HomeMy WebLinkAboutBuilding Permit 99-0790
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
!!:NSULATION
FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
DATE TIME
SCHEDULED
~-'7-<l9
I ~lS
5q41
~ ~p.(-
CONTR.
PERMIT NO. Q'1 - rc q 6
o EXCIGRAOIFILLING
o LKSHORENYETLAND
o COMPLAINT
o SEPTIC FINAL
D FIREPLA9E
D "T).o-c. .
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
~~ ~ ('~
,
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rJ(~,e .'
-
-LK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~I C~ FOR REINSPECT ION BEFORE COVERING
Inspector: ~A- \ _ Owner/Contr:
gALL 447130 FOR THE NElCT INSPECTION 24 >lOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-T
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
3. LEGAL DESCRIPTION
Iv
LOT
ADDITION
4. OWNER
DATI=RI=(,EI.'iEQ.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Il;'" ') Ii
...)'1\ i- lot
5'7'1'
1. DATE
6/~'I/?i
~ i Sf:.
PID P{S-3d~-~d-{)
h..,f IL NJ.-t." .
CVOUANJ fA
PM"'- Lfn I
BLOCK
CL),r,~I".a I
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lZ,d.e.
..-.'I'lamy)
1<. c, V;)
r-(Nam,>
r/O,^-fl'L
(Name)
(Addr.ss) (T.L No,)
1I0VK'/c ~9Y, CV/JSJ.../;,.{J S+.% 6/7.-YVO-\-/10
I (Addr.~ / {li>L No.) 6J( 'tYO
O.....ylr ISO 66 J5r trl'tr...tr, IJr''''- ,.J~.,,- 7H;
(Address) .... '" (Tel. No.)
5. ARCHITECT
6. BUILDER
F;OVl-h fl-
7. TYPE OF WORK
New Construction 0
Chimney D Misc.
Co. ",rfr.
J 6a-~~
/\D66 KVI<!K/"A 1/" .lJ,-.v'<..~-"...~, 7750
Deck}" Rs-roofing 0 Porch 0
Finish Attic 0 Re-siding 0 Finish Basement a
1. White
2. Pink
3. Yellow
File
Qty
Applicant
Fireplace 0
Alterations 0
Septic 0
Addition 0
Permit No.
qq- 7qD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(HWlt) (Width) (Depth)
1 :2"7 J~
12. NO. OF STORIES
I
13. TYPE OF CONSTRUCTION
Of<./G
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PBPJECT COSTNALUE
:t 'fOOt)
17. COMPLETION DATE
8. PROPERTY AREA OR ACRES 190 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 that the
building offic~n ~ ~ permit for ~ Fu~rmore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
X (.. .C/O r: /S..7f ';?rJdb(nlD b/i;'{./9!
Signature License No. 0
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
"ok
Side
Side
BUILDING DEPARTMENT VALUATION
USEOFBUILDING ~e5 If [J<
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 5 l'l('){"l.<?l"l
TYPE OF CONSTRUCTION, I II III IV ~
Occupancy Group A B E F ~ ~ t M u:v S U
. Division 1 2(2...A q 7~
Permit Fee ................................... $ 7.
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC uuuu.uuuuuwuuuwuuuuu $
Collective Street Fee ............. .... ...... $
Sewer Tap ................................... $
$
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
4.B .5"1
1.:30
j
~~t
Pressure Reducer .......................... ~
Meter Ham .................... .... ........... ~
WalerMeler ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... ~
SOIL TESTS
[j ENERGY DATA
o
PILING LOGS [j
PLANS & SPECS [j
SURVEY [j
PERCOLATION TESTS [j
SETS
COPIES
PLOT PLAN
o
Gas Fireplace Permit ....................... It Water Tap ................................... $
~~'s~ca~ne~.S~9~:t:U2:~~r~~'1 :~:;~~.~~~~~I~.::::::::::::::::::::::::::::: c.j ,
C.rt"lcat.ofOc~panc/ Paid T;;:;jj4..u.'.uu~~~I~;~O$ .!s.7s-~~'-I-
Issued . I
Oat. ~!J()/' ~ By k--
This ~.i ~~... a th~...~l~.~~ ~ application and accompanying documents is in accordance with the City Zoni~ ~rdinance and may proc~-~uested. This document when
Si9~:o""} tj;fr'J.an~emporary Certifit1 r~~iance and allows construction to commence. Before occ~pancy, a Certificate of Occupancy must be issued.
:; City Planner I Date SpeCial Conditions ~ any
24 hour notice for aU inspections 447-9850
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White . Building
Canary . Engineering
Pink . Planning
Thf ('tnltro! Iht L.k, Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
u
t",/ 'i
, . /"
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
If/
/: I '//(r'(.
.1::
Reviewed By:
/
() t;)I; J~ Date: f/!d:;/?1
Lf~Jto ~ of-
Accepted With Corrections
Accepted
Denied
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." " t .
cp - 7l/D
~~
White - Building
Canary - Engineering
Pink - Planning
Thl!' Cfnltr of chII' ub Counlry
fWlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
mnl-;er Ctmcf
0-d<l-Lj9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SqLjf (!ros5Qndta. SrS~
Accepted
Accepted With Corrections
~
::::::ed BlJcY (~&
Comments:
~ ~ &a.cl ~
Date:
I
o
~'2 <if - Z;
"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 . 5'9'-1.9 (\.\l::l~c.nw9..'rCl...
TYPE OF WORK IJor_~
USE OF BUILDING S F"D
PERMIT NO. S'1-I"lO DATE ISSUED . Co ''24 - '7 J
BUILDER F." n,^~ul- Lcm~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,..0 INSPECTOR OATE
I FOOTING w-WW'> I Hk 1'7-;)'-'19
PLACE 'N"o CONCRETE UNTIL JABOVE HAS BEEN SIGNED
I J*.rtMtIlKS I I
, FINAL
-
Call between 8:00 and ~:o~all inspecti~ns
FOR ALL INSPECTIONS 447-9850
'7~ 7~f'l