HomeMy WebLinkAboutBuilding Permit 99-0636
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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ADDRESS
17zqu
UrniJ;
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FRAMING
~LATION." .
AL peLf'l"ll'
o FO DATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXCIGRAOfFILUNG
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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\.-360
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CREel AiTIO f. ~ R )CEEO
o CO CT WORK, ~. REI PECTlON BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-4210 Fe ~ THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUI~1NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
*1P;11
q9-k3~
Permit No.
DIRECTIONS
SPACES NUMBER EO 1 THRU 17 MUST BE FILLEO IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
5-:. ) 7 - 77
hid;' j i /YJAJ R../
PID .-Jc;, 3 n - 00;)-0
3~ Af")ntJ.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigl'll) (Width) (Depth)
2S'j7iE~,/ JdJe IUU!;
Auf
3. LEGAL DESCRIPTION
2-
\\jOOD.e.l~G F.$T7'rTES
4. OWNER (Name) (Address)
.-r~.{/.A(I 't'...~ /7Jc (In.///'J/lnl.
5. ARCHITECT (Name) /(Address)
12. NO. OF STORIES
BLOCK
LOT
13. TYPE OF CONSTRUCTION
ADDITION
[Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
61l"~N3)7 6;l 6 7
~/'(/R ,cA{f;, /lP(1.p 1"s-s- ~ ()/ uJ f!"k,,/q 1l7~
7. TYPE OF WOAK ~replace [j Septic [j DectJii( Ae-roofing [j Porch [j
New Construction LJ Alterations LJ Addition LJ Finish Attic 0 Re-siding 0 Finish Basement 0
(Address)
6. BUILDER
(Name)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTP
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PAOPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished infonnation on this applicalion 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 that all construction will confonn to all existing state and Jocallaws and will proceed in accordance with submitted plans. I am aware that the
buildini O~I cajlevoke this pennit ~just CJu~. Furthennore, I hereby agree that Ihe city official or a designee may enter upon the property to perfonn needed inspections.
X ~~4:,t1 /I,,'/'/.Ip/ 2Yt 6 L.-.2?-9?
- Signature d- License No. Date -
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
LJ ENERGY DATA
"
Side
Front
B,ok
Side
PILING LOGS LJ PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
JebS A/~
USE OF BUILDING
2 . I'r'r"\ . (",\ Q
PLOT PLAN
"
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM A S U
Division 1 2 3 4 J
Perm;t Fee ................................... L0::? .:l '"
Plan Checl< Fee ............................. $ 1('). l{ '7
State Surcharge ............................. $ I. A,....)
Penalty ....................................... .$
City: Amount Brought Forward .................. $
S'-ee 13M 18- Park Support Fee ........................... $
5 5~ SAC ......................................... $
ror- ~,~L.. ~ ,COllective Street Fee ....................... $
""''0 . .~ Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ................. ................. ....... $
Pa;d T;ctt 1X.............~~~~;~;~0$~~J~ ~i-
Date I/J --3 ..Lf C1 By (l.l:0AJ
rtify that the requ t in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requeM'ed. This document when
. ner nst;rules a tempora,,! certi'(;'"!I'I17mPI;anoo and allows construcf;on to commenoo. Before occupancy. a Cert;ficale ot Occupency must be ;ssued.
n r D e Spec~ICondrtlonsifany
~
bJp
Plumbing Pennil Fee ....................... $
Mechanical Permit Fee ..................". $
Sewer&WaterPennit ...................... $
ms m~~.~.~~.:......;e:;tWhenAPPr~
By ./ ~Date t,-'L-Y~
Certificate of occu~n7 '
Issued
24 hour notice for all inspections 447-9850
~1
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Tht Ct'nlt'r of tht' Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT eLA /IZ- t5N"T{5,€jJQ / s6
APPLICATION RECEIVED 5/2(0/ q7
The Building, Engineering, and Planning Departments have reviewed the building permit
applieation for eonstruetion aetivity which is proposed at:
/? 2..JJ4- 7ZJteOA/TD AV6.
Aceepted
Accepted With Corrections
/-
Denied
t?A
Date:
Reviewed By:
Comments:
~cu1 -Ilk- ~rC I-+Cc,-~)Crzsf
"The issuanee or granting of a permit or approval of plans, specifications and
computations shall not be eonstrued to be a permit for, or an approval of, any violation of
any of the provisions of this eo de or of any other ordinance of the jurisdietion. Permits
presuming to give authority to violate or eancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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White - Building
Canary - Engineering
Pink - Planning . .
Thl: ('I:ntrrof Ihl: L.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEivED
/.
!
The Building, Engineering, and Planning Departments have reviewed the building permit
applieation for eonstruction activity which is proposed at:
...'~~"- ..
-/
Aceepted
Denied . Q.?)), j ~
Reviewed By. (J I J- IkJ ~
<;;.c:t1oau( V(;
Accepted With Correetions
Date:
dc,
will <19
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 jurisdietion shall not be valid." f
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.
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PRIOR LAKE
INSPECTION
RECORD
40e
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 17'),9(1 ];tn/\!c::,
TYPE OF WORK Per k
USE OF BUILDING sm
PERMIT NO. 9'1 _I_~(,., DATE ISSUED (, _ 2 -7'7
BUILDER (lla"r' ?ljv-tr(.~.\:, . --.
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
PLACE NO CONCRETE UNTIL ABOV
I FRAMING ,~
DATe
1
i
I
I FINAL
~ ",4.J47 I
Call betwe :00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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