HomeMy WebLinkAboutBuilding Permit 99-0694
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ID:Z..40 ST. "PAuL
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING r@
o INSULATION
~FINAL PoOl.-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME
3"DC)
'fCf-G>14
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: J-<-<; (if.,' J ,..Ad/../~
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO.?f' CALL FOR REINSPECTION BEFORE COVERING
Inspector:,~ 't, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
II
._".~--_...~_._.......__.".~.,~-.,---_..~.-
Fireplace Cl Septic 0 Deck 0 Re-roofing 0 Porch [j
Alterations 0 Addition 0 Finish Attic LI Re-siding 1""1 Finish sase,n. 0
Chimney 5:~h~~..<:'l :~.A./ ~JL90P r;/'/?i'J':"~
18. PROPER'T'YAREA OR ACRES 1'9." P'Rc1PERTY 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 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
~uildin~~jUst cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to peZ .:~e~n.J:ections.
~ Signature =.o,,^ License No. . Date ?
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... 'f,
Sewer Tap ................................... .,.
$
Pressure Reducer ...........................t
Meter Horn ................................... "
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
/'" Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
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QAT. RH,.II,.n CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
JUN - 8 1999 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)
12. SITE ADDRESS
j~2ifO .5 T ~~/ AV'l" S.Lf-
1. DATE
?-? - 7'7
/J./Q/ k~ ~::
3. LEGAL DESCRIPTION
,
LOT " ! 7 BLOCK
S~ItM(),lt:.6L's
PID ~-DtJ3 - Q"?(')-O
ADDITION
\4. OWNE~
LJc:.. for
15. ARCHITECT
6. BUILDER
(Address)
/~:>"I/O S7/j."/ .A1<.Yt'
(Address)
(Tel. No.)
I/L/.J - S'J f.J
(Tel. No.)
(Name)
c:iN~ hy,P{
(Name)
(Address)
(Tel. No.)
(Name)
~
7. TYPE OF WORK
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Side
',d<
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO
SPACES ON PLAN
PERMIT VALUATION
2. 'i2:JO ,rT
USE OF BUILDING
Ke; s ,q//e
TYPE OF CONSTRUCTION: I II III IV CJ!,.-.
OccupancyGroup A B E F HIM.JC:Ff S U
Division 1 @ 1.-
Permit Fee ................................... $ 7. h
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
1.2C;-
Sewer & Water Permit ...................... $
:~~:~.~~.~~i:;I~i~~.;e:i. When AP7,oved
By 'L\ ~ _ ~ Date ft; - 1')-
Certificate of OccJJPani
Issued
1(.;
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit NO._qq-~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Haight) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Other ......................................... $ _
Total Due .............................. $ -/& cUU
Paid 7'-.()7:J Receip'No.3SS~2--
Date (", if? ftN By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning'Ordina'nce and may proceed'!r? requested. This document when
sign~itr flanner constitutes a temporary CertififBte of ZOlJln~ compliance a allows con ction to commence. Before u ncy, a rtificate of Occupancy must be issued.
~",-L~t4.(y<-.. 10<\7 '1'1 -
City Planner Dale
24 hour notice tor all inspections 447.9850
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Tht' ('rnll!rof lhf' L.kr Counlry
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSl:
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
'v
Accepted With Corrections
Denied
Reviewed By: ~~~
Comments:
~~~~ 098 \
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Date:
t.-17.tf~
Gd[~i) 'J r xd"litAP, ~
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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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White - Building
Canary - Engineering
Pink - Planning
Thp ('pnlf'rof lhp L.kt Country
mHLPlNG PERMIT APPLICATION DI:PARTMENT CHECKLIST
NAME OF APPLICANT
V/C-IVR- Oe6SICov ICrt
&> /6/19
, ,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&2-4-0
51 PAUL- Av~
S6
Accepte~
Accepted With Corrections
Denied -; /J /) r} "
Reviewed By: /;j~ fk2-. /' "'-<'
Comments:
Date: &,,-(6--79
er,~.o +k ?~ {
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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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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Iln'2'-1n 51- Q"l
TYPE OF WORK W-,..,l
USE OF BUILDING SF,})
PERMIT NO. C(j - f9....{ . DATE ISSUED ~-ro
BUILDER n,,,d-c-r: r..rjJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
INSPECTOR
DATE
I FINAL fA)
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