HomeMy WebLinkAboutBuilding Permit 99-0674
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
,J!( FINAL oeu:... 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
DATE
TIME
2.. :.30
qq-t, 74-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ~ ~ ~ J..~ ~
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Bi
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
II
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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~/~/99
I DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS A
I 4.;).:> S $beu A'Ie. tJ.~.
. .
3. LEGAL DESCRIPTION
,
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LOT
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BLOCK
Pt:h.'+4
PID
:;;':<=;"~o_,,~ ,'0
ADDITION
4. tNER (Name,) ~ (AddreSS)(, )
n'lpk<,:T. .. ~~f; A. ( , ~.d.d..
-.... ,
5, ARCHITECT (Nam.) (Addr.ss) ~ L
(Tel. No.)
(r:(~\I.(l(S-lfl)a
.r-.lleL No.)
:::>::50-/Sb/
6. BUilDER
(Name)
(Address)
7. TYPE OF WORK
Fireplace 0
Alterations 0
Septic 0
Addition 0
Dec?,
Finish Attic 0
Re-roofing [j Porch [j
Re-siding [j Finish Basement [j
16. PROJECT COSTNALUE
(" "^.o
Chimney [j Misc. :)\"A....I
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
~'k!'t IOd I S Width b'S Depth \"S-' Ves No ., , I A9
I h~r8b.y 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
buildi~official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X \ )-.,Il'llc&!hp~ _ r;fd./t;Cj
...J Signature license No. Date
New Construction 0
(Tel. No.)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.-3..Cl--6 71
BUILDING INFORMATION
", SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13, TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION "'2..000.00 PLOT PLAN 0
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
-'2;:::;5' A/~
USE OF BUILDING
TYPE OF CONSTRUCTION, I II III IV CJi.P
OccupancyGroup A B E F _ ~ I M --Q S U
Division1~
P.rrniIF..................................... $ (.2.."Z-S'
4 D. .f1J-ll
1.00
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
penany ....................................... $
Plumbing Permit Fee ........... .... .... .... $
c4\
~~t
Mechanical Pennit Fee ..................... $
Sewer & Water Permit ...................... $
GasF. pi ePermit .;P....... ............ $
Thl leatl mes Y r Bing Permit When ,ro92f
By _ Date to--
Certificate of Occupancy
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................ ................... It
24 hour notice for all inspections 447-9850
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $_
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Paid TZ~u:.ti............~~~~,~;~o$ ~~^
u.st " the above apphcalloo aod accampanY"9 documeots " " accardaoce Wlth the C:;oo~ i.a~ a~ may pr:: as req2.., Th" documeot whoo
r constitutes a temporary ce~~f Jl~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Panner 1 ~ SpecialCondrtions ff any
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White - Building
Canary - Engineering
Pink - Planning
Thr Crnln of Ih~ Lab Counlry
BUILDING 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 2 A
Reviewed By: L ' ~. d(1\OVJ
Comments: _ -fbtLc1GJ ~AA./ d<-
. - Iii!
Accepted With Corrections
Date:
&/qJ 7'C?
"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."
qC; - (p 7l/
Thr ('rnln of lht L.kt Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PI;RMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
DOUqL.AS/HI"I.eLVS 6ESM6
(P/3/QC;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/Z2.5 ASP6N AVE AlE
Accepted
Accepted With Corrections
'--:,.z
Denied /). // L
Reviewed Bf -/Y( h-- ~
- I'
Date:
~- r-7~
Comments:
I.~H-~(~~
"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."
"
II
, ,
PRIOR LAKE
INSPECTION
RECORD
A,v6, t-J. E..
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. qq - t,p 7'-/ . DATE ISSUED -.f..r, - '7 -'1'1
BUILDER -DOLl'Q,L~' i f'...\ ~J2.. L v 5' G E,WV= '
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\ ~ ~d-.S ASPEN
I\l EI 0 l)ECJL..
1 INSPECTOR DATE
I FOOTlN~l) I ,~il I (,,-l'iJ-99
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I I
I FINAL
8(- I dIV1rr
Call between 8:00 and 9:00 A.M. for all inspectIons
FOR ALL INSPECTIONS 447-9850
,
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"
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