HomeMy WebLinkAboutBuilding Permit #99-0601
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 14'2. Cj 0
OWNER
PHONE NO.
o FOOTING
o FRAMING @
o SULATIO ^_
FINAL '"
~6UNCATION
o DEMOLITION
o FIRE PREV.
COMMENTS: Ap (' ~ .
jA..(;
~0J
I V
DATE
TIME
H;20
SCHEDULED
fo-iL( ~
U.n.
12J
CONTR.
PERMIT NO.
'ic,- (d) I
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
-P."V\rJJ
o EXC/GRAD/FILLING
o LKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wffi ffL FOR REIN$PECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12.SITEj~jqJ g~/t g(1)f d;;r
I ~~-?9
~ie/~,~Slc)
3, LEGAL OESCRIPTlON ./ Ie I
LOT 7 __.Bj,OCK_ -s-- _: _ PIO 2.5-339 - Oz..q-O
AODITION k'A-"A //PV d~ :4~i1(Jn
14.0W~1 ;;;~n ?f'V1 p/:3'9";;Lt6In g; /fiE J!!:NO/t6tYcPf1
15. ARCHITECT (Name) (Address) (T~, No,) (, I 01
~"M Qh i~:n?
. '"'I' ~ .
6. BUILDER (Name) (Address) (Tel. No.)
:;; rn-e
7. TYPE OF WORK
/"
Deck ~
Finish Anie LI
Septic 0
Addition 0
Re-roofing 0 Porch 0
Rs-siding LJ Finish Basement 0
New Construction 0
Fireplace 0
Alterations 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-&Ol
BUILOING 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
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that r 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 abOVmmen~' ~operty nd 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 offi' c vo t permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspeslio~
X _ ~ ~-dd-"'/
. t:1>ignature License No. -- Date
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY OATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................on $
Collective Street Fee ....................... $
Sewer Tap ................................... $
<t
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
l./_~.,.,,~
USE OF BUILDING
"er-;., ~ /l.,
TYPE OF CONSTRUCTlON: I II III IV (!J:!.
Occupancy Group A B E F..t!.. 1 M 6' S U
Division 1 2 V c:;--
Permit Fee ..................on.............. $ RIJ.2,
"> Go /12-
7.(')(')
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~~
,
Pressure Reducer .......................... $
Meter Hom ........................ .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... !to
Gas Fireplace Permit ....................... $
This ~'cfflflecomes Y~r Building Pennit When .o1PP!J(ved.
By ~""1* Oate (" -/-71
Certificate of Occupa cy
17. COMPLETION DATE
Other;~~;.~~~.::::::::::::::::::::::::::::::: /^i"J, q 7
Paid /~. 9'7 Receipt No, .3S.3e>3
Issued ..;{ ,,ItA _
Th' , rti1yth th 'th bove I" d 'd Is' , rd 'thth cOtyatze 6- O~rd' ~d BYed rV'-'d_ Th' doc wh
~lS at e :.t~~iln e a app lcation an accompanYing ocumen IS In acco ance WI e I omng mance an may proce as requeste. IS ument en
sign by _ ~la~~e~r~emporary Certii:r tl ~ compliance and allows construction to ""'" '" ,,,, ,..."'. Before occupancy, a Certificate of Occupancy must be issued.
".. City P'ra"nner . Date Special Conditions if any
24 hour notice for all Inspections 447-9850
....."
~-
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White . Building
Canary . Engineering
Pink . Planning
Thr Culer of Ihe Like 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
/
Accepted With Corrections
Denied
l) t;k.J~
:5.cfbar Ix) ~
(IV
Date:
(P(({99
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."
~~
q1-~ 0 I
Tht ('tnttrOr lh. tab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUilDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P/lUL- Loe6/'1'Z-e;N
5/24/C!Q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t.f2-QO
;COB/N /CD.
Accepted
- )
Accepted With Corrections
Denied _ /
Reviewed By: (' dtJ ~"
Comments:
{(~ ~ J-ec~ ~cnJ-
Date:
{, -1-'7Y
"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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PRIOR LAKE
INSPECTION
R CORD
i'\A. \R
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK L'br V
USE OF BUILDING S tlf)
PERMIT NO. 0/'1 - (Q 0 (
BUILDER L6'<'-"--7 0
NOTE: THIS IS NOT A ~MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED G,- ( - '17
INSPECTOR OATE
'FOOTING 0; ~ (f;J I W1, I In - ~-c;C;
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~~ I I
I FINAL ~ I ~, ~-J.I-{-q'l
Call between 8:00 and 9:00 A.M. f~r all inspections
FOR ALL INSPECTIONS 447-9850
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