HomeMy WebLinkAboutBuilding Permit 99-0791
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
1!~'!-'/'1
ADDRESS 5 r 'IS ~ St. 5.(;
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI5/N .? t7r;l
FINAL ~ \tV
~, SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
a ./,';; )'
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COMMENTS:
c.-e:.r.1R
,; ,7
t'-' j,()
r?-71/
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~ Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
ll'iSNOTl
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12.QTI=RI=r.I=I~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
J\l~ ? A \999
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SITE ADDRESS
1. DATE
6/gY /? 7
<::;,1'1)"
CVOSJANd'!J
P'l"~Uf.L.
Sf:
Sf
3. LEGAL DESCRIPTION
I~ .....,
LOT , BLOCK_~
ADDITION C"r.J.N~ I
14, OWNER (Name) ;;? (
CA", IJ e cI r~
ISo ARCHITECT (Name)
F;"",-1>t" C.",s-I,.
6. BUILDER (Name)
R,j,...
PID dh--3,z} ~~.1--0
..tft!J
-F;o~, ~"
7, TYPE OF WORK
New Construction 0
Cl>I-\I-Jr.
(Address) (Tel. No.)
5"9'"1) C"'J\j~MAt~ S'f IT (J7.-'fto -'JZ(,
(Addressh 1(T81. No.)
(~-O~C. JSvry_c"'/'. IJ"..... All....,. ~n_'I'1tr77S J
(Address) ~ (Tel. No.)
'l7 ,)AVA'j~
/'5066 D~~'yk1~" Onvi (/L-'t'-#:J-n)(
De~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq - 7q I
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) I (Width}
as- ;;,'-/
12, NO, OF STORIES
I
~Dr)
13. TYPE OF CONSTRUCTION
D~cJL-
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
1lJ.. PROJECT COSTNALUE
I" '3'500
17. COMPLETION DATE
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 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 official can re~~ermit for just ~he~re, I hereby agree that the city official or a designee may enter upon the property to perfo~ "eded ins~ections.
X /' (AL -rr ISo:7I :JO(){:,03JO b/;;Y /'7
Signature ./ license No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required _
Actual
Side
Side
Front
Back
BUILDING DEPARTMENT VALUATION
USE OF BUILDING /!, es If I K
.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2.~. (t'){1
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
MATERIAL FILED WITH APPLICA TlON
SOIL TESTS [J ENERGY DATA LJ
PILING LOGS 0
PLANS & SPECS a
SURVEY a
PERCOLATION TESTS a
SETS
COPIES
PLOT PLAN
o
Division 1 2 3 4
Permit Fee ................................... $
(,,'2.. "'2.S
40.47
t .CX;>
Amount Brought Forward .................. $
Park Support Fee .... ....................... $
SAC ......................................... $
CollectiveStreel Fee ....................... $
Sewer Tap ................................... ~
$
Pressure Reducer .......................... $
Meter Horn ... .... .... ........................ It
Water Meter ................................. ~
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ I {J6 .7L
Paid JbJ. '1'l- Receipt No,:Sr" II
Date -,fl./'" By /P-
uest in the above application and accompanying documents is in accordance with the City Zoning O(dinance and may pr~s requested. This document when
stitutes a temporary ceTl7~ qn!2JjmPlience and ellows coostructjon to commence, Before occupancy. e Certificate of Occupancy must be issued,
City Planner DatJ Special Conditions if any
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
,~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... ~
Gas Fireplace Permit ....................... ~
Th;;Ji!$eco~r Building Permit ""hen Appro~~_
By ..., Dete J-' ~ .~
Certificate of Occupancy
Issued
24 hour ootice for all inspections 447-9850
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._0--- -, ~--'~'~..l'l.'._~':"'<"~_^" ~..,..~".'"V<".
- /~ ..,.~.
ijr! / ( I
Thl' Cl'nll'ror lhl' Like Counlry
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APP~ICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
,.. I
,}
.r
, ~
, {I
. ' , /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i -..... .-; /r
,
1.",-
of.
Denied
,/
() /}r &au
.f V Se;;ffx? cleo ~ oiL- ,
. Vii
JD I ~~ se;/1;ta/L
Acceoted With Corrections
Accepted
Reviewed By:
Date:
Clt~s1r; 1
Comments:
/U~a/,
"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."
CfI-iq I
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White - Building
Canary - Engineering
Pink - Planning
Tht' ("t'nlt'r of Iht' L.b Counlry
BUILDING PERMIT APPLICATION DEEARTMENT CHECKLIST
NAME OF APPLICANT
FiDn-Hev f'f'":1/zSf,
6~-q1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,594/5"" tflD5an:ira. "<\f. S;;;
Accepted
Accepted With Corrections
x
Denied /) /? L
Reviewed By:(/J vy .
Date: G- - S;u . 77
Comments:
fZro& ~ ~ t\ ~CO. out-
"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
INSPEC liON
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS SCJ</<::;' G.r-CJ~~' _o,,<=<-
TYPE OF WORK 'D2c..~
USE OF BUILDING 'S~i)
PERMIT NO. 9'1-791 DATE ISSUED (,,-30 - 9 i
BUILDER h=l1Y--h eJ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
, FOOTING r~~) I WJK I )- '1-'1~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
, FINAL
/J'-z1-.
I /)~tl1-1'l
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850