HomeMy WebLinkAboutBuilding Permit 99-0665
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1117-7<7
ADDRESS
'1J.~1 ~Lm
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?9-t(S
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION fi')
Ji!L FINAL ~ \Y
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 GASLINE AIR TST
o
COMMENTS:
t,k-1?
IU
/J1Ky .~
XWORK SATISFACTORY, PROCEED
/'
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/IrA
OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNon
II
-~-_.'+'._--------~~+_.r--
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
JUN - 2 1999 ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEfORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRES~"I
;1 Z21 Lh~hJ lSf. I ::\..[~. N F
3. LEGAL DESCRIPTION
Z.
I' .Ae2.1 ~ F..
14. OWNER, (Nare) .' f'A (Address)
d.1<.;,-,~1 I rWhl',Qi.1\"> Ijbql'Q 472
15. ARCHITEC~e) ,j (Address)
6. BUILDER,- (Name) (Address)
~AiM"-
r. /'
1J Ir \..."",', -..."-./,,,~...
.,.....l-e........... 1....-10...1:..1,-,'. J .....::::;:?d"-l,c-..l::P.
7. TYPE OF WORK Fireplace'O Septic -0 O~'
New Construction 0 Alterations 0 Addition 0 Finish Attl'"o .
LOT
S
1-tiY..-5 ~~
BLOCK
ADDITION
PID~-
AcDDl'-J
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
q9-~{?5
I' ~~E2. Y \19
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
I
12.../
12. NO. OF STORIES
l) ~2--0
13. TYPE OF CONSTRUCTION
- 5'.
-"-
14. FlOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Ae-roofing 0 Porch (]
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Side
City:
~~
Chimney LJ Mis'"
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certi'fyl have furnished informa. tion on this 8PP..IiC8tion which is to the best of my knowledge true and correct. I also certify that I am the owner or autho rized agent for
the above me ad property and ~t constnlCtio. n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building O~ici n~vo!e thi! p~rmit JU~~ Furth~rmore, I hereby agree that the city official or a designee may enter upon the property to perform n~~fd....i~ .olls,
X ----1- ~'~ . / I'/{J.{k L / . )/ /' .. <.
I Sign ra I /1 license No. / Date
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LI ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Front
Back
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
Je.1=~ R/L-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~2.() 0 O. /).
SETS
COPIES
TYPEOFCONSTRUCTlON: I II III IV V
OccupancyGroup A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
S U
(,,2..2-5
L/O.l/~
I. D(J
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas~?#;:A....... ............$
This r ti mas r .. ermit WJ.1en ~Pro~d<,
By -'2. Date V-o#'-t-- f-
Certificate of Occupancy
Issued
PLANS & SPECS Ll
SURVEY 0
PLOT PLAN
Ll
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Pressure Reducer .......................... $
Meter Hom ........................ .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. L/()-'1. -I)
Paid 10 ?>.7/ Receipt No. 3.;-4 ~
Date bl,( Iq,; By Mr,J
th e ~ in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
C' P :er 1~:.:rpor"", Cef;'7rgtlfmpliance and allows construction to commence. Belo,e occupency. a Certificate of Occupancy must be Issued.
ity ~nner I 'te SpeCial Conditions ~ any
II
24 hour notice for all inspections 447.9850
.:.
~.~:~:.,....,,~...~':. "...,::~" "'" "',..,~';.
White - Building
Canary . Engineering
Pink - Planning
Thr Crnltr of the tlke Country
BUILOING 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 /
Denied () j
Reviewed By: ') 1Jt;. .j~
f .
s:,~1o ~
Accepted With Corrections
Comments:
Date:
Ore..
0/4/QC,
- .
"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."
~1
QQ-(P(P5
Th.. Crnll'r of lhl!' L.kr Count!"}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
JA60N joE,f30eJlfI
&/Z/qC}
. "
HOV8f2-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
42.2/ c.H6STNUI ?AN6" N6
Accepted
Accepted With Corrections
Denied n
Reviewed By: 1t:j)(J~k Date:
Comments:
~J- ~ AllC~ Lk_O </1-';------
In- 7-97
"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."
---.11
-----.---.-..-~__r_.--....
-'p;:o
/
~. -.-- - -. .
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 42.-'2.../ CJI~LNU"C U;',~E NE..
TYPE OF WORK NEW U ECJL.
USE OF BUILDING
PERMIT NO. qq - !"'I", 5 DATE ISSUED fn- 7- 99
BUILDER :\1.-('OtJ -i: ~l2..A.14 lv\~ €YL.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
_ _ /\ INSPECTOR DATE
l FOOTING (~ LW I 'I c,-~"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING (I<) 1& 11)- f)(J-?'7
- )
, FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
~\i\.
,-
,
11/';).1-11
l
j
j
.,
"