HomeMy WebLinkAboutBuilding Permit 99-0666
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/1- 3'i)-~'1,
ADDRESS
jlj't 7 C. ~,L 1'\ N. E.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1 '1- Oba
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION" 11 r1i\
)og. FINAL dfSL.<.P 'iQJ
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 GASllNE AIR TST
o
COMMENTS:
oU ~ pf;; ~J4
3r~3g~ild/1J~d~)
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cA52PfA
~ORK SATISFACTORY, PROCEED
)""ltORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/I~
. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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ADDRESS
/L/~7:;-
CONTR. C t7
I')-:.J. ":), 7' .
PERMIT~'1"_ t'. /- tC I,) I~
-::T7'~
o FOOTING "p PLUMBING RI ~ 0 EXIGRAD!FILLING
o FOUNDATION ~ MECH RI !.J, j 0 COMPLAINT
o FRAMING WATER HOOKU"~ I( "" 0 FIREPLACE RI
g;;:~~~>>7( - t~ ~ ~~;I~~~~':~~~:;~I~C~:I~:~
o SITE INSPECTION cro MECH FINAL rJ:j) 0
.~ ....,.,
COMMENTS: >~~
OWNER
PHONE NO.
, ( I f! ~ --A.:/.L
~..
~WORK SATISFACTORY, PROCEED
( 0- CORRECT ACTION AND PROCEED
o CORRECT WOR(t!.LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~1
,QA T~ R~r.~IV.ff\
(p /Z/qe:;
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDREilfb"7 5"
Cc.n.ft>r
1.;,
3. LEGAL DESCRIPTION
4'
~e/.I'Ic!I06
LOT
BLOCK
(p
#/u--S
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 19 -(, c. (p
1. DATE
6-:2., -11
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
/Z./
12. NO. OF STORIES
... .eo
PID :?C; .3)(') - a t./o - 0
,q-oDAl
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
R (Name)
UrVIMI
5. ARCHITECT "(Name)
(Address)
J/fA //lI"S
5.-1-"1/3
(Address)
6. BUILDER
(Name)
(Address)
S"lHG
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
DeckX
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
Septic 0
Addition 0
(Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
b/l- 447-<J'J7N
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished 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 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
building o~an revoke this permit ~ pt caus~ Furthennore, I hereby agree that the city official or a designee may enter upon the property to pertonn needed inspections.
X /J~~-- .rr~~ ?-:J.-tjqt
~ Signature License No. Date
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Builder's Deposit ............................ It
Other ......................................... $
Total Doe .............................. $ 10,-)'. II
Paid ,/ 03. "7 , Receipt No. 3s4z-/
Date 6J / f let:; By ~
certify that the ~uest in the above application and accompanying documents is in accordance with the City zOning-b~ may proceed asf"equested. This document when
Ian r constitutes a temporary Ce .fi e Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION _1/ J' .00 b. ell
USEOFBUILDING ~&.s ~/L-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City,
Division 1 2 3 4
Permit Fee .................. ......... .... .... $
(,2.. Z5
40,...n
(,00
Plan Check Fee ............. ................ $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... ~
r1~
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By nata
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
II
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. It
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ...................................!t,
.
Pressure Reducer .......................... $.
Meter Horn ................................... It
Water Meter ................................. 4:
Sewer & Water Connection Fee ........... It
Water Tower Fee ........................... $
Water Tap ................................... $
Special Conditions if any
.. ,. ~.-._..> ..----r-~.-
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.---... ---_..~-'"
~.-.~::--
.....
_.-
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Thr Crnlrr of thr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
8111LDING 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 A
Reviewed By: {j ,t/}1. ;)C!\O./1
~<o a4/'LGt"..uL. OIL
7/P
Accepted With Corrections
Date:
{Ill L-/lcn
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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Tht(.rnlt'rof tht l.aktCouotry
White - Building
Canary . Engineering
Pink . Planning
BUILDING PE;RMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT BR VA (1/ HA IN 65
APPLICATION RECEIVED fJ?,/2--/ qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t./~75 ~AN 1t;;.,K.. ,/.-N.
Accepted
Accepted With Corrections
y('
Denied )
Reviewed sf ~ 15. q ~-
Date:
(P-8 - cr't
,
Comments:
I. ((""d .\..k.. ae<.lc... k,,-,D en.. .Ac
"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 III Co,s (ANIl;:t2- LA.Nr=
TYPE OF WORK N E. LU :DEc..~
USE OF BUILDING Sr-:.D
PERMIT NO. qq _ {~
BUILDER ~loI:""e,
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
(n-7-gg
I FOOTING ~j ~6 , rfi. I ? - CJ.3 - 9 'j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l.em ......It::i I I
INSPECTOR
DATE
I FINAL
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/1--;)0-71
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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