HomeMy WebLinkAboutBuilding Permit #99-0809
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
u/4!ct9 3:60
.
ADDRESS
/ 4-0 ~ '-I 12 (J /6 e;;?<:S
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING ~
o NSULA TION
FINAL ('6 (:(!/'t
~~ITE INSPECTIO
/
/
/
/
CONTR.
PERMIT NO.
qq-BCfJ
o PLUMBING RI 0 EX/GRAD/FilLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST __________
o MECH FINAL 0 _____
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Inspector: Owner/Contr:
CAll 447-9J60 FOR TH/ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU~rj ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSJVOTJ
I,
- "'1'---------
&~1
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
b I"? "If}
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRIE~S " h A . 0, t
"HJ~'1"' 1?l1fMY<;,
V
1. DATE
~1131tjq
ZONIN'G
PUSD
3. LEGAL DESCRIPTION
LOT
.3
I
PID _25-/1.,/- 003-0
BLOCK
ADDITION
~Address)
\'\-OSl\--
(Addross)
(To>f'J,?,.)
K\.B-~ffS >--+- '1'1l..Q-D 11 Le
(Tol. No.)
(Address)
S,I:\~AV(
Septic a Deck a
Addition LI Finish Attic CJ
(Tel. No.)
. ~l~ \ 111::- ?-~t:)S"
Ae-roofing LJ porch).'..
Re-siding 0 Finish Basement a
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. BP qp-Bo 9
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
;;;n DOO
17. COMPLE1(ON DATE
Chimney LJ Misc.
8. PROPERlY AREA OR ACRES 19. PROPERlY DIMENSIONS \'0. 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 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
~ildl~~I.~~ r;o~ pe"rfr.;i#-.M..:rthermore, I hereby agree that the city o~al t~- tfignee may enter upon the property to per1oEf~~' ~lrons.
I~U'fl Signature license No. ~
I
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Fronl
..ok
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
RF--5: .4/..e.
PERMIT V ALUA TION
<'8.=.=
TYPE OF CONSTRUCTION: I II 111
Occupancy Group A B E F H
Division 1 2G4
IV (0
I M~
5 U
Amount Brought FOlWard .................. $
Park Support Fee ........................... $
SAC ......................................... ~
Collector Street Fee ....................... f,
City:
Permit Fee ................................... $
31-z~ 7C::
;;(<l'i . e,q
I~.OD
Sewer Tap ................................... II':
License Check Fee ......................... $
Pressure Reducer .......................... $
Plan Checking Fee ......................... $
State Surcharge ............................. It
Penalty ....................................... II':
MATERIAL FILED WITH APPLICATION
SOIL TESTS LI ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
~ Water Tap ................................... $
Builder's Deposit ............................ $
',\>"1'~ ~';;;;;;;:::::: ,,"6.... td
;~ Paid h4.-"" (;;4- RocolDtNo. 36"80&
Dato ,,/z.P3/4Q By ~
This is rtify that the request in the above application and ..........., 't'''', "ing documents is in accordance with the City Zoning Ordinance and may proceed U'';uested. ;his OOcument when
sig by t C r nstitutes a temporary Certifi~Qmmpliance and allows construction to commence. Before occupancy, a Certificate of OCCupancy must be Issued.
ner ~ date Special Conditions if any
Septic System ............................... $
Other ......................................... $
Subtotal............................... 4:
Th~
eJ$. /0
co 5 Your Building Permit When Approved. 7
Doto 7-'2-'7
Issued
24 hour notice for all inspections 447.4230
-_.~_..--...~......_'-
~1
99-801
White - Building
Canary . Engineering
Pink - Planning
Thr ('"nl..,of thr LlkfCounlry
BUILDING PERMIT APPLICATION DEPARTMI;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
7/1/1/Gt-MfiFf
c:, /2-"1/91
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1:/05'-1' Ru-rG~S ~T
Accepted ~
Accepted With Corrections
Reviewed By:
(2o!u.
Date:
7~((P- ?'J
,
Denied
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."
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White - Building
Canary - Engineering
Pink - Planning
Tht' ('t'"'t'rof lht' 1.lkt' Counlry
.IDJlLDING PERMIT APPLICATION DEPARTMENT CH.E.CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,/ ./
/
I
Accepted
1/
Accepted With Corrections
Denied 1 '"
Reviewed By: (rf tf,{. ..:Jt-1;CA/I
Comments: ~ iL.-i-50 - Yv U
Date:
7/ J /7,
~~(.../0 oiL.
SJbG~dLn+.
,
~i~ StdCi.C{ -rJJC
-. v
"The issuance or granting of a permit or approval of plans, specificationsiaT)d
computations shall not be construed to be a permit for, or an approval of, any violatio[l 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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I~05lj Ru~erS
NATURE OF WORK t-l-e..\.A'I ~s\m.lc.I,.,.c1'^- ~",,,"_L-.
USE OF BUILDING SF\)
PERMIT NO. '4'1.-80'1 DATEISSUED '7-a-Q<{
CONTRACTOR ~'^"\ Co.S\-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'.
I FOOTING!~
I ({3!J'7~
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
k INSPECTOR
DATE
~,
It-in-Of!
FRAMING (r;J vJlc.
IN~IJLATION ~[,u' r &1, }V-I'2--"'I'1
I ELECTRICAL
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
BUILDING
ELEC'fRICAL
HEATING
~ . .
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
, NO'PC,E
This card must be posted near an electrical seyvice cabinElt prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850