HomeMy WebLinkAboutBuilding Permit 99-0724
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/{773
< ,'--Q.:.
....J~""'r"",..Il
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~ nf/fl\
)!( FINAL ao>.Ul\Ol
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
/1-30-9j
a... <. III
T7- 7Jlf
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~ Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
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JUN I 4:999
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTlONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
/~~q3 SIMP/::..IN'S
3. LEGAL DESCRIPTION
I
J1/€6Tf2,tIP,/
4. OWNER 1 (Name) J I
tA CA. f'r Y /'17-1- ~ U
5. ARCHITECT (Name)
LOT
BLOCK
ADDITION
6. BUILDER (Name)
A.Wry /-/~
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
-4V6
5W
5
1ST
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99-7z.A-
1. DATE
/3 :T'^~"f1
BUILDING INFORMA nON
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
el
12. NO. OF STORIES
PID ,2S-30PJ- ()n- 0
13. TYPE OF CONSTRUCTION
(TetNrf.'ij4h,-ld
t'i" "''''' ~ ;J<-tJJ
(Tel. No.) "..-
LJ. 441- JCt{,/)
(Tel. No.)
S""r>LQ.. uJ ASov~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEAT::'
Dec?C
Finish Attic CI
Re-roofing 0 Porch 0
Re.siding 0 Finish Basement 0
16. PROJECT COSTNALUE
Baok
Side
(Address)
S;,;,v.,..z. p<.-.l
(Address)
(Address)
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 infonnation 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
building o'c~an revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed Inspections.
X r.:~~~ ~- /? ,Tt;'nL- cfq
c...r /"... Sig~--- , License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
R'6.5 A/IL
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION '1'1 (Y). f)rJ
TYPE OF CONSTIlUCT1ON: I II III IV Uc:>
Occupancy Group A B E F HIM 1? S U
Division 1 2 ('1:)4
Pennit Fee ................................... $
Plan Check Fee ............................. ~
State Surcharge ............................. ~
Penalty ....................................... ~
Plumbing Permit Fee ....................... $
Mechanical Pennit Fee ..................... $
Sewer & Water Permit ...................... ~
City:
sll. Co
36',10
.es
~
~L U\
~Jt
\O~
~\\~'t\
Gas Fireplace Permit ....................... ,It
This 9Cl59li91~eco~~ilding Permit Wpen Aeproved.
By VLf/'i';7'!\" -- Date ~ -/8 -'t'?
Certificate of Occupancy
Side
MATERIAL FILED WtTH APPLtCA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS LJ
-----
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Pari< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ............. .... ...... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ -
Total Due .............................. $ ""'1. LtS
Paid BRyeCei~"1~(,~~ .
Date 7-'2.'5- 9 f {~/i "_ J.---
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. T~-:ment when
nstltutes a temporary CertifirJj it li7lfjPliance and allows construction to commence. Before occupancy, a Certificate 01 Occupancy must be issued.
nnSf Dale Special Conditions ~ any
Issued
24 hour notice for all inspections 447.9850
_'h'"
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White - Building
Canary - Engineering
Pink - Planning
The Cenler of thr Like Counlry
BUILDING PERMIT APPLlCATION..D.EPARTMENT CHECKLIST
NAME OF APPLICANT
I
,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
, \, !-"
Denied
/,
f) ,t11 ~
1/ ~ctd0
Ar.r.enled With Corrections
Accepted
Reviewed By:
Comments:
Date: &/17/79
~NC
V fI
"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."
qq~ 72-1-
Th~ ('t'nlf'f of lhl" L,kf Counlry
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L./I,e /2. Y /lr!46!e..-
r,//c/ /c;1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~793 S/I'1P/c.INS ;rVG .s W
Accepted
Accepted With Corrections X
Denied
Reviewed By:
f2y I)a-~
. ~
Date:
C. -16 -91
Comments:
I, K~ -W...o a1-pr-b /",~~ <hAJ
"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."
._---_.,_.._-"--_.._..._-"----------_.-_.._~...__._-_._._-"-----_._._.~~--------_._-
.,/'
.
.-
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JI~ 7<1 ~ S'i1""P k'll\C. Av-e.s1Al
TYPE OF WORK D-e..c:..t
USE OF BUILDING Sf 0
PERMIT NO. 'Pr - 721 .- DATE ISSUED (4 - /8 - 77-
BUILDER l-J,,"c, IJr
NOTE: THIS I~ NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTIN~ (f)v)t~. [Jt-. /'1- 2.lJ>- 'jCj I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING B<2b Di!cl'li\N; ,';, \''''s~cJ.<.acj @)~. - I <g' -13-cr7 I
I FINAL @", /T'-fA. I 11-:30- 'it J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
.
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