HomeMy WebLinkAboutBuilding Permit 99-0559
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS '4180
Co ~ft'\(AU
k
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
ID lSlTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
7fi~ ;;
Ofq - 55q
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
h~
OR REINSPECTION BEFORE COVERING
Owner/Contr:
INSNOTl
U/REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom) 5-17 - 9q
2. SITE ADDRESS StI / re /00
?,,6//f L./'1~5 #/11 e I
~
PID .... 14" -004-0
DATE RECEIVED
MAY t 7 1999
/
3. LEGAL DESCRIPTION
4;' ~
BLOCK
I
LOT
ADDITION
4. OWNER (Name)
$U ..-1'PIt! K PA'd.
5. ARCHITECT (Name)
(Address)
(Address)
6. BUILDER
(Name)
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq.- 551
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heighl) (Width) (Depth)
12. NO. OF STORIES
/
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS I
1"7"7- / ~ 33
.--
/~NY
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
--..--
/#'6't
Fireplace 0
AlterationsJ(
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. ~JECT COSTNALUE
0/' --?/ tl'tf'" . t::' &?
17. C MPLETION DATE
9. PROPERTY DIMENSIONS
1 O. CULVERT SIZE
Sq.Ft.
Width
Yes
Depth
No
~-5~
mished 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
rty a 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
thi rmit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
~~? /t:?9
License No. ' / Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
I / (!...
,
A /1?..
,
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN ~~ SURVEY 0 COPIES
PERMIT VALUATION PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F,..tt I M
Division 1 2(J> 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
Gi)s U
7Y.1:;-
48.54
l.sO
City:
Penalty ....................................... $
~
6\i~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
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 ........................... $
This is to certify that the r~uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed equested. This document when
signe t e City PI const~utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
1!) -2.6--,...qq
anner Date Special Conditions ~ any
24 hour notice for all inspections 447-9850
i'
f .
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(l'
.Ii
"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."
Denied
Reviewed By: ~~
Comments:
.)' - :2-4. -C;~
Date:
Accepted
Accepted With Corrections
v
t > ;
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 ('tnter of the Like Country
..
""---.--'------..- -~'9!11"_""'4 4."~', .,~
......--......
~.;'lf'I'{~...'"'"'..~......-..,-~-..-.....'..--.~.,-~.,_--
~..,.
99 -559
White - Building
Canary - Engineering
Pink - Planning
Tho ("on tor of lho I.ab ("ounlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/24 Y LE4Tl-16/Z.S (/10V.4~A6e ~11v'6~
6~1/q1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ij/80 C!ol'1n6AZ~6 Av6 I/E
Accepted ~ Accepted With Corrections
Denied q /JiY 12-
Reviewed By: c;;:~~ Date:
Comments:
szo- 9 S
"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 ~lcaO ~W\'u-c-e... A\H" .
NATURE OF WORK :LVI\. A\\-o-o..\\ClV\
USE OF BUILDING
PERMIT NO. cr7 -s,>/ DATE ISSUED S"-26 -1!
CONTRACTOR .n~ (--e....
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections'
FOR ALL INSPECTIONS (612) 447-9850