HomeMy WebLinkAboutBuilding Permit 99-0621
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS / I",~ '7;::; /)/(1/ /1/l/A CUr2...rJ/~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1Q-(g2.1
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
)Q' FINAL
o SITE INSPECTI N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~K. CAll FOR REINSPECTION BEFORE COVERING
Inspector: tit / Owner/Conlr:
J
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
pATF RF~
5/z-5/11
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
/~375 V/(!.,iOR../A GUR.V6
3. LEGAL DESCRIPTION
.:3
L/-
RIOtStG:
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
Qc;-fR2-- /
1;;;5/'17
PU5D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
,57ff
PID ?~~ 'P,.,-,- 0.32..- ()
AODN.
13. TYPE OF CONSTRUCTION
BLOCK
LOT
ADDITION
eAROI "'A I-
14. OWNER ../ (Name)
~HIJ f wAI.e-zA-1c
15. ARCHITECT (Name)
6. BUILDER (Name)
(Address)
''-.37'5' VICRhC'-f ~"lJt.Vt St;
(Address)
(Tel. No.)
41'2 -22" -5"720
(Tel. No.)
(Address)
7. TYPE OF WORK
New Construction a
Septic 0
Addition a
Deck~
Finish Attic 0
Re-roofing a Porch a
Ae-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Chimney LI Mise
lB. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE
Sq. Ft. Width Depth 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 aOO entione~ropEan that a II construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I a. m aware that the
bull . g off ial can ke t peJmi~r jupuse. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perforT!l.le9cfipjOpections.
)./ - 'v<-r.../~JIZ;"I 71
Signa)Ke License No. 'Date
V
SETBACKS: Required
Actual
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
USE OF BUILDING
IU:;S A / /Ii!..
Side
SOIL TESTS
D
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PERMIT VALUATION
~ !rV">n . (') r1'
"
D
Meter Horn ... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ _
Total Due .............................. $-111-.4, :1J.
Paid /60/- z.. 'Z- Receipt No. 3"-3 YY/
Date o/'Z/ f'1 By ~
certify that the rEl5Iuest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~u~ed. This document when
ann con~ a temporary CertiP1 of ~ning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. TIU,A..J lP L 'if-
C lanner ' Date Spadal Conditions if any
TYPE OF CONSTRUCTION: I II III IVW
Occupancy Group A B E ~ /_H JIM (B) S U
Division 1 ~4 ......
Pennn Fee ................................... $ (,,::>. ? ~c,
l.(o . tf. 7
I .\U
City:
Plan Check Fee ............................. $
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1/ l
Co \
State Surcharge ............................. $
Penalty. ...................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
..~...................$
me ding Penn. zen Ap.w>v~q
~ Date _ '/-//
/ ' v'-
C rtlflcate of Occuplncy
Issued
~
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................$
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
24 hour notice for all inspections 447-9850
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Thr ("rlllu of tht' Lab Country
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DI;EARTMENT CHECI<LI.SI
NAME OF APPLICANT
\]7)H AI rv It L-~Z-A lC-
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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:
/~375 1/1{!7VICIA ~Uel/b
Accepted
Accepted With Corrections
x
Denied /) / ~ tR 0
Reviewed ByiLY I - ,0
.f!
c~~me~2 ~. dki"
Date:
&-,1-7Y
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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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Thr ('ruIn of thr tab Country
White . Building
Canary - Engineering
Pink . Planning
fiUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/,.- ;
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Reviewed By:
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Accepted With Corrections
Accepted
Denied
Date:
0{rfq9
Comments:
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."
PRIOR LAKE
INSPECTION
RECORD.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Ib375- \/i(' ~ja. d."rve
TYPE OF WORK Dec.J(
USE OF BUILDING ~s /1-/;(
PERMIT NO. qt(-~2/ DATE ISSUED &:'I~9
BUILDER ,/o/u1 1A)t'L{C~a..K.
-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/jNSPECTOR OATE
I FOOTING '6'~ I ~ I (n~'7-"ICJ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'FRAMING I I 1
..
I FINAL r~ ~ ((f\J I P:.-. I JD- Co -'1<7 l
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850