HomeMy WebLinkAboutBuilding Permit 99-0687
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Lj-o /7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL Pe~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
2:~
q9-(;67
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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!
INSNOTJ
II
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DATE RECEIVED
0/4/19
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
tlDl~1 [1\ ;\b""oo& s. \0-
3. LEGAL DESCRIPTION
LOT
:?
:J.
3~
PID
AcU'JIl.
-;:J<:; - 3';J~ -f)!f1-(J
13. TYPE OF CONSTRUCTION
BLOCK
Q".",ds.
ADDITION L l...",~lnll"''''''
4. OWNER A )Namer
:Do..i ~ d /\,0\\ e\k-
5. ARCHITECT I (Name)
t'1r
6. BUILDER (Name)
bo.~MlcAk
Lloh
(Address)
\,IJilloWwoecJ '*
(Address)
(Tel. No.)
(./1. - '147-/8~1...
{ (T~\ No.)
IIJ) ~/2J!'J33 - B41.fO
(Tel. No.)
ibn
(Address)
l,JIl\o iJWooJ-~
7. TYPE OF WORK
New Construction 0
Deck)ll
Finish Attic 0
Ae-roofing CI Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Fireplace D
Alterations 0
Septic 0
Addition 0
1. White
2 Pink
3 Yellow
File
City
Applicant
Permit No.
rltJ. 0 ~'1
1. DATE
s-:.l."3 -'1';
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
tU
12. NO. OF STORIES
14. FLOOR AREA APPORTIONMENT USE
&1'V.</if'l-1 tlE:" '2--.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTR
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished 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 e~' n~d p party 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 off a c n re ke ~ij 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 J jI Lh'<'Jc- ''/-"ToII&- q 0
- \ Signature License No. Date
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Pressure Reducer .......................... <t
Meter Hom ................ .... .... ........... $
Water Meter ................................. <t
Sewer & Water Connection Fee ........... 't
WaterTowerFee ........................... $
Water Tap ................................... <t
Builder's Deposit ............................ <t
Other .........................................!t
Total Due ..............................,< 7){) ..n/ y:
Paid f3q "7. S Receipt No. -3 '7 'I "1
Date (, I" 4 t: By 12.-01+ ,
in the above application and accompanying documents is in accordance with the City Zoning Ordinarke and may proceed as requested. This document when
itutes a tempo 'Y ce;;;rr:{j7'mPlianoe and allows construction to commenoe. Before occupancy. a Certificate of Occupancy must be issued.
ate Special Conditions if any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
I..C)(Y")
USE OF BUILDING
RES AlE..
TYPE OF CONSTRUCTION: I II III IV~
Occupancy Group A B E F HIM UVS U
Division 1 2@4 4~ C)j
Permit Fee ................................... $ . n
:S1.S3
.75
City,
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty...................... ......... .... .... $
Plumbing Permit Fee ....................... $
~14Iq~
~~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
.............. $
ur Building Permit Whery.Ap~~.
Date t,,-~ -7 }'
Issued
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ....... ...... .............. $
SAC ......................................... $
Collective Street Fee ......... .... .... ...... $
Sewer Tap ................................... $
.
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24 hour notice for all inspections 447-9850
or
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c"''':-~'''-''-'''''~~
Thr Crnlrr of lhr L.b Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ i / I
'..-"
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:.,) _.---(---
Accepted 1/ Accepted With Corrections
Denied ()l15. ~~
Reviewed By: Date: (01 sf /9
I~~ ,
Comments: ~~ Ok......
(/'
"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."
~~
Q9-r;,e7
White . Building
Canary - Engineering
Pink . Planning
Tbr Crnltr of lhr L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CI-\ECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
D,t:J VIO f\/oL.{,,6 / 7 {;;
fs, /4// qc;t
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4L-O/7 WIL.L.OWWOOD ~ I
Accepted Accepted With Corrections ^
Denied
Reviewed By: R{J tf,L
Comments:
Rea&. ~ rfJ-pcJc Lc2aJ
Date: G - 'i3 ~'Z 'i'
"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 41'l'fl W~\.\~ ~
TYPE OF WORK \:)0<" \c
USE OF BUILDING SF\)
PERMIT NO. 0'1-LP,P,'l
BUILDER ~,.,II. it;-
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 ~ - 'B - c:;S
INSPECTOR DATE
I FOOTlN~ ~.ri' ~~ I ~~\ I (., - II.{ - 99 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, ~~ -lfNG VJ) {,/Nt/rt!- I I j
.II IT
I FINAL ,J~ I /fl., tJ-?- 9'J ,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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