
SCHEDULED
CONTR.
PERMIT NO.
QQ-39fo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o :D.ec..t~ r-:i"o..If\:4.-
(CSJ
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROC
o CORRECT WORK
Inspector:
INSPECTION BEFORE COVERING
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
QATE A~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
APR \ 9 1999
qq... .:3q (p
Permit No.
14-7, q / qq
,
HtS[J
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS
/1-/1:1. 0
As)J/J'J Aut.
3. LEGAL DESCRI710N I - -
LOT _ BLOCK (;;
ADDITION ~I/ld 1-tJ'ILfe.. ;J~~ .;ld/tJ,4;
4.~IifER (Name) (Address)
M\'c '" ~<-I {Z \( \ \ Me r-~ PHlo \\Hc~ fW( Nt:;.
5.'.fll~n~~ f t.am~ , .. t\ ~ rC
6. B't'JILDER (Name)
I(. K,,'...Lt:'-1
12. NO. OF STORIES
PID a5 ~ QfJ5' /) S~-O
13. TYPE OF CONSTRUCTION
D BcK...
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.) (.11-
~'1<t l-I (,'"7
(Tel. No.) fll}.
p- i-- '-Ftc. LI t, "7
(Tel. No.)
(Address)
ill 3 1. 0 ~ 'i I)E N " lie tV .s..
(Address)
/,"(1to As~'" "'Ole. N~_
(J.l--
~
Septic 0 Deck K
Addition 0 Finish Attic '5 \
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
<i>I2-
"Ii (,2.../ C, 7
Re-rooling 0 Porch 0
Ae-siding 0 Finish Basement 0
t1" ( Md
7. TYPE OF WORK
SEATS
f t8CPAOJeCTCOS'f1Wtt.UE
\ "tOO be
17. COMkETION DATE
Fireplace 0
Alterations 0
New Construction 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
building o.!lfj..p:an'fevoke thi~ermit f~ust c~~wurthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /'7"P'~tk.A ~ - /~ JL--- . '-I-I 7' - ~ 9
-' , (' '~ . - 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
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUIe::~ /1-/ R-
t
TYPE OF CONSTRUCTION: I II III IVUv
Occupancy Group A B E F HIM <!e>S U
, Division 1 2 (j) 4 l5'\ ~
Permit Fee ................................... $ .~
33 . 'S'2-
.80
SUAVEY
PLOT PLAN
o COPIES
SPACES ON PLAN
I, !.o(X), 00
o
PERMIT VALUATION
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
City:
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~BecomJ., Your Building Permit When Approved.
By ~~ Date ~--:<s-1:J
Certificate of Occupancy
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ X/j. ,~--/
Paid as. 3, Receipt No. 3~-ve'2.-
Issued Date 4-/ z...t. Ie:; 1 By e/J!L--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed al'equested. ThiS document when
sign y th . P nner constttutes a temporary Certificate of ~o~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
.1/ ~ 2-
ity Planner - Date Special Conditions ~ any
24 hour notice for all inspections 447-9850
t'"~l ? ,/f (~
,I '. . ''/ Ii.
I - .
The Cenler of Ihe L.ke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i... I! i.\ i:. I
, ~_. I. . \_ \....._'"'"'
{ {;" r: -"'~_.-i
. i
APPLICATION RECEIVED ' ~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
.~ '.-
'--I
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~..J.r~
commel~L~ "to L&L-
.~ ~ To lJev--r
Ve/vJ~~'o
Date: L{ - 25 /"');
~vi-U~~
1~~-
"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
SITE ADDRESS 1L[320 ,lJsp"'A/\ live.
TYPE OF WORK ~E:-
USE OF BUILDING ~Fh
PERMIT NO. q1-3(~ DATE ISSUED l(-() ~ -99
BUILDER k/.;w...f> ~ . /
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FOOTING I ~ ,~. I )..)~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
- !) .~.,. . ~ I I
IJ
FINAL b~ ~~+--(~) I tS~ I ~ -3-19
Call between 8:00 and 9:00 A.M~or all inspections
FOR ALL INSPECTIONS 447-9850