HomeMy WebLinkAboutBuilding Permit 99-0797
DATE TIME
CITY OF PRIOR LAKE 61Z:1/'i'l
INSPECTION NOTICE SCHEDULED ll:1o
.-
ADDRESS \L\,qe:j ~~ Gr
OWNER CONTR.
PHONE NO. PERMIT NO. q q - 1ct,
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION ~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
,r" FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPEC 0 0 MECH FINAL 0
COMMENTS: du.-k. ..f-M- ,-! ~~
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L SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
I
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
l 5 :999 ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
C/9-7Q1
JIRECTlONS
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 t::L~~1TI[:() ~" '1 ~ ~u r- l' AlE
I BLOCK 8 PID 25-z,St!--05t!--D
ADDITION C,q.ee/~tS6 HIl-(..S' / S'T 1'90.0#
4. OWNER (Name) /" (Address) (S4.h?e) (Tel. No.)
lR..obnt-t-SJanl1On ~cl--u I+-z- fa I~ -iIL(O -?9/tJ
15. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.)
1'~A:~5_11
~,orL.l!p,%~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(CePlh)
12. NO. OF STORIES
LOT
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
Fireplace 0
Alterations 0
mp(s ,%Z{()t,
7il5l'1 f ;?lSt::l1S+'
Septic 0 Deck)(. Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
l?l> Y1/?.efly ~'I.+erto "5
~ {;( - 'j;;. =4:::oJ
OCCUPANTS
7. TYPE OF WORK
New Construction 0
SEATS
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Fl. 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 tIlat I am the owner or authorized agent for
tile 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 tIlat the
:~~f-l.;o;JJS?l"!,it ~ore, I hereby agree that the city Officia;z~;~e'7 jnter upon the property to p:z,rm_n~~:~ons.
ignature ~ license No. Date
16. PROJECT COSTNALUE
1/)( :;2~~
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
..ok
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
Les ~/~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~.. ~
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee .................. ......... .... .... $
S U
City:
Amount Brought Forward .................. II:
Park Support Fee ........................... II:
SAC ......................................... or
Collective Street Fee ....................... $
Sewer Tap ................................... C:
.
Plan Check Fee ............................. $
e'1.7.<'
5c., .72.
2..00
State Surcharge ............................. $
Penalty ...................... ......... ........ $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... C:
Meter Hom ................................... II:
WalerMeler ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ,<P.p1ip'Jt~ BecojS Your Building Permit WheD..A.QPro~. a
By ~y~ I Date (,,-7C)-'-"1 I
Certificate of Occupa~
Issued
J
Other ......................................... $ . q 7
Total Dua .............................. $~ ') .
Paid /4-!>.97 Receipt No. 3~"2--;
Date 1 h Pi? By4f1d-
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceM as requested. This document when
constitutes a temporary Certilic;;r~~liance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner Date Special Conditions if any
24 hour notice for aU inspections 447-9850
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White - Building
Canary - Engineering
Pink - Planning
Thr Ctnltr of lhr L.b Country
lrulLDlNG 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:
I
c
Denied
/
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{)tJf .kM
5d17a(J0 ~ -OIL
vii
AM"!oted With Corrections
Accepted
Reviewed By:
Date:
& - ;;.1 -7<1
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."
99-717
Tht' ("tnltr of lhf lib Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DI;PARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DO/VIV6LLL/ eXT5RJOIe5
0/2 g./qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t/-7C?Q ~rlK'-e/~~e: CT
Accepted
/
~
Accepted With Corrections
Denied (II t--
Reviewed By: (~ ~\)b
Date: In -"f,() - '1 't
Comments:
I. P",r.-& tL.. l)",r\::.. l~ oLr\-
"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."
_H..._.__.,... ..__. ~ ..._.._..______.___------
\
PRIOR LAKE
INSPECTION
DEPARTMENT OF .
BUILDING AND INSPECTION
SITE ADDRESS i'I7 7f1~~ ~ D
TYPE OF WORK ~~ y
USE OF BUILDING <;, ~ 0
PERMIT NO. .37 - 797 . DATE ISSUED ~ - ~O - >[ .
BUILDER Do",,^--<> \ \:-'j,- ~ x: l
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. " "",cfr INSPECTOR DATE
lFOOTING ~~~.~~~~)d a J ~'d?-'l? I
PLACE NO CONCRET~ UNTIL ABOVE HAS BEEN SIGNED
I FRAMIN<:3 1 I _ I
I FINAL~, I lb. ri-;l/7-9; J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850