HomeMy WebLinkAboutBuilding Permit 99-0587
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUL~D
DATE TIME
{I -.;(J 0 i'l
OWNER
ADDRESS J 5 (.( I(~ St. SE.
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1l$. FINAL ~
o SITE INSPEC~N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
97-6~'7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/7\.4, ,Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN A,E:>YANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/IVSNOTl
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QATE R~EIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
MAY 2. 0 1900 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 at bottom)
, -
~~SS ~{\e~~~(S ~~ SL
3. LEGAL DESCRIPTION
LOT '1 BLOCK
ADDITION S ~ ~~ \:)
4'SO~..Jr~t..S-l~c.j ti<... (Address) ~A mv
'.DATE
e-~o-q q
~/SD
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(}5 - I JI.o -UU I
PID <9.A-~l.-A n bel ~
5. ARCHiTECT
(Name)
(Address)
(Tel. No,)
J.P-fr-t- ~ I e 6
(Tel. No.)
6.8UI\.DER
(Name)
(Address)
(Tel. No,)
~ ~t... (:
7. TYPE Of WORK Fireplace 0 Septic 0 Deck 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0
ChimneyO Misc. a.o.... '- ~~~ - O'-ft A7) ~"(")
8, PROPERTY AREA O~RES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
10, CULVERT SIZE
Yes No
1. White
2, Pink
3, Yellow
File
City
Applicant
Permit No.
QQ-sg7
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO, OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
te:~C~~;'ALUE
17. COMPLETION DATE
I hereby certify that I have fumished 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 ~,'II C( conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
:Uildin9 ti~pe~s~ore. I hereby agree that the city official or a designee may enter upon the property to perfo5!';;,~i79ti~.
t ) S916W'" ' Ucense No, 'Oate
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Back
Side
Side
Front
j
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
R.E:.S A / f2...
I
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION :2..0(.1:;. cx:J PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I 11 111 IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
,C{. 7~
Plan Check Fee ............................. $
1.'2.-<
State Surcharge ............................. $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... ~
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $.
Total Due .............................. $ il. (){)
Paid ?6. 0t7 Receipt No. .. ~ '" ~S" (0
, Date4~/,,~ By ~
request in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce and may proceed tJ::quested. This document when
_ er c nst~ut~ a temporary Ce~o~~comPliance and allows construction to commence. Before occupancy. a CertWicate of Occupancy must be issued.
Crty Planner e Special Conditions ff any
Penalty ....................................... $
Sewer & Water Permit ...................... $
ur Building Permit When Aglroveg.,
___ Date S".2.'C-?7
I
Issued
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24 hour notice for all inspections 447-9850
T
q 9-- 56 7
White - Building
Canary - Engineering
Pink - Planning
Th. C.nl.r of lh. Lob Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
..J oHN/.:::ru arm f-!U eft::-
5/2-0/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~5bc, K/\/6/9F5W S c0l
Sb
Reviewed By:
R Accepted With Corrections
(2Y(l~y~
Date:
~-21(-7c,
Accepted
Denied
Comments:
~ j:<pr,~ ~
"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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White - Building
Canary - Engineering
Pink - Planning
The ('enler of Ihe l.ke Counlry
.BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED,
,/
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i / / T I ,'<..:..,.
"
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
::~~.- .;;~ (/
,/ /'" / ,.t._ -' C J
,-'. ~-'-
~,
Accepted
v
Accepted With Corrections
Denied J
Reviewed By: ( . t;?5. JV1a1 .
J{/fI/ach- Of-. ())' fn;rJ ,If)' ><it/, ~
I ~
~~ -t:fL. fMfoJed ~ -DIL //1/lA) fM-(r}.
Date: s-I;;)'-/ /97
Comments:
"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 . DEPARTMENTOF
~ BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS fR5M.p ~-kpJ< ct .
TYPE OF WORK G:..?~ l-e~~. '"^--- l7...0 er-
USE OF BUILDING
PERMIT NO. .q9 -~ PJl DATE ISSUED ~- -z. '(-ere'
BUILDER It uc(c
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FINAL
f~11fJ J 1/:;3 ~c.,
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,
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
f..-. l r 1 i-I I
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
, .