HomeMy WebLinkAboutBuilding Permit 99-0598
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
?lIa/co 9:30
ADDRESS
PI '7 L/ & (' A-b211'1<1 e IN,
J
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
:e- FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
19- 57?
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
1~ fr i~~
COMMENTS:
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A WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
DATE RECEIVED
S/Z~jqq
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~D~R7ES/S /. /
~ '-f-t-, f':"'/rrl_~'c.o Ln.
3. LEGAL DESCRIPTION U
q
1. White
2. Pink
3. Yellow
File
City
Applicanl
Permit No.
qq-59~
1. DATE
61~t1.,
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
/21 Sf)
12. NO. OF STORIES
(J~IC(.."'1NO
4, OWN!fR ./ dJcJ (7mel-., I /
/I~ 'e ..-.1. ttoHhJu,
5, ARCHITECT (Name)
I PID .25 - z..64 - ()2f, -0_
""EAt!H 41"' ADDN'.
(Address)
/~7'/t {~Yndq 0 Ln
(Address) J (Tel. No.)
13, ~OF CONSTRUCTION
crfll7as
14, FL~.J9~PORTlONMENT USE
7. TYPE OF WORK Fireplace ["] Septic 0 Deck 0
New Construction 0 --"Iterations 0 Additiol)..P . Finish Attic CJ
Chlmneyo/MIsc, 1-0 rl-r11"O,r -(;j/ -f-v1vrc .DOYeL..
la, PROPERTY AREA OR ACRES - 19, PROPERT)' DIMENSIONS / 1'0. CULVERT SIZE
Sq, Ft Width ~O Depth / dS Yes No
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 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 ~VOk thi P .~. t)!"u" Furthermore, I hereby agree that the city official or a design.e e may enter upon the property to pertorm .'.!!~d insjections.
X ~ ~~',- ,'Vr:J//O~
. . natu e \..... - license No. I oe:&' .
LOT
BLOCK
ADDITION
6. BUILDER
(Name)
.::; ,.1-/
(Address)
(Te4~t1.cJUi)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Re-roofing 0 Porch 0
Re-siding 0 FInish Basement 0
16, PROJECT COSTNALUE
17, COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Total Due .............................. . .:.<;"), Ib
Paid 3S l i'J Receipt No. ~<;3~
Date'" -/-41 By Ot,U
s11n the above application and accompanYing documents IS In accordance WIth the City ZOning Ordinance and may proceed as requ;~ This document when
t te porary Certifi~ro~ Zr~aompllance allow CQnstruction to comme .ce Before occupancy, a Certificate of Occupancy must be ISSUed
~ ~peclalcond,tlonSifanY
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ,
SPACES ON PLAN
PERMIT VALUATION
:;/) O. 0(')
USE OF BUILDING
LG5 Aj~
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM <if S U
Division 1 ~ 4 -Z 1.00
Permit Fee .............. ..................... $
l'5.LS-
So
City:
Plan Check Fee ............................. $
State Surcharge ............................. ~
^ fFf;&
~\qq 44
vJf
Penalty.......................... ............. $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
GaS;ElrePI ~permll'" ...~,..... ......, $
This Ii 1~"zt1. esYou ingpermit~~p..Bgp~?'
By r~ '""r;_ _ Date '-" .a::5'
....- V -
Certificate of Occupancy
Issued
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Amoun! Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC .....................,..,..............., $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Pressure Reducer .......................... $
Meier Horn ................................... $
Water Meter ................................. <I'
Sewer & WaterConnaction Fee ........... $
WaterTowerFee ........................... $
WalerTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
24 hour notice for all inspections 447-9850-
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The Crnlrr of thr Like Country
White . Building'
\ Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
..-..:....... I,,~~i:t,~~:~d~~~/~:~
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/:.!- /.
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Accepted V
Accepted With Corrections
Denied ~ 1
Re,;ewoo By, L;) t;;" ~ MJr..uU Date,' Iff! I (qq
Comments: --6A~ .A><O k ~2)i1n'2[) ~
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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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CJ9-59Y
Tht ('tnll'f of lht L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CI-tECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
~/CHA6L- HoLTl-lrJUS
5-12- '1-/9 7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1../.74(:;;
C/-TK.R.( A q b J-N.
Accepted
/Z
Accepted With Corrections
Denied
U;;A~
Date:
')- '28 - sf
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."
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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
",,-
SITE ADDRESS 1L/7~{. Qw-rl'tu;R L.
TYPE OF WORK ro..h... r,;"...l ~\,--...... r
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USE OF BUILDING ~FD
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PERMIT NO. 39-C)<jp
BUILDER -H.o I~LJ~
NOTE: THIS IS NOT A PERMIT FOR ANV OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ INSPECTOR DATE
I FOO!'Nq(,4:i) rA. . J 7-9-ZLfi.~<tYo
PLACE NO CONCRETE UNT/( ABOVE HAS BEEN SIGNED
"H.,""" L -', 1
1
DATE ISSUED
.1)- 28-?'T
'" .- L I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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