HomeMy WebLinkAboutBuilding Permit 99-0793
DATE TiME
CITY Of PRIOR LAKE .- i~k,()
INSPECTION NOTICE SCHEDULED ~ If-r.
p..DDRESS _ '-I~q~ P/1K'~ rvOOD
OWNER
CONTR.
PERMIT NO.
PHONE NO.
o fOOTING 0 PLUMBING RI
o fOUNDATION 0 MECH RI
o fAAMING 0 WATER HOOKUP
o INSULATION {\ 0 SEWER HOOKUP
j{ fiNAl. oeCJ:::..J.. 0 PLUMBING fiNAl.
/0 SITE INSPECTION 0 MECH fiNAl.
COMMENTS: _ ~~
.-lak L()f}"'-{'lefted--
qtj- "193
o EJ(1GAAD/fll.l.ING
o COMPLAINT
o fiREPlACE RI
o fiREPlACE fiNAl.
o GAS LINE AIR TST
o
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~e
-
-
-
-
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~-
-
-
-
ACTORY, PROCEED
CT N A PROCEED
fOR REINSPECTION BEfORE COVERING
owner/contr:
3NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-----..-......-.".-..' ..-.
INSNOTJ
_._-,-_.__.._-~. .
r-
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
&~~
DATE RECEIVED
JUN ? A \9Cl'l
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
CJq-7Q3
- DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
4 '2..;' -311_.:;>'2.'2.. - ""
BLOCK. / PID tJ '-:. :. "U. x-, ~
[sic. k..s :3r-5l /ldcU1 -
(Address) ~ I"'~'" Lfo\ /1.(
l.j r;9L/ PI\t2.rl."'-"-bD
2. SITE ADDRESS
/' liS? Y PAR.lLl.uOC>'h
3. LEGAL DESCRIPTION
~KIII1= S.E,
LOT I
ADDITION t<J!9(Jdr;L:I/~
4. OWNER (Name)
// cR.\ Ll>O"-l . "AM j::.!;
5. ARCHITECT (Name)
S"AII-.f
(Name)
A.
(Address)
6. BUILDER
(Address)
5AVl.f-
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck~
Finish Attic 0
Rs-roofing 0 Porch 0
Rs-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES /9, 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~ntioned property and that alt construction witt conform to alt existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 ial can revoke this pe~it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X/''\.''-.... 'I ~ . /lr2l.J-9C;
/ Signature License No. Date
12-1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WldIh) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.) I
DR 440 -\1\1./0.
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
v
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Baok
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
REs
Ala-
,
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS tI PERCOLATION TESTS tI
PLANS & SPECS 0
SURVEY tI
SETS
COPIES
TYPE OF CONSTRUcnON: I II III IV (i) .
Occupancy Group A B E F......tl I M It>s U
DIVision 1 2(J> 4 __
Permit Fee ................................... $ (. "2 .2.":>
City:
2a::D. 0(1)
o
IfJ3. 'f';\
Paid /o3.? 1... Receipt No. 35(;01
Date 7// /fV By.1l//'--
ThirJi certi~ Ih~t in the above application and accompanying documents is in accordance with the City Zoning Qrdihance and may proceefas requested. This document when
sig b th . lann ~s a temporary Certifica~, of Zoni~ompliance and allows construction to commence. Before occupancy. ,a Certificate of Occupancy must be issued.
-' ::vi '-1/ JfJ++
7 City Planner Dat Special Conditions ff any
24 hour notice for all inspections 447-9850
Plan Check Fee ............................. $
40.'-11
I .c')rl
~~
~~.~'lq
\Y \Q\?p
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
lace Pe it ~.... ................ $
This ecome our ding Permit When Approved.
By .:'~ .Date /"~"'Z."-'79
Certificate of ~cuplcv
Issued
PLOT PLAN
Amount Brought Forward .................. .t
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ....,.............................. $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter .........,....................... ~
Sewer & Water Connection Fee ........... $
WaterTowerFee ..............,............ $
Water Tap ................................... $
Builder's Deposit ............................ $'
Other ......................................... $'
Total Due .............................. $
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White . Building
Canary . Engineering
Pink - Planning
ThtCtnttroflht ...ktCoun1rr
BUU-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
it (/
0:.;' _,~ (' i L....../
/1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, I' J
'"'-I
,I
J~ I.,
if
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Accepted
\/
Accepted With Corrections
Denied
Reviewed By:
{}tJ1.~ . Date:
7' SexfbacbJ ~ - 01 ~
(H
(fJ /J. S/ C; C,
I .
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." ",,'
QQ-7CJ3
~1
White - Building
Canary - Engineering
Pink - Planning
Tht ('"nltf of lht L.b Counlry
IDJILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l laPW5 blcs~
(c; -;)4 -91
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4S-94 ik,uU,{}("J('Y:/ IJr- S(:
Accepted
Accepted With Corrections ~
Denied ~ I?
Reviewed BY:CIi.. jJ II ~ .-A--.
Date:
Lr ~ '7 - '7)
Comments:
I. ~Pnd +k ~ W~"t e>" ~
"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
SITE ADDRESS l./51'i flrkwcc& nr-~
TYPE OF WORK [k,rk-
USE OF BUILDING
PERMIT No.9]' - -rt3
BUILDER
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED (; - 27' - 'Ii
INSPECTOR DATE
I FOOTING rW) I t5!. I 7',;J3 ~9J l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I} 1
,..., ) I. / ,
, FINAL ) I J I r"I/'V I
Call between 8:00 and 9:00 A.M. for all in ~ tions l 1
FOR ALL INSPECTIONS 44 - 850