HomeMy WebLinkAboutBuilding Permit 98-1489
CITY OF PRIOR LAKE
INSPEcnON NonCE
ADDRESS
.5393
DArE nME
SCHEDULED 2./3. CJ9
I
FL-R~~/,qFF-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q~. /4-89
I
C EXlGMD/fILLING
C COMPLAINT
C FIREPLACE RI
C . FIREPLACE FINAL
C GASUNE AIR TST
C
C FOOTING
. C FOUNDATION
C FRAMING
C INSULA nON
C FINAL
C SITE INSPECTION
C PLUMBING RI
C MECH RI
C -WATER HOOKUP
C SEWER HOOKUP
C PLUMBING FINAL
C MECH FINAL
COMMENTS:
{!;,t-osfS '//1'6 F/U3" .
IJIJPJ" It). //V,4e:/ IV/TV
/.
11
I,
C WORK SATISFACTORY, PROCEED
; C CORRECT ACTION AND PROCEED
[] CO"""CTWO~ FOR RElNSPECTION BEFORE COVEIllNG
Inspector: ~ Owner/Contr: .
/7
,CALL 447-9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONilL HEALTH & SAFETYI
IIGIIon
DATE TIME
CITY OF PRIOR LAKE tl,/l-gg b~
INSPECTION NOTICE SCHEDULED
.
ADDRESS 5'Sc)3> F- l Q. 0\ S-t- <z +-+
-
OWNER CONTR.
PHONE NO, PERMIT NO. 'IS' ' 14~q
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
,COMMENTS:
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bAv/L \-r II
&,ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wr FOR REINSPECTlON BEFORE COVERING
Inspector: Owner/Contr:
,CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
OATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
DEe ~a 1998 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)
2, SITE ADDRESS
5 ; q 3 P.{?.~.e 5-l-~ f(! L. ;'~', S. IE,
3, LEGAL DESCRIPTION
1, DATE
I 0_"2. 7- q <(s
p(1
PID J. "). 0 5g · (XI:? ()
LOT
3
/)6Y.ft,.-
,
BLOCK I
f'r,~
II}'!
ADDITION
4, OWNER (Niime)
To-- C OV"/oe.tt
5. ARCHITECT (Name)
(Address)
(Tel, No,)
'tQ7-'fOQQ
(Tel. No.)
'-l)I-:2UI~
(Tel. No,)
(Address)
(Address)
J 7lb () It-uW'l; (+o~ /Jr.
v4.fr -c.VJ/f<. f11k.t. ~<;O~
7. TYPE OF WORK Fireplace 0 Septic 0 Deck"" Re-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
ChimneyO Misc, AeYlov-t!,,,,") ?.X({ ",,0<,1] ({,e.fi",cc. ....If-/-, !3rX"f.c /' 'l-,d~ ci?&....,,;:. Gf'A.(Je.--
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSiONS 10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
6. BUILDER (Name)
a~v;d 5ctiw(.lc.~ C.91'167;
If L{ 7 -- 68 tJ \6'
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. ~ -11 ~!-,
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
(116.<)'0.1 l7D
17, CcfMPLETION 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 con ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
building official can revoke this permitf,or jus use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections,
x~~"' ~. Ji:;-' ?,~. 07 I t1~~7 -<1CG
Signature License No. Date
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ...............,........................, $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .........................' $
Meter Horn .. .................. .....' ......... $
Water Meter ........,......................., $
Sewer & Water Connection Fee ,.......... $
WaterTowerFee ........................... $
Water Tap ..,...........................,.... $
Builder's Deposit ............................ $
Other......................................... $
Total Due ..........,................... $ ~3~ . 17
Paid "2.. 3 ~. q 7 Receipt No. ~ ?..Gt{..
Date (..... (f ~'"" By P B .
SETBACKS: Required
Actual
Side
Side
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
J2.€'5
A/rL
PERMIT VALUATION
8, f'Y')(!) . ~ ~
-
TYPE OF CONSTRUCTION: I II III IV (f)
Occupancy Group A B E F IH I M ~ S U
Division 1 2 Q 4
Permit Fee ...............................,... $
City:
Plan Check Fee ,...................,........ $
I ~t"} .?.s
~9 :22-
4. (">0
State Surcharge ............................. $
Penalty....................................... $
. ."".~I~v
V '\ ~~\
\V
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
uilding Permit When Approv@.
Date 12 - tl - '1;f
This
By
Certificate of Occupancy
Issued
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
~JO . '/1
This is to certify that the reques n the above application and aCCOmP~Yin9 documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
signed by ~ityPfanner t~utes a temporary Certificate of toni 1!iJ, compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued,
::::::::::. /'l/f / 'ff.J
Crty Itla ner Date' - Special Conditions" any .
24 hour notice for all inspections 447.9850
The ('enter or the take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,:/04 \I 'v
S+~6-jc.t-+ ~""">l'
IZ-~/t S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
'"
Denied
Reviewed By: f2...1!.Ji J~ 1-
Comments:
Date: / '2 - '-/- 713
I. ~ ~~ D..ec.K. I-f~ J
'2. UD da..L. ~t.--o~ cR..eJ-t:~t-$ on- 1<t'lY U~C-
, 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."
White - Building
Canary - Engineering
Pink - Planning
Tht' ('tRier of the Lake Counlry
BUILDING 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:
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~ b-i:-- ~ Date: L 1- ... / -t7 R
Comments: A~f>i' f~ t<.a <;:;, >-~V\.<. -- \. \ P -c.~ : I ~ _) t ~ 1?v>.
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"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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