HomeMy WebLinkAboutBuilding Permit 99-0567
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ ~ >7 z,
OWNER
PHONE NO.
o FOOTING ~
o FRAMING
o INSULATION A
II'C FINAL ~
b FOUNDATION
o DEMOLITION
o FIRE PREVo
DATE TIME
SCHEDULED 6-c;- 99 2.~ 00
!II(~ Jl / fl..
CONTR.
PERMIT NO. qq- 5c'o?
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXCIGRADlflLLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS: ;:-z II a/~
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l1' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ : 9 FOR REINSPECTION BEFORE COVERING
Inspector: r>>:l-""{ 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
QAIF RECEIVEQ
NAY , " 1999
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 ".J . \
i4'57-2 (Y\(.(,~~\t"l(. <;E
3. LEGAL DE~SC PTION ~1
LOT BLOC~ ~
ADDITION _ CL/!"I/lf/ld De<<. cIt
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
Cjt; -50 /
1. DATE
i- 2 i5~ 11
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
ie/SD
12. NO. OF STORIES
PID 025 -/3<i- olf-t)
4+!:!. ONU1
4. OWNER (Name)
'Se4Y\ ?>4{"l.e~S
(Address)
''l'S"ii M",p4."". st,
(Address)
5. ARCHITECT
(Name)
6. BUILDER
(Name)
(Address)
7. TYPE OF WORK Fireplace 0 Septic 0 Deck)(
New Construction 0 Alterations 0 -'":") ~~~i~i~~, ~iSh Attic 0
Chimney 0 Misc. f-(.., \K_
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
13. TYPE OF CONSTRUCTION
(Tel. No.)
&n. -1.\'-10"' '1 01.-
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have furnished infonnation 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 men' pro nd that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offi al can revoke this 't for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
X
License No.
Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
BUilder)&e~VlL""""0;;"~V'" $ -0 .Dl> fA 5 - /y-1f
Other).;..........4.w.................. $. ,~~ .
Total Due ":"'.'7." ........................ L!I_L..f< ,<;if
Paid ~'hf" '1' Receipt No. -S r} 4.tf
Date fL/v/~'1 By ~
. . fA
~ certify that th request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~ requested. This document when
(I9ne:r~ PI er const~utes a temporary ce~).Zj1~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
---I/" .,. City Planner Date Special Conditions ~ any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
IZ.6 s ~/ R-
PERMIT VALUATION
I, 6()(') .r)(')
TYPE OF CONSTRUCTION: I II III IVG
Occupancy Group A B E F _I{ I M--q S U
. Division 1 204 -r is-
Pennlt Fee ................................... $ ~l&> .
';?L,.8cr
Plan Check Fee ............................. $
.10
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
~
61jJA
MeChanical Pennit Fee ..................... $
Sewer & Water Pennit ...................... $
Gas Fireplace pennitift....... . ............ $
Thistflt. ecomes r Building Pennit When ~Jjve~ C
By 'r. . Date r-. .c1--{ L
---' - . I
Certificate of Occupa
Issued
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
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 ................................... $
24 hour notice for all inspections 447-9850
,. < ,.,..~. -ow..... 1V:-:-
~~"'Y"'.
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Thr ("rnlrr or Ihr I..lkr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,_/ '--
Accepted V
Denied ) J ..
Reviewed By: (rJ (J{ ~ D:e: 51,;) '1/ 91
Comments: !Jn8ftdlll/J uldJ d/Jv Oh rJ<i/~1 #tn _.tA/4 c;;;t-
dLd- A.1f't{~ - ~/L;W /1UUr~G0.-
oJ; ~ oU ~cJJ uJ~ r1fF~v?-'
Wf.A"O ~~~
Accepted With Corrections
I.
"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."
"
99-507
The Center of the tlke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
SErtN t3/TIe/'lES
5/1q /q7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4572. M/lP&E 77<Pr/L Se:
Accepted
Accepted With Corrections x:
Denied I') 1;;l /J ____
Reviewed By: r/ft~~ -
Comments:
~~ i:kck ~~
Date: :;-:2/-7)
/
"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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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF .
BUILDING AND INSPECTION
SITE ADDRESS Il/~1 J. M oltAe ~t-,
TYPE OF WORK .-J<~~\~,.~ A ~c.t
USE OF BUILDING SF!:)
PERMIT NO. '1'1 - ~ (,1 { DATE ISSUED $""-24- 9)'
BUILDER \?y." rtAa_s.,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
)NSPECTOR DATE
FOOTINc("B)Q,.~\Sa> I ~r, I &,-t{-C;~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
"..,
FINALf~) tJWj ~ ~ I ~ I t, - 9- 9'1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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