HomeMy WebLinkAboutBuilding Permit #99-0711
DATE TIME
CITY OF PRIOR LAKE 1-, - qq It:be;
INSPECTION NOTICE SCHEDULED
ADDRESS ("Sq" Zw,k /2..J
OWNER CONTR.
PHONE NO. PERMIT NO. 9q-,/l
o FOOTING 0 PLUMBING RI
o FRAMING (i) 0 MECHANICAL
~I ULATJON 0 WATER HOOKUP
lNAL. 0 SEWER HOOKUP
FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREV. 0 SITE INSPECTION
COMMENTS.(i'5) S........n ~~ ~ ~
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o EXC/GRAD/FILLlNG
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
.
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o WORK SATISFACTORY, PROCEED
WCORRECT ACTION AND PROCEED
o CORRECT WO~ C'fj FOR REINSPECTION BEFORE COVERING
Inspector: I')...Jf--i 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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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
2. SITE ADDRESS R
t..r::92. ~c...
3. LEGAL DESCRIPTlON
i~/<t /CJ9
fr~or ~ , )'Y11J bS;~
,iU:5j)'
PID /5"-/40 - ()(J2--0
t1
::E.
LOT
2-
/
BLOCK
ADDITION I'JFJ.I::/_FJN/J AE7'1tJH IS,
4. OWNER , ,(Nam?) _ I . (Address) p^
L.) ,I (, 0..11'\ D. Sc..n. die r . (~r;c;z. J:.1.\b f ;U.tl.! 'Sf; I
5. ARCHITECT (Name) (Address)
{~~:ZYf!'I()-S1L.
(t5 I'j'lfgbz.m
IT el. No.)
6.1l!iIbllIM1
(Name)
-
(Address)
-
-~---
7.~
New Construction CI
---
Fireplace CI
Alterations CI
Decl\l!\
Finish Attic CI
Re.roofing CI Porch CI
Re.slding CI Finish Basement CI
SepticCl
Addition CI
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq - 7-.lL
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEA TF.
16. PROJECT COSTNALUE
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 mentioned property and that all construction will conform 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uildinrJ~CCVot thiS~e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perf,rm !;,edj79Pecf.iOns.
Signature License No.1' Date
MATERIAL FILED WITH APPLICATION
Side Side SOIL TESTS 0 ENERGY DATA 0
Back
OFF STREET PARKING PILING LOGS Ll PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT V ALUA TION e; f')t'Yl . ,,~ PLOT PLAN 0
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
#' F; 5; ..q /..e..
TYPE OF CONSlRUCTlON, I II III IV L}
Occupancy Group A B E F HIM 1If' S U
Division 1 2@4
Permit Fee ........................... .... .... $
17. COMPLETION DATE
Plan Check Fee ............................. $
'i"r .7">
(,,'1 .At.{
/.<"-0
Amount Brought Forward .................. $
Park Support Fee ..................... ...... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
t~\
~ .~
\0
Pressure Reducer .......................... $
Meter Horn ... .... .... ................. ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ -
Total Due .............................. $ /0 !.{JC-/
Paid /(,'j?O&J Receipl No. ,.S"S-rr7
Date ~ /qtj By ~
Th.fJS' ~~~e est in the above application and accompanying documents is in accordance with the City Zoning O.rdinan .e. and. may proceedlJ, requested. This document when
sig d by _ ':?7 ....n nstitutes a temporary ce~ /:J,7l:J1;omPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
C~y Planner Date Specaal Condrtlons rt any
Sewer & Water Permit ...................... ~
Gas Fireplace Permit ...... ............... $
Thi
B
ecoma ~Ufidi~ Permit Wpen Awtpv~.c
, Date-1" "'N-7~
Certificate of Dc
Issued
24 hour notice for all inspections 447-9850
----.-------_.---~._~--_._._----~..._..--'------_.,----~+~.~
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The C"enlrr of the Like Country
~
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White - Building
Canary - Engineering
Pink - Planning
6.U.!.LDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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
/
Accepted With Corrections
Denied j
Reviewed By: L)~~' ~ Date:
Comments: J'AA::dJ ~ : ~ (;U'l:ciJ ,
~ rfL VRAU.~ ;.1 r.-"S
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l.t1/ I wlqq
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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."
~~
CJ9-7/1
Th~ ("t'nlrf of lhf' L.b Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CIifCKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
J1//(,/.;/IIM SCHfL-c6r:2.....
c1? hO/'79
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~S92.... /iCcJs-nc ,eo/}O 56
Accepted
Accepted With Corrections -....L
Denied
Reviewed By: ~O fL__"..K
I
Comments:
I. ~a1) ~~ d).;>r!,. ~~
Date: fo -/'1-'1 1
"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
..-. _...~._...,.._"_..~--.--~-_._---_..
PRIOR LAKE
INSPECTION
RECORD.
Rb ~. E,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. qq- 7 \ \
BUILDER
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Co 5'1 z..
NEW
RUSTI~
L::t('j~
DATE ISSUED b -IL{ -99
INSPECTOR DATE
'FOOTING (A)~6t~~ I~, I (0- I f-?7
l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I I
'FINAL {fY
I J)<~,
~.. 'I' S~
i
I
I
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
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