HomeMy WebLinkAboutBuilding Permit 99-0627
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
11- d. 9-11
ADDRESS
.5537
~ sr. s:~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
r 9 - 6r:J. 7
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT~N,~ If'\
;gl FINAL ~
o SITE INSPECTION
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 GAS LINE AIR TST
o
COMMENTS:
,,/.nO.s< I' :A
?q WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/lJ.-8...
Owner/Contr:
CALL 447-9850 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
&~1
~:1i9
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
~ 5 .,.../,.,)- SC
3. LEGAL DESCRIPTION
3
ADDITION
4. OWNER
CW1eOIN/1(....
3
~/06;::;
PID 2.",-302-- 029rD
21vO R'OO,v,
13. TYPE OF CONSTRUCTION
LOT
BLOCK
(Name)
l:..... Cq,,}
(Name)
""
(Address)
rS37 e"" SJ .,~.I~, Sf
(Address)
5. ARCHITECT
6. BUILDER
(Name)
(Address)
~~.JP_ r- ....,1
7. TYPE OF WORK
New Construction 0
/(..,: J./rr.s
S;ttM 6
Fireplace 0
Alterations 0
Septic 0
Addition LJ
De
Finish Attic 0
Re.roofing 0 Porch LJ
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
C/Cf-(PZ- 7
PUD
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
(Ter. No.)
'fL
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Ter. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNAlUE
I ,"U - ;;) ~OCJ
17. COMPLETION DATE
I hereby certify that r have furnished information on this application which is to the best of my knowledge true and correct. J also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revoke permit r just cause. Furthermore, I hereby agree t~at the city official or a designee may enter upon the property to perlorm ~?ded j' P' lions.
X L-hyJ..-J/r-vJ.r- 9/1 5/"df f1
License No. Date
"
FOR ADMINISTRATIVE USE
j
Pressure Reducer .......................... $
Meter Horn ... .... .... ........................ $
WalerMeler ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
WalerTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ ~ -r-I J::
Total Due .............................. $ /(.)-7' oL
Paid l 0 4. 't.. L Receipt No. "35"381
Date Go (3 f'i'7 By rW l4
certify t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
ill< anne, ns' tes a lempo,.'Y CefJ?l~g oompliance and aj'ows oons"uc'o to oommence. Belo,e occupancy, a Cenitical~ 01 Occ paney must be issued.
r olt- Special Conditions n any
SETBACKS: Required
Actual
Front
B,ck
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
3.,.."...-. . "6'
USE OF BUILDING
RGs 'V'.e.
TYPE OF CONSTRUCTION: I 11 III IV
Occupancy Group A B E F HIM
Division 1 2 G..; 4
Permit Fee ................................... $
if"s U
City:
(,,2.-:2'>
l{/).lJ1
I ,6""0
c~
~\~~~)
l~
t)
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This i?:ca~t'" Build;ng Pe",," When APP'!l!1(l~
By Date ~ -{--,
""\.. /
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
Side
o
MATERIAL FILED WITH APPLICA N
SOIL TESTS 0 ENERGY DATA CI
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .... .... ...... $
Sewer Tap ................................... $
$
....~.,._.w.__________..
99-(Pz 7
Thf Crnlrr or Ih" t.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~H/7NC.6 C./7.eL-5()~
5h& /c?CJ
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5537 C..e.OSSrt/llDRIi .5T.
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."
"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."
it!! f 99
I
~~~
Comments:
Date:
Reviewed By:
Denied
Accepted With Corrections
Accepted
/->
, !
7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'-" /
/fi'
/ //-'{'-
NAME OF APPLICANT
APPLICATION RECEIVED
~".
'.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White . Building
Canary . Engineering
Pink . Planning
Thr('rnlt'roflht'bktCounlry
-.. /.-- 1
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.... ~ ,""U.~
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS S5Mr; ~'tn;;;s~
TYPE OF WORK }:be l
USE OF BUILDING S;:: rJ
PERMIT NO. U -L, cl
BUILDER Ov-I~
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 C. ~I ~.?
FOOTING 1o~..,..lf' ~
PLACE NO CONCRETE UNTIL A OVE HAS BEEN SIGNED
I FRAMING I I I
I FINAL ~ /Nt I 11- J1.::13 I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE