HomeMy WebLinkAboutBuilding Permit 99-0710
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
( ) 0o'9~
ADDRESS
/75'-14 5~",,~ ~ 5.lJV-
OWNER
CONTR.
PHONE NO.
19. '7/0
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
): FINAL cR,..d, rA\
o SITE INSPECTION <!J
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
COMMENTS:
/JtMJ?~
;..iI~ !--,-JJo
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/l'L~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
II
r-~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
jJATI=RI=r.I=IVI=.D.
~~l'/9? .
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 t16lfL} 8lttaYt1 U ~i'V:
3. LEGAL DESCRIPTION I
S'Af
1. White
2. Pink
3. Yellow
File
City
Applicant
1. DATE
If-/o -ct q
QQ-7/0 /
BUILDING INFORMATION I
Permit No.
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
BLOCK
PID ~2:7- On3 - I
13. TYPE OF CONSTRUCTION
4. O'i(NER ~ame21 ~ I J ,_ (Ad~\a~s) S 11' (Tal. No.)
CitlJ I \ I 1\ 0 () PJv ill!J_1Jb I.f-Lt iA.J'l VA \ I c tv: ~ )
5. ARCHIT~ (Name) (Address) --------, /,) (Tel. No.)
ll1l 6'2..- I/Zf:;3
6Jt;11Eiv HOme.- ~o t.J dc;,elttuu . Vi Av. (Tel. NO)4-4:?1
&;~tei~tj" AdU1dl.tl.o~n~~Flln."sLheAr:tt~l.ck~ ~_~~~Lf p~("BO
New Construction 0 Alterations 0 LJ b ~ Re.siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
-
'shed infonnation on appli ion which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
a d ~1.~~~, const t n HI co form to all e~stlng ,tat. and local laws and wHl proceed In aoeordanee wUh ,"Omitted plans~ I am aware that the
t~1.rti. her re, I hereby agree that the city official or a designee may enter upon the property to perf(g :10 i~~t:,.
ignature license No. Date
ADDITION h&7""&.c:. /N "'D.hJOS
x
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT V ALUA lION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
b&.C; ..eyR
PERMIT VALUATION
I s t'Y). (') (")
TYPE OF CONSTRUCTION: I II HI IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Pennit Fee ................................... $
S U
City:
48$0
31.S?
:15
~~
~I "~
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee ....................... <I:
Mechanical Pennit Fee ..................... It:
Sewer & WaterPennit ...................... <t
Gas Fireplace Pennit ....................... <t
~~I~":JflBulldlng ;;:,itW?:"-(7~2f7
Certificate of Occupancy
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS " ENERGY DATA "
PILING LOGS " PERCOLATION TESTS "
PLANS & SPECS " SETS
SURVEY " COPIES
PLOT PLAN "
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .............. $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
MeterHom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ <;</) . i5<
Paid en 1~ Rece~Pt . 3553 J
~~ )
.,~'s . that the uest in the above application and accompanY.ing documents ~ in accordance w;!h the c~:;oni~ ~3nc'! 1 may P'::'d equest~umant wtlen
~ ~ann nstitutes a temporary Certifit;;; 4'rV1Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
... CRy Planner . Date Special Conditions if any
24 hour notice for all inspections 447-9850
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ThfTtni;(of Iht LJkt Counlry
White . Build'ing
Canary . Engineering
Pink - Planning..
BUILDING PERMIT APPLICATION DEPARTMENT CHFI":I("I IS!
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f
Accepted
v
Accepted With Corrections
Denied
fl.~ t1?_ '- {/U'M
if ~d0 ~ DIe...
VU
Date:
[q<V4/97
Reviewed By:
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."
.
"
'.
,
, ,
~~
99-7/0
Thr("rllluof tht' L.ktCOllntry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
...5,qi-L'f ;e006 W/i ~O
rollo/CJc;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/75L/-'-I SUNfi?AY e/~ SvV
Accepted
Accepted With Corrections '-./
Denied
r;2J{L7(( -
Date:
(,-0-77
Reviewed By:
Comments:
~9.. ~ AJc l~oz.J-
"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."
. I
__~__"_'__'___"__'___'___'"_'_'''_____'_'_'___'__m_._"...,__.__._.".__.~._'_.__~.__..__.~._._..____
....'./-.\.
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS -L7Cl '-It..! S'u~ t-o.lJ (1,.,
TYPE OF WORK _ De.clc. cI
USE OF BUILDING $FD
PERMIT NO. C'7-7/D
BUILDER ~IJ.... l..Jn.. I~
NOTE: THIS IS t40T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
&-/f-71
^ f' INSPECTOR DATE
I FOOTING(~ I ~~ k-~1?"~91
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I Y- . .,j ! I
I FINAL
-
(fJ) M //~3 fJ -r'f
.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
"
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