HomeMy WebLinkAboutBuilding Permit #99-0596
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
TIMe
~
ADDRESS
10 : 3:>
14 ~~'\ ~rAJ 12~
SCHEDULED
OWNER
PHONE NO.
CONTR.
o FOOTING g 0 PLUMBING RI
o FRAMING 0 MECHANICAL
o INSULA rION, II- 0 WATER HOOKUP
..2J FINAL I>E.-,-. 0 SEWER HOOkup
/0 FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREV. 0 SITE INSPECTION
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PERMIT NO.
9'9'-5"7'(:;.
o EXC/GRAD/FILLING
o lKSHORE~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
.~~~
-
-
o .woRK SATISFACTORY, PRoceeo
l!f" CORRECT ACTION AND PROCEED
o CORRECT ~L FOR REINSPECTION BEFORE COVERING
Inspector' --q-r I OWner/Contr.
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN 'IDVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
OATF I=lFf':f:WF.Q
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5' /.,;;I};"
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
/4-335 '€O/3I1V leOAD
3. LEGAL DESCRIPTION
LOT
ADDITION
3
J<NOB
BLOCK
11//..-'-
4. g>>'NER
( ore.<<
5. A~ITECT
~fe~
6. BUILDER
(Name)
Vav"ho",
I' (Name)
Vo "9- ho.. h
(Name)
VQU.~QV'\
Gre<2:.
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
:3
1. DATE
'5121/99
R./
PID 25-35!.::_Ql)-rJ
FtOON
2-NP
(Address)
/4335 Robin /2dJ.
(Addre~
14 "3 "3 ~ *'f>b. h R. dJ.
(Address)
(Tel. No.)
i../9 to- 9/001
(Tel. No.)
431q- qjpOJ
. (Tel. No.)
1433'5 t/2obl'l"\ 1<&. J.I- 4?t. -'j./o61
III -;t,R 1- X'Q_-:1, I
Septic 0 Deck){ Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-sidlng 0 Finish Basement 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. q9;59~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heiph9- (Width),
/~ ~lt?
12. NO. OF STORIES
1
(Or4 ~
13. TYPE OF CONSTRUCTION
l)ECK.
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16,}'ROJECT COSTNALUE
';IS"CJ_~
17. COMPLETION DATE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSI~NS I 110. CULVERT SIZE
Sq. Ft IJ.. l.f?o Width 8(;, I Depth IL/[; 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 men '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 aware that the
:uilding offici an re"i~:F~use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
n'V ~~ ~~~ ~
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SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
11
k;s 1+1 k
USE OF BUILDING
Plan Check Fee ............................. ~
State Surcharge ............................. $
Penalty ....................................... !f:
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION "'<;' tl~t'J . '" (""J
City,
~\\1t1
II/I;;'
~:::a?~tE:~~~';~4~i~~'; $ It When Approved9f "
By ~_r-"')L- +-
Certificate of Occupancy ~ - .
TYPE OF CONSTRUCTION: I II III IV CJY.
Occupancy Group A B E F ......,~ I M av s U
. Division 1 ~ 7/1 ~
Penm! Fee ................................... $ '{. 7)"
"p.,. ~7
I. ,()
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PERCOLATION TESTS 0
SETS
COPIES
PLANS & SPECS 0
SURVEY 0
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... It'
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Pressure Reducer .......................... $
Meter Horn ................................... It
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $-
Builder's Deposit ............................ It
:~~rj;~~:~:?:::::::::~~~~i~;~O: ~~~::!
Date ~111r;1 By ~
ThiS?' ~at the uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce~s requested. This document when
siQn_ d Y5 ~Ian _ constitutes temporary Cet1ti r Z17Q compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner Date Special Conditions if any
Issued
24 hour notice for all inspections 447.9850
--::-
~
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',;
Thl' C'l'nll'ror lhl' Llkl' Counlry
White - Building
Canary . Engineering
Pink . Planning
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
Q!i~~~
uy
Date:
o {( /9'1
Reviewed By:
Comments:
ole...
~
"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."
I,
~
99-59&
The Crnlrr of the Like Counlry
White - Building
Canary - Engineering
Pink . Planning
B.Ull.OING PERMIT APPLICATION DEEARTMENT CH.ECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
G~
\J
lJ CL~ r J~~
()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
) (( :nJ er>k,.'-1A. ~
Accepted
Accepted With Corrections ^
Denied
Reviewed By:
Date: .5:- 2.0,.-Ct7
Comments:
l.~~ cQ.ec~ ~.kZ- ~
"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
tC'c' ~
DEPARTMENT OF
BUILDING AND INSPECTION
. ,
SITE ADDRESS JL/335""' eobiV\.
TYPE OF WORK De.<:.-L<:.......
USE OF BUILDING SFf)
PERMIT NO. cY'I-5'iG. DATE ISSUED s- ""2.&-99-
BUILDER c......"'\ Io..l'~ .
NOTE: THIS IS' NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
8() ~PECTOR DATE
I FOOTING ~-1Z; ~JI~"'>" I ~ I ~ - J./- i?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
_~~ I !
I FINAL~ leM I (p -J,8-'?"7
Call between 8:00 and 9:od A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
,
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