HomeMy WebLinkAbout Building Permit 99-0689
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
?-C) -'1'1
1(:00
ADDRESS
1~q'50
A-opo... Leos,,"-
~
I t2 .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Q9-(089
o FOOTING 0 PLUMBING RI
o FRAMING 0 MECHANICAL
o INSULA liON 0 WATER HOOKUP
)f FINAL 0 SEWER HOOKUP
'd FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREV. 0 SITE INSPECTION
COMME~47....J ~~ J ~ A....u-<. .0...._ (~
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o EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o F~PLACE
o ~l )~t::::.....
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o W~ATISFACTORY, PROCEED
qv60RRECT ACTION AND PROCEED
o CORRECT W~LnFOR REINSPECTION BEFORE COVERING
Inspector: G~ rr, Owner/Contr:
V
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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',___._..______.._"u.'.._________
6~%
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
., ,- 4 !goq
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Permit No.
01-1061
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
1:,- 2. - '7,
ADDITION
14~J~
5. ARCHITECT
. BLOCK
/Vl rJ 12 Gi "'I J2F:-'-
TV'\"
I
I<./SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12.SI14qS~
~Oo.l OOSQ
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
3
/-1F1K'.1/
\ (Name)
t: Flo
PID ?=;-v./-LI-- O()3-0
1ST AOnA/
13. TYPE OF CONSTRUCTION
Hv'\-"l~e-J
(Address)
1~~'53
(Tel. No.)
Ap~\oos.", 1V"\'
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address)
6. BUILDER
(Name) \'11) fO,'\1t".{Cf~). s:\UOOIe- vvoo!"ol9Jm
$,-,l'~\';<' eo",s.-\-. I"c... 'p.O.~o~ ~o6 So."\-a''''~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck '"
Finish Attic b .
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
y
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
at 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
ned property and that all const n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
" _, - ..-. permit t1st c:u e. Furt e hereby agree that ~ c6 ~c~ or~ dS-9::r iay enter upon the property to P': :/d !:pa
Signature / ( J License No. Date
17. COMPLETION DATE
I
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS Ij PERCOLATION TESTS Ij
PLANS & SPECS Ll SETS
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~~
I
All"
.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
(",.(')()O.oCJ
SURVEY
PLOT PLAN
Ll
Ll
COPIES
TYPE OF CONSTRUCTION: I II III IV(j..)
Occupancy Group A 8 E F 'j ~ S U
. Division 1 2(14 l ?. ,.-
PelTmt Fee ................................... $ I G. 'S
') 2.. ~
?, . OC::>
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
11
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Total Due .............................. . 19>~.-z..?-.-
I ad PaId l.yg.2.L Rec",pt No 7:Jcjy"i.i/ \
55U Date fn-l([-{../(./ By (Jl4JJ
ThiS IS to~that the request In the above application and accompanYing documents IS In accordance With the City ZOning" Ordinance and may proceed as requested thIS document when
Signed by: e~ temporary CertifirPpf~1lf1omPltance and allows construction to commence Before occupancy, a Certificate of Occupancy must be Issued.
City Planner Date SpeCial Conditions ff any
comes our Building Permit When Approv,q.,..,
Date ~/ ('J -7..2..-
Pressure Reducer .......................... <I:
Meter Hom ... .... .... ................. ....... It
Water Meter ................................. $
Sewer & Water Connection Fee ........... <t
Water Tower Fee ........................... ct.
Water Tap ................................... <l'
Builder's Deposit ............................ <l'
Other ......................................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This
By
24 hour notice for aU inspections 447.9850
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Tht Ctnler of lhr lIkt COdn11'}
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKII~T
NAME OF APPLICANT
APPLICATION RECEIVED
_.. f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
! --
1-
Accepted ~
Denied (J
Reviewed By: J g{ ~
J:ihadh
Accepted With Corrections
Comments:
~
VII'
Date: ~!/'f.fcjCj
DIL. - ri;(Wf vP..fn ~
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"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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Cl9-681
Thr('f'nlt'rof Iht' LabCounlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.sUPe;~1 Ote. CLJfliSTl2-.
(p /4/9'7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~q6V ~P~~LOOS~ ~.
Accepted '><""
Accepted With Corrections
Date: k-(O-77
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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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I t.fCf 56 APP~L[)!)~I:... 112-A.1 L
TYPE OF WORK N e to JJbC'L.....
USE OF BUILDING SF1)
PERMIT NO. q~ - (,,~q DATE ISSUED to - I 0 - qg
BUILDER ,)UPFJ2..IDR.- GONsT; IN<;.,.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING IYv I fJ.# I ft - f)."i- fj "7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I ,1Jio.:L111I",l~ I I
I FINAL
I'B~ ICWw (-li.L[~ I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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