HomeMy WebLinkAboutBuilding Permit 99-0588
~/
CITY OF PRIOR/LAKE
INSPEC~19N-1\lOTICE
DATE
TIME
SCHEDULED
U:ov
//
/ ADDRESS 5'17 D
~,7-qq
C~~~ Sr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq - 585
o FOOTING 0 PLUMBING RI
o FRAMING~ 0 MECHANICAL
111SULATI 0 WATER HOOKUP
FINAL 0 SEWER HOOKUP
FOUNDA 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo J ( '. r 0 SITE INSPECTION
COMMENTS:~. 1i~~O .
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o EXC/GRAD/FILLlNG
o LKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WJJ;:;)AL~R REINSPECTION BEFORE COVERING
Inspector: ,fP--I-:{ ( Owner/Contr:
I
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
j-----.--.---.-.--
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
5~G1/~
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
t;l1,rJ LP-O~A~DU
3, LEGAL DESCRIPTION
4
~.E.
s-
LOT
BLOCK
'-I
PID ;2.5-322.. - Oz.e-O
~7N AOON'
ADDITION
4. OWNER
"PAVL
5. ARCHITECT
t,AIeO, AlA t.-
~ I Ot4 ~
(Name)
C~rN
(Name)
5"170
(Address)
c..2.o~.r f(.,uIJ!u;
(Address)
6/ BUILDER
(Name)
(Address)
:ff> wOODFl' I e.~
7.,TYPE OF WORK
New Construction 0
eI
A 5..>QC..,.
Septic 0
Addition 0
Dec~K"
Finish Attic 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8, PROPERTY AREA OR ACRES
Sq, Ft.
9, PROPERTY DIMENSIONS
Width Depth
1, DATE
siX) / ~'1
PUs.o
(Tel. No,)
(~r:l-) -i'-f-r -0'1 CJ<::;
- (Tel. No.)
(Tel, No,)
(loli) ~T- oqoct
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.
9CJ ~58e
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
......
&R~JECT COSTNALUE
'" lroo
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 will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
:uilding official ca voke t 's it for just cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo,;i~i;qections,
license No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
If?e- S ,<l//L
,
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
?4.t"7C;
48S~
( .S-O
Plan Check Fee ........ ..................... $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
::~'m . P I :..j:;;;;;;:"'Wh"lWfNW
By Date C;,. /.y-'-f'7
. /
Certificate of Occupancy
Side
0/la') . C) 0
City:
~~
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
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 Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ : ). I ~ I:f
Total Due .............................. $ / 0<. ~ <
Paid IJ4 < ~Lj ReceiPtNo.353f::t7
Date 5!dI/tt'r By UJ4A)
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 as req~ed, This document when
sign y the City I ner const~utes a temporary Certificate of Zoning compliance an 1I0ws const 'on to commen Before cu n rtificate of Occupancy must be issued,
AAA ~-1-f.~
G City lanner Date
Issued
24 hour notice for all inspections 447-9850
... ....-., ._.~ ~ .
',. ,,-,,-., '~o:'""'.,-"""ii'
Th. e.nl.. of th. L.k. Country
White - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECK~IST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'- i I
p.-:
.' I
Accepted
/
Accepted With Corrections
Denied
~l~
/
Comment:=;:
k~L\'~/rS,^:1J1v- <::fO La~ ~
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A .
!lIM lkpvJt0-1 /~NP~.Mt-~5 {8fiL)W'~'
Reviewed By:
Date:
, ~'"',- L~-C]q
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."
-.'
qq- 566
Tht Ctnlt, of lht Llkt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
PAUL CARN~V
5/20/QCj I
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5970
~OSSANDJ2..11 s-/
S6
Accepted
Accepted With Corrections ~
Denied J
Reviewed BY:(;~ () IZ_ /~
'- - j/ ,
Date:4:"-2q - ~ f
Comments:
I. ~o.ct ~ dor~ ~. 0-z...~
"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 ..YD() (I}~~
TYPE OF WORK ~F{C-
USE OF BUILDING ~~ \)
PERMIT NO. 19 _ ~-Pl~ - DATE ISSUED 5" - ;(') - Cf ~
BUILDER ('hr\lUl..A
NOTE: THIS IS ~OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING ~ ~~) I i!r-Ji I (p - / - 97
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNsg
I 1-
-
~--~~~~
.-
~ FINAL tl\.\~ tJ~ I" :frfi ... 10" 7- 19
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850