HomeMy WebLinkAboutBuilding Permit 99-0478
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/'5/(,'3
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULATION
FINAL
~ SITE INSPEC ON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: L. L,
~
_ "A
-~L!
DATE TIME
~:tJO
99 -iff?'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
?!?,!ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'OOpedOL ~. . Owoe,/Coolr
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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
3. LEGAL DESCRIPTION
/5
LOT
ADDITION
4. OWNER
5. ARCHITECT
6. BUILDER
7. TYPE OF WORK
New Construction 0
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
MAY - 3 ~ TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
151b~ kurfsLL, TrSE.
BLOCK 3
~Hl1l\1e~/- 1-11
5-3-9'\
12- \ ~ \>
'L5~ 1(..,-5 -04,"'-0
PID
(Name)
t[..Rl~ [.. SM.TH
(Name)
tvlPr
(Address)
/5/6'?> /(d\TSCH Tt'l S6
(Tel. No.)
4Lfl-4/ t( 4
(Tel. No.)
3B(' - (,7/8
(Tel. No.)
(Address)
CuI
(Name)
(Address)
SELF"
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch ~
Re-siding 0 Finish Baseme~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. W Y 0 o..-pPN'f-
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-tJ7B
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
16. PROJECT COSTNALUE
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 Offici~kers p~ just ~urthermore. I hereby agree that the city official or a designee may enter upon the property to perf05&7qCjtions.
-. signature License No. ' ate
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
Front
-
Back Side ~ ~e
OFF STREET PARKINV /'" )
. SPACES REO. /./
lee $ /l.1L
MATERIAL FILED WITH APPLICATION
ENERGY DATA 0
PILING LOGS
PLANS & SPECS
SURVEY
PERCOLATION TESTS 0
SETS
COPIES
,-
TYPE OF CONSTRUCTION: I II III IV UV
Occupancy Group A B E F ~ I M'@ S U
Division 1 2(} 4 I (') ~
Permit Fee ................................... $ ~ .
2,DOO , t) h PLOT PLAN
\.J~rOUght Forward
\V\'tYa~ su~ort Fee ......... ................ $
SAC .............. ........................ $
Plan Check Fee ............................. $
p ................................... $
$
I. Pressure Reducer .......................... $
/_ Y)'" Meter Hom ................................... $
V J Water Meter. ................................ $
~ Sewer & Water Connection Fee ........... $
, Water Tower Fee ........................... $
qlZ.I q1 Water Tap ................................... $
~ AJJ../ Builder's Deposit ............................ $
. / ff ... ~'1 Other ......................................... $ 10 I --
",0 Total Due .............................. $ l7-i -0{ 0.1
. J ~ Paid tc 3. '2 ~ Receipt N~..~ 70f5:"
Issued UtJ~()IO 1~3t>/'1o.. ~~H Date 17,/30//11 By A~
0-.........;,.. "... -" "'" ~"'""... -"',... - ""'.. "" """ o,.,,~ ood "'y ""'""' "",,_. Th" """"'.-
s' ed ~Plan constitutes ~mporary ~:J5r~1~1ng compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
'" ,,< ~ lanner Dale Special Conditions n any
/.1)0
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
ThiS~' t B6CO. me.s s do out..Stlildlr1ll . ermit W~ ~.J2roved.
By .~ - Date l ~ ~ -'7'7
I" .
Certificate of Occupancy
24 hour notice for all inspections 447-9850
:!.iN~';~"" TIJ~~~, <.",..", ,~~,.~)~:,.;,~.,~~~.r""l,.".,~_~.,.;,~~:o:~~~:;:~~-~~~,-~~;~,""':'''''''''''''.~~~-r"''"T~'.YII;-~:-~-~
,.IIr~*7-"'t~
. I
-. Cf-
Tho Con tor of Iho Loko Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l< I .
',_.~ f f! ! r.'~i
,
i ,Y".,
I .
.- /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /:;;-' . '-' r:.... .-; / r-) . L
, .--' .-' (. _ -- c. /'--. I '.. .17 I /<, I -
I
Accepted ~
Denied /l Il) A
Reviewed By: Cd!-:7). .;J~ ,
Comments: I ~ ~
It
Accepted With Corrections
Date:
~O/<
513/77
"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- cf78
Th. C.nl.. or th. L.k. Country
White - Building
Canary - Engineering
Pink - Planning
,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
6R./G SMITH
5/3/99
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5/h3 KOr<Ts{!.,H TR/JIL- 56
Accepted
Accepted With Corrections
x
Denied 2) t n L
Reviewed By: V&../'-'f ^'
Comments:
Date: 3=-s-- f 7'
1. ~ ~ ~~~IM~\- ~V\.l~ ~c..-~
"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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15\~:5 ~o,\-s.c.\-\ ~,\
NATURE OF WORK ~ ll. _ L t:;'"",-~0~
USE OF BUILDING ..5F-..D
PERMIT NO. cr't - tlt'JA DATE ISSUED S:S- 71
CONTRACTOR cr- t'c.. $IM.;.\-l..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,
Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
A
~~
~.
HEATING (if required)
__t:
__T
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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UNTIL ABOVt
NOTICE
~A.
51...? /62..-
BUILDING
LECTRICAL
/
/
I
I 6/3111 z.-
I
BEEN SIGNED
HAS
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