HomeMy WebLinkAboutBuilding Permit 95-0356
ADDRESS II ( 0 0
OWNER
~ TELEPHONE NO.
l.IJ D FOOTING
LL: D FRAMING
~~INS TION
Q D LBO.
~ NAL
<l('"" D FOUNDATION
;t: D DEMOL.
!j D FIRE PREVo
~
~ COjIMENTS:
;J ~"r' C'~~~
~ (\ - ~
f2 V
~
~
~
~
~
'Ii(
~
~
~
~ /
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~ ~ORK SATISFACTORY:PROCEED
Q Q CORRECT WORK AND PROCEED
o D CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
o D CORRECT UNSAFE CONDITION WITHIN I-iOURS. INSPECTOR WILL RETURN.
D STOP ORDER POSTED. C~INSPECTOR.
D INSPECTION REQUIRED. C).LNO ARRANGE ACCESS.
CITY OF PRIOR LAKE
INSPECTION NOTICE
PERMIT NO. qs -3SC,
CALLED-IN
SCHEDULED
COMPLETED
1?~
OPLUMBING RI
o MECHANICAL
o WATER HOOKUP
o METER SETfTURN ON
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAl NT.
o PLUMBING FINAL
DATE
7h/2]
~
TIME
I () ~5()
CONTR.
OSITE INSPECTION
o EXCAV./GRADINGlFILLlNG
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW-UP
o SEPTIC FINAL
D FIREPLACE
D
~ \.-Je_
call for the next inspection 24 ho
Owner/Contr. on site
Inspector
I \ ( J
\j-
Yellow Copy/Site NoIice
o PHOTO TAKEN
447-4230
Whihl eopyRn$p<<tor'. File
R(2'rr::;i,i
~~7 u::: L.
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Ul - , III) . '~' "TV OF PRIOR LAKE
UILDING PERMIT,
Tl=l/IPORARV 0 IFICATE OF ZONING COMPLIANCE
AtI.P UTI ITV CONNECTION PERMIT a" '7 rr
, Permit No. ~ - ::0(0
1. While
2, Pink
3, Yellow
File
City
Applicant
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
\ -") E'"X) T~\~""'f..~\A *': ) E.
3. LEGAL DESCRIPTION
LOT 40 BLOCK
ADDITION ~-t.~' r l \
4.~s~ ~ame ~ / ~
C-r+'-I "'b, fZ.t.:::L ~
5, ARCHITEtT (Name)
1,DATE
e .1-9S"
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
PID.;) ~ q l" -CJl..\lo- t
12. NO. OF STORIES
..2-
(Address) (Tel. No.)
I ~2-0b 6......,-l<-(L~ 44'1-l.rz;:J..~
(Address) - (Tel. No,)
13. TYPE OF CONSTRU<1TION
A/',f_s--.~~, / L)~ ~
14, FLOOR AREA AI'PORTIONMENT USE
6. B~ERA '-./, (Na~~) I _ J (Address) (Tel. No.)
t::.'-:/4. 1 ~- 4CtJi{- J9,(~~
7. TYPE OF WO~K Fireplace 0 Septic - - Heating 0 Plumbing 0 Reroofing 0 Porch 0
New Constructio~ I, '{Iterations 0 Additioe.o I Finish Attic g,. I ,ResldinjLQ ~inish Basemen~ ~
ChimneYD MIst. L/.~)<- 7(71 - ~~~ ~~,C ~!--=<
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSION'S -10. CULVERT SIZE -
Sq. Ft. Width Depth Yes No
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
17,~PLETION DATE
-/- 1- ~ ::;;:
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 abo~m io pr perty and that all construction will conform to all existing state and local laws and will procaed in accordance with submitted plans. I am aware that the
building ci r this permit for just cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X -
Signature Ucense No. Date
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPUCATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 YRCOLATION TESTS 0
PLANS & SPEo/ yrs
SURVEY / COPIES
PLOT PLAN 0
SETBACKS: Required
Actual
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB O~ROWN I
OF STREET t'\ IOL. '-\""' LT"""', T ......
USE OF BUILDING
~k~'^~- +S\..c.\~
TYPE OF CONSTRUCTION: I II III IV <fb
Occupancy Group A BEl H"M @
Dlvlslonti) 3 4
Permit Fee ................................... $
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION 2:\ ,~~::? . t.i 0
City:
Amount Brought Forward .. .. .. .. . . .... .... $
Park Support Fee ........................... $
SAC ......................................... $
~~.~
'~.l~
~~
\ Collective Street Fee ....................... $
~~ U~~ Sewer Tap ................................... $
(d License Check Fee ......................... $
C. 1- ~ ,,- Aessure Reducer .......................... $
'-'1 ~ ~,~rHom................................... $
Water Meter ................................. $
Check if 0 Sewer & Water Connection Fee ........... $
Deferred 0 Water Tower Fee ........................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
~I:f , . '15"'
".. - ... ....t
.....~ I.~'
Subtotal............................... $
J$'7 : ~'1.
Water Tap ................................... $
This A~OJf~es you.K,~g Permit Wh~ A~rO~ed.
By;?f/tu,:/fi Date ~ I ~
Certificate of Occupancy
Issued
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ ,~-;. c:... L
Paid Receipt No.
Date ~ II S' /<1 J By Ul. l)~ _
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. nfs document when
sig~ By the City Planne~itutes a temporary Certificate of Zonin.i ~ and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
-f./~ - - ~ -Jt:>-"fJS
City 8nnll(- Date Special Conditions ~ any
24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m.
qs- ..JSt:
White . Building
Canary . Engineering
Pink . Planning
Th. C.nt.r of .110 Llk. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT jJ j/l 11 --,
APPLICATION RECEIVED Ir/l/I/[
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
II/bb __iu;)rliv.
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~. MILJ-/A.1==1
a:::.F'~
Date: 8/1 \/199,-)
Comments:
liThe 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."
~ '~"
;",.,. ;~,A.'\.,
1; ",;.,;~
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANT-!J X 111J~
APPLICATION RECEIV~D f rJ; / liS'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.JJ/lJtJ '- ~jr iLu.
v/
Accepted
Accepted With Corrections
Denied
Reviewed By: 1/ ~
Comments: fl~
Date: J/~its
....,,.1
I""
(
"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."
White . Building
Canary - Engineering
Pink - Planning
Th. C.nl.r ollh. Lak. Co.nlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANT);l1) ~
APPLICATION RECEIVED f millS'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 7/~()" I};,nJr Itru.
Accepted
Accepted With Corrections X
Denied _
Reviewed By: WP~, - ~
/'
Comments:
Date: 8-1()-9~
"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."