HomeMy WebLinkAboutBuilding Permit 99-0810
DATE TIME
CITY OF PRIOR LAKE 8-12.44 C} ~QD
INSPECTION NOTICE SCHEDULED
ADDRESS M1fJ . ~a" ~ r-rz-
OWNER CONTR.
PHONE NO. PERMIT NO. qq - eta
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
[;NSULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
~
~
- ./', 4'" fl.~
, I
~ ~.
)
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
L 9
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
~'-\.\~
~~~~
\\"
'--,r..... <. '-....)
3_ LEGAL DESCRIPTION
LOT
b
BLOCK
\
PID 26-33(,"'0Q8-0
13. TYPE OF CONSTRUCTION
ADDITION \..-...).. ~0-~ " ~ <
4. OWNER
(Name)
(Address)
Q "-""~"-
(Address)
(Tel. No.)
\.... <;;. \ - '--\. 1,)'-4 "-\. '---\. ~.H)
(Tel. No.)
~ "-""'-~...t-"'---lL,,--~
\........-'-~
5. ARCHITECT
(Name)
6. BUILDER
(Name)
(Address)
~~~\C.
7. TYPE OF WORK
New Construction 0
Deck)t
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
Septic 0
Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2_ Pink
3. Yellow
File
City
Applicanl
Permit No.
99--fJ/o
1. DATE
~1~~/~'1
je/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO_ OF STORIES
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
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
building 9.ffici~1 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X '-...)o.~ - ~ -- '-'---~---s- \ '--\. S ~ '0.1 ~<\.I '\ '\
Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO_
SPACES ON PLAN
PERMIT VALUATION
I. 3oo.~o
USE OF BUILDING
/26.5 ,,~
I
""1.
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM a S U
Division 1 ~4 4"3
Permit Fee ................................... $ ,0(:)
1. 7.'tS-
,L.5"
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
\~
\b~t
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~t;7our Building Permit w~n Approv~.
By _ _ Date t:. 3<;;Jfy
Certificate of Occupancy
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 ................................... $
Builder's Deposit ............................ $
Other.................................. ....... $
Total Due .............................. $
-/1. &()
Paid '7 /. ~ 0 Receipt No. "';(c::r,2D
Issued
T~"" ...""'" ......,., '"'_'" """-".. ~"""""h. a~:J~~ ""' ~ T"'~_
Sl,ed b7~.i1I~nne nsf u te porary Certit:;7~~r17liance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
-rJ ' . - City Planner ate Special Conditions n any
~
24 hour notice for all inspections 447-9850
'7~':C-""~7;''''''~f;,{".>""",~~-it-",.":-,.,>-,.",;v..---..:,,.-o:Y,~~'....,.,.,"-.,..,..-,.',.,.~....-.,.~~,"C~,~~.,\;:~~__~c~ ~,"!.~._:;:~~'.li"_:.
"". - -...
. .li"';/ ..
/t.}
, .
Tht Ctnttr of tht Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/' / / / /" / '
" "'(
~~~ _...1
,.'
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;/ [~
'.
f
/
I e' :.-
I
" {-.. ~
Accepted
/
Accepted With Corrections
Denied
C1.t}{. j~
'kcR ~ j
~OJL
v
Date:
~ e-l
tv'1 ~qlq7
Sf i1n Cr ( irLJ
Reviewed By:
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." , I
9q- 8/0
Thr Crnter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
fV6;vSfV//1/VN )I(}/"1ES
(p /29//qq
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lj'-f78 POND VlblA.! I~,
Accepted
Y-
-/
Accepted With Corrections
::::::edB(~~
Comments:
Date:
(~'--SO -r~
- .
I. Re~ ~ ""P-e.c...~ k-~d'cJt
"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
SITEADDRESS 4tJl7A~SORD
TYPE OF WORK t:::ec. C
,
USE OF BUILDING ~rD
PERMIT NO. Cj{ -B{ 0 DATE ISSUED &, - 30 -? Y
BUILDER kJ~c:. ~~"-'-\.A,. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
FOOTING ~A~ 1.PJf/! I ~7' /;/. 9-9
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~.... - I I
;'
FINAL {Ac )
I ~.
I R- \L-Cf;
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850