HomeMy WebLinkAboutBuilding Permit 99-0554
DA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~
554'lO CIeO~/7NDI2A
SCHEDULED
(;'3l)
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qc;~55r1-
o FOOTING
o FRAMING @
o INSULATION .1:-
~FINAL 7 \
/[] FOUNDA TIO
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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~~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CA OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
u:;;7/QO;
DATE RECEIVED
MAY I 7 1999
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq - 55 t./-
/)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width),
12. NO. OF STORIES
PID ~ --3~ - ()C1 ~- Q
Zn.Q add~
. OJ.: ,j
-€r
(Address)
Septic 0
Addition 0
Deck
Finish Attic 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
13. rrPE OF CONSTRUCTION
C <2a.u..r ~ ~eA
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
~~()- 6'!i'13
(Tel. No.)
(Tel. No.)
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
1 O. 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 0 icial oke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X S--/7-1;
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING ~
ks. Of
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 'D
Permit Fee ................................... $
S U
Co?- . 25"
40 .47
I.SO
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
mes Y. ur Building Permit When App!O~
Date .~-7{)
Issued
~(oo('). 0 0
City:
~
&1:,
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
24 hour notice for all inspections 447-9850
"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."
Comments:
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Date:
Denied _
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Reviewed By: U- ---4:1
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Accepted
Accepted With Corrections
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
NAME OF APPLICANT
APPLICATION RECEIVED
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary - Engineering
Pink - Planning
The Cenler of the like Country
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qCj,55'-/
Th. ('.n... of Ih. lok. 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:
55i-fh ~/20SSANDI<.A-
Accepted
Accepted With Corrections X
Denied
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Date:
!;-20-9 ~
Reviewed By:
Comments:
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"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."
"..
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