HomeMy WebLinkAboutBuilding Permit 99-0594`
f~ID-h?J
!J/c;t+- f%,AJYP; &.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
SSr!)Y
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION dO')
! FINAL 'D~ (:!Y
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
m(1~
d h'?t f1...--
DATE TIME
J;/'5
99 - {JS9~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
l<..XAL-
:---
-
~~
<---- ~ -I-n (P JIiJ.--...- ,L~
""--
)~
)
----
-------.
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ ~LL FOR REINSPECTION BEFOR;rOVERING
Inspector: ~ )- / Owner/Contr: . { /' '2. ~
( " -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
&~1
DATE RECEIVED
o/:Z-I/~1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
q::;" SqLj.
Permit No.
1. DATE
S-jZO / 1 q
L,,-Iu \IV\. f'/ PI/.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 i'\
552..'4 ".~"t>olkk (.V S~ -rr.o.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
3. LEGAL DESCRIPTION
LOT L.t BLOCK / PID z..5-.3.!3S - 061+-0
ADDITION ~AA?O/NA'- Jelo-se 5771 AOPN.
4. OWNER (N8Ire) " (Address)
CANX lLVv\tlI( ~Z" U'ijltp";M-1' P.L
5. ARCHITECT (Name) (Address
13. TYPE OF CONSTRUCTION
(Tel. No.)
'1VD~'i5Ob
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
WO~~$'O~
<.s-/- 'Z 1tJ.Q'1So
6. BUILDER
~
..:r;v...
7. TYPE OF WORK
New Construction 0
(Name) /
~,r / "'DNA
4-1 lit...
(Address)
S"....~,.:5 ~
5t. t=>.....1
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Septic 0 Deck r
Addition 0 Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished information on this application which is to the besl of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mention8d 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
buHd~ng cpljC}1 c~r:f!:e thi~it for Just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm reeded i"'Spections.
x ( -- - ~..e- n,-. 5 L2;~J. 'f r-
Signature LioenseNo. I
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
Front
Ba'"
Side
Side
PILING LOGS 0
PLANS & SPECS 0
SURVEY Cl
PERCOLATION TESTS 0
SETS
COPIES
BUILDING DEPARTMENT VALUATION
~~ H--IV
USE OF BUILDING "-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 3.t')C'lC> _ t'O/")
.
PLOT PLAN
Cl
TYPE OF CONSTRUCTION: I II III IV LSD
OccupancyGroup A B E F HIM ~ S U
Permrt Fee ..........~~~~~:...'...~.~... $ ')4. /~
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
~A.SC;
l . t;'C>
Plan Check Fee ............................. ~
State Surcharge ............................. $
Penalty ....................................... !t
Plumbing Pennit Fee ....................... !t
~
Pressure Reducer .......................... $
Meter Horn .................... ............... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Permit Fee ..................... ~
Sewer & Water Permit ...................... ~
Gas Fireplace Permh ....................... ~
Water Tap ................................... $
Builder's Deposit ............................ $
:~:r~~i~~~;i~::::::::::::~:i~;~q: 1 ;:t~ 0-f
Date l,/"'; /tlffIJ By ~
request In the above application and accompanying documents is in accordance with the City Zoning OrdinaJce and may proceed sf requested. This document when
erconstitutes a temporary Certijca.te o~on~mpliance.JAP allows ~ctio~mme1' Before WCllJ3iVlC. cy~rcate of Occupancy must be issued.
~. ..{/J -V- ~//-' .~.", ~!,?V~.l>(
Planner Date . Special Conditions if any-
. 9 P~' When App~...
Da .:;;:l.b. --7 ~
/
Issued
This is to certify tha
S~I
U C'
24 hour notice for all inspections 447-9850
"-"',o-".r.
r
"':"'-"~
-
,',i-~
'~~x PR/Olj>(
~ "
'I-. ':>'-
- '"
U
White . Building
Canary . Engineering
Pink . Planning
Thp Cpnlpr of lhp L,kt Count!'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
,.' / j.:--
J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,".~J--
Accepted
\/
Accepted With Corrections
Denied
Reviewed By:
~~~~
Date:
(0 - 2-- tJ'7
Comments:
.4,')~lFt'h~'[,"''\ [JYJ.I~ ("'~ ~~. ~M~~
~h~l9V\<- f5V (' jL1 ~~ 10 I/ev-f~ k~'<
q:e rfu ~ "
iteM- ~~~ /~r~~ ~cRKd),
"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." .'
~/
/'" "
"/'"
""/
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS S5:l~ j..j"e.k P".".r (I.j.,
TYPE OF WORK Q:./"k. v
USE OF BUILDING SF'{')
PERMITNO.o"'l-S''1c( DATE ISSUED 5~-:::>{.,-~q
BUILDER ()~ . t'- M a~ r-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
G INSPECTOR OATE
'FOOTING (i) I t4'0 I 'l-Z~~9 I
- ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,~ I I I
, FINAL I ~ I fht, I~ I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
./