HomeMy WebLinkAboutBuilding Permit 99-0807
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
SC-,.LlT'l 'IS; frh\u\1'f"1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
;^)t"~;':;AL beL\-'
VDSi'TE INSPECTIc5Jif
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.....
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( (A'ffiU.. - 7'<./ i, , ")
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DATE TIME
~-Uo
qq-~(Y7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLINE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I
OWner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
-_.~
OATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
JUN l 9 1999 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
. ')L~? 6,;,. 1."=0..1 Live, /7~ ~l;'r
3. LEGAL DESCRIPTION
-3
BLOCK
fJo; f1.if"
LOT
ADDITION ..;JrJ//1 of
4. OWNER
<:;'Cf.>tT-
(Name)
/1r1; 1-.,.
5. ARCHITECT (Name)
P?1~H"N d '"
6. BUILDER (Name)
Signature
SETBACKS: Required
Actual
Front
BUILDING OEPARTMENT VALUATION
USE OF BUILDING
If!.ES .&I/.e.
>
1. While
2. Piok
3. Yellow
File
City
Applicant
Permit No. QC7 --~t7 '7
~J;~ 7'
. Rfii)
/..q 1;:.. m"
BUILDING INFORMATION
11. SIZE OF STRUCTURE
{Height}, (Width) I
L IV
12. NO. OF STORIES
fo
;::yzff Add/1
(Depth) / /.
PID
.:)') -;)CiS - 6(p /-()
13. TYPE OF CONSTRUCTION
n<..<:-I:
(Address) iVlre cJ!' ""fC./&.. (Tel. No.)efJ7..se2-/ 14. FLOOR AREA APPORTIONMENT USE
St. '11 /3lnc),,,,,,c>"'cl Cl.,,. /1F', "'-9,?-.:2.7,,3
(Address) (Tel. No.)
~;H~v;/Ie Xj"I- '-I'1S0
(Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEAT~
UcenseNo.
FOR ADMINISTRATIVE USE
Back
Side
7. TYPE OF WORK Fireplace 0 Septic LI Dec~ Re~roofing D Porch 0
New Construction LI Alterations 0 Addition 0 Finish Attic 0 Ae-sidlng 0 Finish Basement 0 16. ~OJECT CaSTNALUE
ChimneyO Misc. ., /t..CJ(;:) .. c;>o
8. PROPERTY AREA OR ACRES 19. PROmjlMENSIONS ,/'1' 110. CULVERT~ZE 17. COMPLETION DATE
Sq. Ft. Width {,I Depth k~ . 7'i" Ves & 7 - jb ~ '7'C\'
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 o~ial can revoke this ermit r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X./)(.,.,.d , G> ;;J'7- 99
Date .
OFF STREET PARKING
SPACES REO
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
i:l
i:l ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS i:l
SURVEY i:l
SETS
COPIES
SPACES ON PLAN
PERMIT VALUATION ~ t'Y"'\ . n t<)
Division 1 2 3 4
Pennit Fee ................................... $
TYPE OF CONSTRUCTlON: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penally....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sf. ':)"
3s.(PQ
.80
t~~
~~~
Sewer & WaterPermlt ...................... $
~i!J;;,~I~~:t;it7:n!~rry
PLOT PLAN 0
Amount Brought Forward ..................!t.
Park Support Fee .... .... ................... cr
SAC ..................,...................... ~
Collective Street Fee ....................... <t
Sewer Tap ................................... cr
$
Pressure Reducer .......................... $
MeterHom ................,.................. $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... cr
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ _
Total Due ............................... >r,'"J I 0> 1
Paid t!>5.(, ., Receipt No. .5t;;" z.e
Date ,?/,/~q By ~
This~'S t' e requ in the above application and accompanying documents is in accordance with the City Zoning Ordthance and may proceeU requested. This document when
sign th P ner stit t tern rary Certificar of Zo~~mPliance and allows construction to commence. BefO. re occupancy, a Certificate of Occupancy must be issued.
.' 1/J3~
y' " City Planner I Oa Speclai Conditions W any
24 hour notice for aU inspections 447-9850
Issued
Th. C."ln or lh. L.h Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
3c.~ M~k"l.
~ ~'2.or-'i1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S'(,~1 ~"l"Ck.o~.A... ~
Accepted
Accepted With Corrections ><:
Denied
12PiJ,k--
(kl ~~
Date:
Reviewed By:
Comments:
~cd) ~
?-1-9cr
"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."
".~?'."'~
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-.... :W.4>,__'~""""k;
~~
.;:
Thf ('fnll'rof lhf L.k, Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPAI3TMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ ,..'---',
/
>
I ...___.
/--;"'/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--"
!
<...-
i.' c:
Reviewed By:
/
(J.~,~
7 <;e;;thud0
Accepted With Corrections
Accepted
Denied
Comments:
Date: ta/3o/CfCf
~ ()t~
"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."
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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. ?'1-Ar:n
BUILDER I'\,~r.
--
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,c;/~t{7 ?'\'lYLIL~"""'...,t
D.o,- k
:!>1='D
~.
. DATE ISSUED
;-1-9'1
I FOOTING r~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'c1J I~ I I
INSPECTOR
DATE
, FINAL
4. I 7((3/~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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