HomeMy WebLinkAboutBuilding Permit 99-0692
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 155"10
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULAT'Ol1
INAl
o SITE INSPE TION
7
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SCHEDULED ~;,,~
W ;It!w~ C.,'w I,
TIME
10:30
CONTR.
PERMIT NO.
q C} - (.,<1 z..
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 GAS liNE AIR TST
o
~
~
FOR REINSPECTION BEFORE COVERING
Owner/Contr:
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYt
INSNOTl
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C?Cj- (P9z-
Thr C~nlrr of lhr L..kt Counlry
White - Building
Canary - Engineering
Pink - Planning
6..UU.DING PERMIT APPLICATION DEPARTMENT CHECKlI$I
NAME OF APPLICANT
APPLICATION RECEIVED
GORDON f:::.OP/766K
fa /8 / qq
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5590
,
WIL-DvVOOD C-//2..CLA5'
Accepted
Accepted With Corrections
-..,<
Denied
(r!p fIr.~
Date:
~-LI-C;'i
,
Reviewed By:
Comments:
UrMo
~IMO\c..e.. ~}er~r't-<:l.,
"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
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6. BUILDER (Name) (Address) SftME (Tel. No.)
GOI€./)O!V J. J:ofJlk.E:k 6/2.-#7-73.13
7. TYPE OF WORK Fireplace LJ Septic 0 Deck 0 Re-roofing 0 Porc~ IS'.l"l.rl
New Construction 0 Alterations a Additio~ Finish Attic a Re-siding a Finish Basettfent 0 .
ChimneyO Misc. fo~ fl.1l"','dM.. <j.\o..~u.-. ... ~~ w,~ ~ ~""""""' ~....,..k
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. 2 51 79,':3 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 abo Iione property that al onstruction will c form to all existing state and local laws and will proceed in accordance with submitted Plann~ i~are that the
:Uildin I can oke this e it f use. Fu e ore, I hereby agree that the cily offjcial or a designee may enter upon the property to p~ / n I!1'P'
License No. / _te-
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.. -'1999
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS/55 9 ()
6/8/99
W JLDW6)O)) C/R,CI ~ :s 8- ,e/5D
PID25- &/J-() /1-0
3. LEGAL DESCRIPTION
LOT .3 R.LOCK
(J A K (J./ 00 /)
4. OWNER C. (Name)
Q.O~ QoN ..l.
15. ARCHITECT /\/;;";;6-
ADDITION
2
H//.l ,~
k~(JAf!!!E
(Address)
GJ2~e41::7-73/'j
(Tel. No.)
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ . <OC)
USE OF BUILDING
JeGS AIR
TYPE OF CONSTRUCTION, I II III IVc..v
Occupancy Group A B E F,~ I M ~ S U
. OW""" 1 2/Y'. ( <. ~ . '2.C;-
Permit Fee .................. ......... .... .... ,
Inc;-. l{ 1
<;, f)()
City,
Plan Check Fee ............................. ~
State Surcharge ............................. ,t
Penalty ....................................... )I:
~\ Aqq
lo 1/, t
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Plumbing Permit Fee ....................... <t.
Mechanical Permit Fee ..................... <t.
Sewer & Water Permit ...................... ~
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-0IP-
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
r2.') / :i'A)' (~~ I
12. NO. OF STORIES /
13. TYPE OF CONSTRUCTION
R?AM,6
14. FLOOR AREA APPORTIONMENT USE
5'0 4- S" ~T
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ~ COSTNALUE
-~~
I ._ r .
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0 ~
Gas Fireplace Permit ....................... of; Water Tap ................................... $
This ~i9JIiGP1 Becomeshaur..Building Permit Whe~ ~p'~~g. Builder's Deposit ............................ $
By /14..J'J-~ L. ~ Date '" 7..1 "17 Other ......................................... $
Certincateofotupaocy Paid T;)7!3..:..~..........~~~~i~;~O$ ~4'~.)..
Issued Dafe (p-2Li-qq By ('XtuJ
This is~~=reques n the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requ~. This document when
s~ned yt 1r/7~er itutes a tem rary Certifr/17z7PfjomPlianjjl;leS ~ont~ c~=:e~ oUa~;~oc~~nC~ed.
U C"PI8O"" J" ,- sp.""e"""t"",',", ~ -<:;,:,,~'{,'1
24 hour notice tor all inspections 447-9850 - v
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Thl' C'l'nll'rof lhl' L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVFn
.
, ,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
~
Accepted With Corrections
Denied /) j
Reviewed By: y. tJr :; C1J7:::l.A-J
Date:
(j) /7/ 9 CJ
Comments: .. _. ___. _. __
.IMfOM.d ~ ~v .adt;aJeo,
v .
~P1 Cj /J'U/}1' ('/(h, '/'A-<A4A~0 .~
U ~'g/"'--'v'
l/J /JUh'/} /l/I'UuJd Vj ~ t1f;
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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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q9- &9 z-
lh" ('''nltror the Llkt COllnlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVFn
GOkOO~ ICOP17C6K
fc/c.jC;q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)!::':;QO
f VI L-Drl/OOD C I k.C L G
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ,.,,,.= bJnESII<"'NN
Date: fI./'Z.~/9'
Comments: -r.:i...
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D...~c::
.un~
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1?S;:PlQtfl. ""1Pl.~
T'\A-.oo\ 4c.E
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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."
1J~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .l:iS-'19 lA l.:,Jd ~ (1...,
NATURE OF WORK Retll"'J <1".,1"'1"....... \,...~k. '3 C'......~ ~....., k
USE OF BUILDING S'F ()
PERMIT NO. 'l9-(,Ij'( DATEISSUED ~'-2/-q'1
CONTRACTOR ~.... kno~c-<:k.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
, FOOTING rro luo\~ l~~ I~, \'1 -9'7
, FOUNDATION (Prior to Backfill) ~ '7ft"Z-~ 1 I
PLACE NO CONCRETE UN1::k' ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
-
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!1 )<?/n~ \1
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~k':~1'/ 1;;;P 1/ If /r1 I
COVER NO WORK UNTil ~BOVE HAS BEEN SIGNED
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FINALS
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7111 un
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BUILDING
ELECTRICAL
~
DO NOT OCCUpy UNTil ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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