HomeMy WebLinkAboutBuilding Permit 99-0530
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9- J-I-t/J
ADDRESS
44 <if I
foJII,J {/j (' "t.i 1v-tr ; I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq-Do
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
L-,L,
[:"'1 i5 A.
(j) fJ,fA 1- ~
~tl+ r.i1JSJ.r/'C
/- //1S(
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yfWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: N (;-/---0)
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NSNOTl
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
6~,/q9
Permit No.
C{q...S30
. 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
1. DATE
5/11/99
4481 PONDVIEW TRAIL
Rl
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
10
12. NO. OF STORIES
2
25-336-020-0
LOT
BLOCK
WINDSTAR ADDITION
PID
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
5. ARCHITECT
.(m~tf e~
(Name)
(Address) {J -1: .
"'Ii I roMlfI:'uv ,f.5.t.
(Address)
(Tel. No.)
"'-10 - S'q J-b
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(--=S~~~
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement de
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have fU~iSh informatio.. no... n 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 prope a that all C9psyuction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
bU.. i1ding official can revoke thi "e~r jUs.~~~se. F. hermore, I hereby agree that the city official or a designee may enter upon the property to perform. needi in~ections.
X.' ~. S-1-'1q
s~nature., ...., License No. Date' I
FOR ADMINISTRATIVE USE
Front
Back
Side
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
4,. ooo.,,t::X3 PLOT PLAN 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING J2.0~ ~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F d) I M & S U
Permit Fee ..........~i~~~i~~..~...~...~...... $ 8 '1. '2. ~
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ........,..,....................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. $
P..n"lty .~J~.,.r~~~t..-&.~$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ /30 -d S
Paid /30 ,z.... I Receipt No. 3"( f:.>eo
Issued ,.,- / e:::
Date Sft1/tj., By
This z;;'S rtify that the3uest in the above application and accompanying documents is in accordance with the City Zoning Ordir<'ance and may proceed as . quested. This document when
,ne by t e CitYfrann :qn~~u~!! a)el"Qporary Certifi te of . compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~,V1ICA/V ~ ~
I.. City Planner ate Special Conditions ff any
? cSJo
l .00
4D.OO
Plumbing Permit Fee ....................... $
MeChanical Permit Fee .................,... $
Sewer & Water Permit ...................... $
24 hour notice for all inspections 447-9850
QQ-530
Thr Crnttr of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
KG-VIN KNOX
5/ /1 jqq
;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L)LJ 6/
PONDV/6vV IRAIL-
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
{. f2eaoR- ~ ~~ r:;~ ~~~
Date:
"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."
-.......T
""~-."-'-;'~''''',""",,~.~'~'~'''''-:'!~1-5''''~''---''''-'y'~,,:.f:'''''d~.-
'~""~-"''''''''''''''M!-'''~''
',....
,"-
White - Building
Canary - Engineering
Pink - Planning
The ('enler or the lake ('ounlry
aUILDING 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:
,
- /
I ; ,I
,I ...."-. ~,. t_......
Accepted
/
Denied /) //f j
Reviewed By: CJV/7 . ~
~~
v
Acceoted With Corrections
Comments:
Date:
- DI z-
$') )d-fqq
. .
"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 4LIB\ P6V\dJ/I'e.uJ '\(;-
NATURE OF WORK .::-RC<5~,C2." fL- 'h:lA.~~
USE OF BUILDING S~D
PERMIT NO. 9<1-'J3<) DATE ISSUED T-rl..(-9C,
CONTRACTOR \<:eUi'l^t~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING ~
INSULATIO-N ~ l)l(e.
ELECTRICAL t\..'. '- -7..~-or"
PLUMBING V(~@
HEATING (if required)~"'(el
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
fA,
I~.
~.
~.
fA ~ ~9
x~ ~ -2C?
~.-G-J~
~ - 5 "'99
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
h1?
5- J-d3
rvP 5--- /-0"3
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