HomeMy WebLinkAboutBuilding Permit 99-0647
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
TIME
OWNER
CONTR.
PERMIT NO. ~
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
/Q SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING F AL
o MECH FINA
COMMENTS: E L-~~.,...,e. ~'
V-'~ !
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
~.~Gr~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTIO"~D PROCEED
o CORREC~: ;A L FOR REINSPECTION BEFORE COVERING
Inspeclor:~' . ~ . owner/Conlr:
V
CALL 447-9850 FOR THE NEXT INSPECTION" HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOfl
~~
DATE RECEIVED
6 jz8/Q9
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq,64-'7
.-
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
8~FORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
Vdrkwoognr",E.
LOT 9 BLOCK 3
ADDITION rrOOOIii!;lOt!ft6 6>>/ nl c:..::.
._~tf lOVI E
.. OWNER ~. 'lNIimll) . a!7.3t>1
S~< 1'",... Rfro..
5. ARCHITECT (Name) V
2.%:~~
3. LEGAL DESCRIPTION
12. NO. OF STORIES
(Address)
lid!. Q4z-,37Zb
6 BUILDER.>& I !aql&.-I,.,Cp J)d7~ n ne t+ <:;;:'0 nt' ~n<..
~!..;; ~.... ,tJ L L.> Br!an 13ora....Sh
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing LI Porch LI
New constructioilft Alterations 0 Addition 0 Flnisp...t\ttic 0 Re-siding 0 Finish Basement 0
Chimney D Misc. ~I::n V.... (.l, ..-.:~U ,,,J) .-a n L-
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. FI. Width Depth Yes No
I hereby certify that I have furnished "..~., .....,,~.. 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 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
bUil~OffiCial can revoke thiS~. it for ~cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
""A-- ~"*",.J>---, __ ...:5:- .2-~~ P 1
t tignature /' License No. Date
PID 25-3/7-o/P,-0
.3t<D AQnAl
4k/i~ra11rk~c(])r- Sf-.(TVV1~
(Tel. No.) I
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION OATE
'-
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS r:l ENERGY DATA D
PILING LOGS D PERCOLATION TESTS D
PLANS & SPECS D SETS
SURVEY D COPIES
PLOT PLAN D
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUIL,qING . I
k. 1+/ f ( .
,
PERMIT VALUATION
? ';-r'Y) . ~
TYPE OF CONSTRUCTION, I II III IV (Yd.
Occupancy Group A B E F J:l \ I M <FP's U
Division 1 2G/4 t;""
Penni! Fea ................................... $ fJ4.7
City:
Amount Brought Forward .................. $
Park Support Fee ..................... ...... $
SAC ......................................... $
Collective Street Fee ............. .... ...... $
Sewer Tap ................................... $
$
Plan Check Fee .... ......................... $
State Surcharge ............................. $
Penalty.......................... ............. $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
:5e- J.2s
Sewer & Water Permit ...................... $
~
~~/~
Pressure Reducer .......................... $
Meter Horn ... .... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... CI:
Water Tap ................................... $
Builder's Deposit ............................ 4:
Other ......................................... $
~(;fiif~~~... .....:~i~~.~e~i!'Y"an~pr~~
B _ Date 1/J-orS-l./
- .
Certificate of Occup cy
((P.OO
Paid '1(., . Ob Racaipt No 3~ '-1-41
Issued ~ 1M-
This is to celtify that the raquast in the ebeva application and aow, , '... ,,;ng documents is in accordance with the C~:;oni~'ordinanCe 1d may pr::'d e~qu-"~. This document wi1an
sign~ lJtanner constitutes a temporary Certificate of ZonilJQ 19.mpliance and allows construlllon to comme?fe. Bef\l'e occupancy, a Certificate of Occupancy must be issued.
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- . City Planner . Dale ~ Special Conditions if any
Total Due .............................. <t.
24 hour notice for all inspections 447-9850
~1
Q9-(P '-11
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr of lhr Llkr Counlry
BUILDING PERMIT APPLICATION DEeARTMENT CHeCKLIST
,
NAME OF APPLICANT __T/l1'165 ~ D6BJ0q
APPLICATION RECEIVED 5/Z8,/QQ
B6J2.G,
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
41(,53 P/9/.Z~ WOOD De... S 6
Accepte~ J-
Denied /)
Reviewed By:!G
Accepted With Corrections
Date:
(p-/ cj -5/
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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Thr Crnlrr of thr L.b Country
White . Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION Rpy~I:VED
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;...
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~I~
Date:
l~ - L ( -~C'1
Comments:
'.
.
f- ,
"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
~ w..".,..J.. 0 t-.
DEPARTMENT OF
BUILDING AND INSPECTION
..
SITE ADDRESS 4(.,53
TYPE OF WORK ?o.-"l \
USE OF BUILDING 'S I- .D
PERMIT NO. Cfr: l_t17 DATE ISSUED ((/ -{ y - q'1
BUILDER ,,\ ............"'-"- h.'""'1. .
NOTE: THIS IS NOT A ~MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I /..ls.P' ot-l ~ INSPECTOR DATE
, FOOTING I - I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
, FINAL
. I ,
I t?~ I q/&/61
Call between 8:00 and 9:00 A.t,. ~lIinspectlons .! .
FOR ALL INSPECTIONS 447-9850
~pcA.. .....- -=:/tf/Ob _ 5~ ~. ~ <!..-07 !'.~.;. h,
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