HomeMy WebLinkAboutBuilding Permit 98-0426
ADDRESS
69?~
DATE TillE
SCHEDULED Z; /3.0::1
I
evcO,c;'/1A10/Uq ..s I :
CITY .OF PRIOR LAKE
INSPECTION NonCE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qfj. 42~
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULA nON
[J FINAL
[J SITE INSPECTION
[J PLUMBING Rt
[J MECH Rl
[J -WATER HOOKUP
o SEWERHOOKUP
o PLUMBING FINAL
[J MECH FINAL
[J EXlGRAD/fIWNG
[J COMPLAiNt
[J FIREPLACE Rl
[J FIREPLACE FINAL
.[J GASUNE AIR TST
[J
COMMENTS:
(!"../-;os~ 7716 PI u6
bIle- If) //V,4e:TlvITV
/,
. [J WORK SATISFACTORY. PROCEED
[J CORRECT ACTION AND PROCEED
C CORRECT WOk:;;" RElNSPECT10N BEFORE COVERING
Inspector: .l'L:IJ:I Owner/Contr:
/7
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
IIGifon
CITY OF PRIOR LAKE if ii'k
INSPECTION NOTICE SCHEDULED
/
ADDRESS .5QZ", CY05S~ (S;-
OWNER CONTR.
PHONE NO. PERMIT NO. CJ8- <{lb
o FOOTING ~UMB'NG.' <lj o EX/GRAD/FILLING
~OUNDATID~ ECHRI o COMPLAINT
FRAMING o WATER HOOKUP o FIREPLACE RI
INSULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~
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v
(./
. '..... ".-
/l.~ /? / -
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7,1
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/W)t,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINsPECTION BEFORE COVERING
Inspector:
/IJ-t:?.... Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
,~~ ~e1YED
-..
Bf q fo.j6lJ (h..2/\l'OY' 0 iSVrl
CITY OF PRIOR LAKE '/' q'7 3f& - ~
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No.
I:! j
It~/
. DIRECl1OllIS..-_..__
SPACES NUMBERED 1 THRU 17 MUSTSE'FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
5~ Z (, C ito<~S'!:lrjUO (LA- 5T~E€:\
3. LEGAL DESCRIPTION
.3
LOT
BLOCK
ADDITION
~ p.,O 1\00 1/l...:.vU
4. OWNER (Name)
fie ~c;t- T 1- ISc,~...:,~
5. ARCHITECT (Name)
Il. (; tSU r L fSi1lv'sftZ
6, BUILDER (Name)
(l..o~ c.+l L 6 0 ~S (-fl-
1. DATE
5 , 3c , l1l'J
fu')D
;;" J . Slip' Ot ~ 0
PID C Utl I ,vItL ~~-f
12.... 0 (;;- E-
'"2-
ef4ll.o INl"tL.
(Address)
5tt 1(,. CU>51t1V ,,~tI--
(Address)
.5 q l (. C/,-cSS/hV ~ tit-
(Address)
(Tel. No,)
Lt'-t1-fi,"7Rl.-
(Tel. No.)
L1 i.f7 -~7 5l..
(Tel. No.)
5' tt"2(,. C ~ $5 ft)Upltlt '-i 17 - ~ 7 8 ~
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction 0 Alteratio~s D. ';dcytion 0 Finish Attic 0 Re-siding 0 Finish Basementp(
ChimneyO Misc. I... ~"-' 9- r:.~0rf1 S
8, PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I. White
2. Pink
3, Yellow
File
City
Applicant
q~ ".
l( :A {P
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
,1 3 ClOD
17. COMPLETION DATE
(;> I I 2/ '11)
I hereby 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 authorized agent for
the abov~'oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am a.ware that the
building m)ia:1 !aj' re~ thi~rmit f ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform 7ededJ9s~ections,
X /L ,,-t..../I ~. - .'- '5 J0/\ ()
1 - sig~ur License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USEOFBUIL~&_
/
TYPE OF CONSTRUCTION: I II III 1'.( V)
Occupancy Group A B E F H(JI M 6
Division 1 2 3
Permit Fee................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
~.4'"'1.
Plumbing Permit Fee ee.1..... ..I. f!'t.!A
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
FOR ADMINISTRATIVE USE
Back
Side
~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
L.(')~r')~
S U
City:
~ '2. :,..5"
Lac')
J\
P,Ojd
t{,{q:. ~3)
y1~-n
"-10. 0 0
,p,~ ~~. ~;;l,:;.~,:" Wh<o ""rowd t
B _ y_~ Date ". (j ~~
Certificate of Occupancy
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
o COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
/0,-1. ;;. C;
3 ;rf1)7)~
'/1-
Lf ).... ~
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due.............................. $
Paid I D 3 J c'" J Receipt No.
Issued ~
Date fA'! () I "'( By t--- /
9.. hi . .to certi..'fy that the r uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and fuay proceed as requested. ~ document when
. ned ~ Plan r constitutes a temporary Certifi'Ci ?~Or~cfPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy {gtl'st be issued.
" :-::~'''_ -1-'1
I Crty Planner at Special Conditions rt any
(,. 24 hour notice for all inspections 447-4230
The Cenler of Ihe Like ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ ,sinU~
(p. S. 9 f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
59~/p ('.fvSSa~A ~..~
Accepted
Accepted With Corrections
-;.L..
Denied /) /J
Reviewed By: K/~-c::t;----- Date: b -7'- 7'8
Comments:
/, K-+>A/) ft i?~ r;~ 0 ~~
"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."
Tho Con to. of tho L.ko COonlf)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j /'
i .r
'..-/
.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ '_l
. ,
r
Accepted
/
"
Accepted With Corrections
f.'
Denied
Reviewed By:
94{~
Date:
(cJ( II Cjf>
Comments:
1
\- .
! /-f-
'/1
"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 ofthe jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 512(,' Cros.~c..,^,h.r. S I- .
NATURE OF WORK &~_~1Z..4.-. ~ ~.,!\",^"
USE OF BUILDING SP U
PERMIT NO. q~ -- Cf2l,g DATE ISSUED Cs. . B - 7B
CONTRACTOR Ro~ ~~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
----
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING j}.i~ /0l~j'-9T
HEATING (if required) ()\-(/\, /J - J - r 'f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
ir'-4
1M
/J-J-'1~
/ J- 3-1 '1.
I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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 447-4230