HomeMy WebLinkAboutBuilding Permit 99-0623
SCHEDULED f/tqhr 2 ~ 0 0
SPK./N6 6(.,.670
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
. ~t./2.0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATIO
DFRAM
01 TI<;I/I
AL rr..
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
...cOMMENTS:
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DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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',)R REINSPECi'loN BEFORE COVERING
Inspector: Owner/Contr:
CALL J.9860 FOR TLE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RtUlR.EME~S ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/ INSNOTl
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
DATE RECEIVED
~/25/q1
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
3'Y.l{) Slr/'/V.! C/,c/,/ ("rd-r
3. LEGAL DESCRIPTION (/
/
LOT
.)...
I/I/F."
I, White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-(///. ~
1. DATE
5'.15-91
;ezjD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
PID
:; 'J-]s J- OM - 0
13. TYPE OF CONSTRUCTION
ADDITION
14. OWNER (Name) (Address)
15. ARCHITECT (Name) (Address)
6. BUILDER (Name) ,., (Address) (Tel. No.)
tJfjVfn..NA/ /S<i5 rl,;.z... Dr St.{, f'JoO
/J.", f'r &5/ - LjDt- L/I./Cf)
7. TYPE OF WORK Fireplace LJ Septic 0 Deck e-- Re-roofing 0 Porch LJ
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney" Misc. ~X/n D,.,.!-t ad;:/;7i.A/
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. 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 above mentioned property and tha 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 ~ffjfial can reVOk/th. perm' r just cause. Furthermore, I hereby agree that the city official or a d~ignee may enter upon the property to pertorm needed inspections.
X AI a-..w /" " 3/"7- 7(./J- / Yj II" .5" -C2~ - "/ 'I
/ / Signature License No. Date
BLOCK
t'5/yNWA TE"J?
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
V
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
..?7E.s "q/..e
Ijl!l(':Yl. 0 7)
"
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Tolal Due .............................. $ X,) ,:-5 /
Paid gS.37 ReeeipINo.3s;"f-z.-"t-
st in the above application and acoompanying document. i. in acoo'danee with the c~:;onin: ~i~ ~d may p,::.1"::..ted' Thi. document when
n it a mporary ceu17 i q~ng compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
- DatEf Special Conditions W any
TYPE OF CONSTRUCTION: I II III IV C"..J-...
Occupancy Group A B E FA I M~'S U
. DIVision 1 2' V' 5/ ~
PermIt Fee ................................... $ .
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
-:IT . "<;z.
-PrY
Plumbing Permit Fee ....................... <I:
Mechanical Permit Fee ..................... <I:
;ll
r ~~
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Sewer & Water Permit ...................... <I:
~~i. e e i m~~I~~~:.;itt!:; 1'~' t-
Issued
This!
sign
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o
LJ ENERGY DATA
PILING LOGS LJ PERCOLATION TESTS 0
PLANS & SPECS LJ
SURVEY 0
SETS
COPIES
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ... .... .... ................. ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
24 hour notice for all inspections 447.9850
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The Crnln of the take Country
White . Building
Canary - Engineering
Pink . Planning
~UILDING 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
1/
Accepted With Corrections
Denied
().?)). JV1/{JN
Date:
&(r{rt
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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19-&Z3
Tht' ('pnlt'ror lhl' L.kf Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLlC.ATION DEPARTMENT CI-l.E.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
WE/II.5 /'1 Ii N tV
S/2-5/QQ
, / '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
342-0 5P!C/NG GLEN ~/KeLC
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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
SITE ADDRESS 3<./20 ~l-t'~ ~I~ G,
TYPE OF WORK UO,- k
USE OF BUILDING St==1'e-
PERMIT NO. 7i -G (.5
BUILDER (D-€.-.......A .-&
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED I'~ - ( - CZ '7
INSPECTOR
DATE
I FINAL
I (/)) i' /Jolt 'J I
Call between 8:00 and 9:d'e-i.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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