HomeMy WebLinkAboutBuilding Permit 99-0785
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 11.'11/0 c,~ (X
OWNER
CONTR.
PHONE NO.
~ FOOTING ~
o FOUNDATION
o FRAMING @
D~SULATION
B FINAL
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: mc.1L - Gk-Eho
.A</ ""'- "-0
~
----
----
DATE TIME
elzc..[ <tCj "..eo
qq~ 785
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,
I.' ... 6..,
~~
v ('~
"-----
~
\
J
~
~
./
LK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 1fK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'O':t- ( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~1
.QAT~ ~~r.j:I"I=.Q.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~/;?~/c;'1
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
120 SITE ADDRESS
\ ~qq D Q...f' ~ ",,-<.c::>r--.. C'_ 4-
/
Pcn~
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-785
1. DATE
co - d--3-9r
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
/Us.c>
3. LEGAL DESCRIPTION
/0
.:$E
PID ~~,j/~-t1It)-()
12. NO. OF STORIES
LOT
BLOCK
Wt.Lduz.N~
ADDITION
14. OWNER
ff'I/A.(' k..
5. ARCHITECT
13. TYPE OF CONSTRUCTION
t~'14c>
(Tel. No.) "'lD-;.L~ .
t..r .).-. Scy,. c.:.i-..
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Name)
tl TUr''I
(Name)
1\ ,(Address)
no.tl e/ be.,t;oll<'"
(Address)
6. BUILDER (Name)
~e....~c...,.^",i..
(Address)
""~'1 'S' G.....""...."'.,J, c:..'r
7. TYPE OF WORK
New Construction 0
Septic 0
Addition 0
Deck ~
Finish Attic 0
Re-roofing (] Porch ~
Re-siding 0 Finish Basement 0
16'~3fmA~
17. COM-PLET(ON DATE
Fireplace LJ
Alterations D
(Tel. No.)
4...jO-515~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Chimney 0 Misc.
18. 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 to all existing state and local laws and will proceed in accordance with submitted plans. I am aware thaI the
building o~1 caflrevok~is permj.tfor just cause. Furthermore, t hereby agree that the city official or a designee may enter upon the property 10 perto3 needed inspections.
X 1I~l<._ _ {' .R~." '---I'R ~I .0- CJ...3-99
, Signature license No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
USE OF BUILDING
le.6S -4/k'
PERMIT VALUATION
7 n(){')."'",
TYPE OF CONSTRUCTION: I II III IV LP
Occupancy Group A B E F HIM'-.6" S U
Division 1 204
Permit Fee ................................... $
City:
Plan Check Fee ............................. $
12ll,,1~
RI.O'l
~.S-O
State Surcharge ............................. $
penany . ...................................... $
Plumbing Permit Fee ....................... $
~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
:t;;:~r r ;?~~:...t~;,~i~~.~.e~" I:{hen~~~
By" !~rr tur Date 1-/u'?!L
~ 1. ~ 7'-
Certificate of OccupMcy
Issued
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
ParkSupportFee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ....................................;:
$
Pressure Reducer .......................... .;:
Meter Horn ... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ............................;:
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Paid
200. jt..j
Receipl No. ]7"& 7/
(#,
Total Due .............................. $
Dale 7-')(). q 7
By
st In the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as .stoo. This document when
~nstia1mporary C77iZ, zq; compliance and allows COflstruction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City anner iate Special Conditloos ff any
ThiS~fy
signr by t.#
JI
" -
24 hour notice for aU inspections 447-9850
-T--
<";"'-c"...r_",.,..".~~'ljill'!Itf~"'~~""~l"'",...""""-,,,-,,-"-~t--;'~'~~~~'P:' i'" ,,,"-~~,,.t:~;f~ ,. '" ',' "~"""".~1;:~~'~ ~,~.~ 4'~::'7':,<",--~""..",,;_...-"
.
White - Building
Canary - Engineering
Pink - Planning
Thr Cmltr of Iht Lakt Counlry
- .
6UILDING 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 .~
Denied -, /7} J )
Reviewed By: (J?ifJ'~
~Jk1 '~.~,.& Ok-, /~,~~
~G -OK-1 () HvJ wdicwJ 2klK -rk
Accepted With Corrections
Date:
7 -/(p ,79
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."
.'
ri
qq- 785
Tht' ('prllpr of Ihp L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
B.UILDING PERMIT APPLICATION DEEARTMENT CI1ECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
JOHN CASANOVA
0/1;?-t./ /1r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6940
e.,e 111.:50/1/ (/ / .
Accepted
Accepted With correctio~
Denied (')/ Jf./ ~ ~
Reviewed B~F
Comments:
Date:
7-/~ -77
"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."
---~--~_._---_._------_.-
;."'"
.~
':1.
.,
\
\,
"'
,
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I(,.,~ ~() C't,'\AA'O,ov\' C+-
TYPE OF WORK C'":4""Z.b-, M-"Da-~
USE OF BUILDING SI='D
P~RMIT NO. 9t:-/5e:::-
BUILDER ~\,....... (I", ,'" ,^",,rv-L<...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED -=z.-((,,-"t~L_
INSPECTOR
DATE
I FOOTlNG(~ ~~ I~. 11v~..J1~99
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I I
~
'FINAL W)
~
18-;)-{., -'1'7
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
.' .
:> ......~
"
.;/"