HomeMy WebLinkAboutBuilding Permit 98-1373
ADDRESS
/45 ~ "1-
DArE TIME
SCHEDULED 2;'3.09
I
G&e/vo~~e;-
CITY OF PRIOR LAKE
INSPEC'TlON NonCE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qg. /37.3
..
o FOOnNG
. 0 FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o .WATER HoOKUP
C SEWERHOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlfILLING
o COMPLAINT
o FIREPLACE RI
o . FIREPLACE FINAL
o GASUNE AIR TST
O.
COMMENTS:
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[J WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
[] CORRECTWO~OR RElNSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
l'l '
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH cl SA.FETYI
INSfiIf1TI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I Ho~~8
q....1t;
ADDRESS \ 4 5 LJ.lJ
GJe.t\~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q~- /373
o FOOTING It.
"'P. .~, MING ,-
A INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
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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Inspector:
Owner/Contr:
CALL 447.-4230 _=OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE(~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~
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DATE RECEIVED
-!-zU(-(~o~L 19~-7d./
CITY OF l!,RIOR LAKE. . .'_
BUILDING PERMit ~ 'Or"-.. Ju ~/Y'''Cl(llo-,
TEMPORARY CERTIFICATE OF 11.1 /11/\1
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No.
1. White
2. Pink
3. Yellow
File
City
Applicant
2. '\99~
qr;>- 1373
, .;,
, 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
/YS il Lf
0(~
I
t;~At -(!_
1. DATE ~J
/j-2-'J~
~Sf-
3, LEGAL DESCRIPTION
LOT
i
I
"- 'I BLOCK
On~~_a~
PID ],3' .4-0 ;
1st
ADDITION
4. OWNEfL-r- (Name)
\ \..1"''''' V\ Le~ e?\.l../
5. ARCHITECT (Name)
(Address)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER l'~ (Name) K~
G/~ (!.,,(;- ~
(Tel. No.)
t.ftf7-;)'CJS ')
( ~
r~ 0 (Ad~ (~.(I1/ r 4-v-f tJf> No.) 5 '1(; J 5. UMBER OF OCCUPANTS OR SEATS
/'" / / ~ r,- \1 13 -' CUPANTS
roo{~ UP, rnA/ ~., u l.(J..7 ~ co
Septic 0 Deck 0 Re-roofing 0 Porch 0 """'"---- ' EATS
Addition 0 Finish Attic. 0 Re-siding 0 Finish Basement 0 16. PR~CT .s;pSTNALUb tJ
~:O~~/;A.p./l /.1-')'" h ,/\ _ ./ 't) J 'r/?'j 0 =--
9. PROPEFftv DIMENSYONS 10. CULVERT SIZE 17. COMPLETION DATE
(Address)
(Tel. No.)
7. TYPE OF WORK Fireplace 0
New Construction 0 Alteratio~
Chimney 0 Misc, , C'~,-...,.._
8. PROPERTY AREA OR ACRES
Sq. Ft.
Width
Depth
Yes
No
I hereb certify that I have furnished information on this application which is to the best of my knowledge true. and correct. I also certify that I am the owner or authOrizepa ent for
the ove sntion d m and th13i1l construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware at the
bui di g offi ial can 'Iff; permit f r. st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed insp ons.
X 't"'^(' I 7 'j ~ ~/ . C)
I Signature License No. Oat'
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ .r!) C)
SURVEY
PLOT PLAN
o COPIES
USE OF BUILDING
R.I.~ ~
o
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM ~ S U
Division 1 2 cj 4 ) 25:
Permit Fee ................................... $ / '3 .
8 '{. 7-2
4.00
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Plan Check Fee ............................. $
~I
State Surcharge ............................. $
L
Penalty....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. <I:
Sewer & Water Connection Fee ........... <I:
Water Tower Fee ........................... <1:.
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $ Water Tap ................................... $
This ~i~<WBecomei Yow:.BlfiIding Permit Wh:n Appro~d. Builder's Deposit............................ $
By ~~ ~ Date /1 3-7r; Other ......................................... $
C 'f. fOe (j Total Due .............................. $_.'2 ~ O. U~
ertllcate 0 cupancy '13
Paid ~ 01 Uj, Receipt No, ~I...! 1 ~ r
Issued I ~ J I' - -
Date 1/. S' ' 9 By .-y/
This is to certify that the request in the above application and accompanYing documents IS In accordance With the City ZOning Ordinance ~n may proceed as reque~. This document when
signed by the City Planner constnutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447-9850
9,f '1373
~
White - Building
Canary - Engineering
Pink - Planning
Thr Ctnln or Ihe Like Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
?:';/l -IrL.~ ('~
iI/;/~1
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IY5vy
(;(~~ ~ rv
Accepted
Accepted With Corrections <
Denied
Reviewed By: () f2 4
Comments:
/. Her...tLrs ~ hp~..... r ~ St,.....ub.,..cJ. _ ~a....c..'/'~ S L.{( b..e
St2€.J.. ,'\A ~ t.'-eld Loj lu..s,i2.a..c.b.r-
'0 Uf~- s~6_rP~{-ec-,~s ~ Ur?c-
Date: II-? -Cj8
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CIeactot. may be .....
by the Buildi"" ~ In
exiating structures.
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;bptn:J iooms.
"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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DEPARTMENT OF',;,. .'/.':~i".\;";r,,.,
BUILDING AND INSPECTION:,' .
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~RIJ(JMBING'~;;:;.!l'::~,*:;' .
;;;"~t"ttr""''-t.Ac,iV'"~''''' .:' ,'-"... "":"'~' "':" ':1":,>:,:,,. ;-
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~tNOT::~!OCCUPY:: UNTIL ABOVE,,)::HA'
:/"~~f:\!": '., ..... ~ .., .
'.':;" NOTICE <.","
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r'must be posted near an electricalserviceca~i'r1ef:v ... .;'
'Ihtainttd:',until .:aU i. inspections'havebeen..-a'lSp"ov~.. ..,'n1'i)(i
;O;~~~i~~~bi~efiS'~~~i1ab,le, c~.rd Sh,all~e'p'I~~~i~~~~~#;\~~:;~'f;;i ,"'.'
,..:;, . Call between 8:00 and 9:00 A.M. for all inspections','};:}:!
FOR ALL INSPECTIONS 447-4230 ' ....