HomeMy WebLinkAboutBuilding Permit 99-0756
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS 51../(,7
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OWNER CONTR. ____ .......
PHONE NO. PERMIT Ne 't~ \
o FOOTING 0 PLUMBING RI 0 EXlGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~~NSULATION ^- 0 SEWER HOOKUP 0 FIREPLACE FINAL
J'N"INAL I""S 0 PLUMBING FINAL 0 GASLlNE AIR TST
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OR REINSPECTION BEFORE COVERING
Owner/Contr:
CAL ~447_9850 I DR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE EQUIRE -ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
C./;;/1&f
e~~
(P j;;7q9
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
SL/67
3. LEGAL DESCRIPTION
/
"J?JHN
/ s-o./..f
ST
LOT
BLOCK
/
PID Z5 - 24>2- CJO/- 0
13. TYPE OF CONSTRUCTION
ADDITION
-rrnJ5 AD/)Af
4.0WNER"'-l2h ~ (Na~
....,,-,'"7 ~/G6-Vm.
5. ARCHITECT (Name)
St;Z'7
(Address)
1To-L(
v(~~':;ifu- f').h t/
(Tel. No.)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq -7 Sb
R.ISO
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Haight) (Width) (Depth)
12. NO. OF STORIES
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER (Name) (Address) /iP 5p]Wb I!2I. 15. NUMBER OF OCCUPANTS OR SEATS
11 /) 3 0 / /1 \ · ~ OCCUPANT~
j//2F.sr/~ /~s ~- '-'TTZ-e L~A(J ~r. /~
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch ['] SEATS
New Construction 0 Alterations 0 Additi9'iO / FinishAtticO Re-sidingO Finish Basement 0 16. PROJECTCOSTNALUE
ChimneyO Misc. s;;;....'ntrl'lt;<-V- rGO &f-U>tA/ ~-~-Q l02fbOD""-
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLI::TION DATE
Sq. Ft. 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 above menti property 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 offic' can vo ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X / ?/~~~
~ture License No. Oat"
v
FOR ADMINISTRATIVE USE
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Tolal Due .............................. $..J1ILI, ~5
Paid 1(,7. z,S" ReceiptNo. 35& 4cf--
Dale ...,ltz../~." By ~
,
~fy at the req~ in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
by he anner stitutes a temporary Certificaterf zonin~07liance and allows construction to commence. Beta. re occupancy, a Certificate of Occupancy must be issued.
, ~ (/filA/] If) ~ 'L
CiIy Planner ' Date SpecJ3.1 Conditions ff any
SETBACKS: Required
Actual
Front
68'"
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMrTVALUATION 'n.tY:Jf'J.r') 11
USE OF BUILOING
PF.S AjR
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ............................... .... $
/C.'2..<..5"
Plan Check Fee ............................. ~
State Surcharge ............................. $
5.00
Penalty .......................... ......... .... $
~~
Plumbing Permit Fee ....................... $
Mect1anical Permit Fee ..................... $
Sewer & Water Permit ...................... $
;:~~~;r~I~~i;~.~~~~
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
-_._~.__.._~'-'~.-._.~"_._..~..__...__._~.-
Side
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
Amount Brought Forward .................. $
Park: Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
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Thr ('rnlu of lhr L....' Couolf)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHe:CKLI~
NAME OF APPLICANT
APPLICATION RECEIVED
:Per:::-::::> flat:-- PoOLS
(p /1'7 / q '1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5L./b7 /5[)T7-I SI.
Accepted
Accepted With Corrections X
Denied /J
Reviewed BY:U;;!..P ~~ I
Comments:
~l-<ll~rt ~Cl.+~ ~-e. .....<.I"'l,. k t",-'v J)\QL,f' bJ'''N' ~ //'-'^-1 ~. OOo{ w,~1.. l)J~
Date:
CP -'(. 'S-? 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."
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Tht' Ct'nlt'r of lht' tlh Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PE;RMIT ~PLlCATION DEPARTMENT CHECKLlSr
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 ,/
Q,?!7. ~ Date:
Comments: ~ (2. /1 5 {j ~q~f0 - ok.
~r;.u ~ 01 ~
Ii
Accepted With Corrections
Denied
Reviewed By:
r.r - ;);)-1-/9
.,,~
J it
"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
I c:o fLt Sf.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS St./ & I
TYPE OF WORK ~ (
USE OF BUILDING SPr.:>
PERMIT NO. c,'7. 7.5&- DATE ISSUED ~ - ?3-7r
BUILDER .JJ-e<;t- -'< n ~-( <>,. .. .
NOTE: THIS IS Nof A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING(~) I 2Q{ I '{- \J -~ '/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I r .G I I
I FINAL
/2;\ 9//3/r '5 I
Call between 8:ottnd 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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