HomeMy WebLinkAboutBuilding Permit 99-0811
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7/4J2
LN.
/:/5'
ADDRESS
Lj450 a;rlCl-! 1'1/l /\/
OWNER
CONTR.
PHONE NO.
PERMIT NO,
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o FOOTING
o FRAMING
o INSULATION ~
......FINAL Oe:::J:::-- ,....
..g. FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOR~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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PROC D
FOR RE SPECTI BEFORE COVERING
Inspector: Owner/Contr:
CALL ~7-4230 FOR TH.: NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE EQUIREMEN ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
Gty
Applicant
JUN 2 9 :999
qr; -S/ I
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
2, SY///5{/S Coa{'J~cJf)
LA)
Nf..-
3, LEGAL DESCRIPTION
LOT J
(/ . .
ADDITION 't}f r i CI d'fJ.
4. OWNER (Nameh
LJoHAJ W' l:56R,,Jl-{oLbT
12. NO. OF STORIES
BLOCK
/-It' / / ')
13. TYPE OF CONSTRUCTION
(Address)
'/'15'0 G""CHMOI,v
(Address)
(Tel. No.)
&'12-<402-'1477
(Tel. No,)
14. FLOOR AREA APPORTIONMENT USE
LtoI
5. ARCHITECT
(Name)
(Name) (Address)
.::J,..loJ W. B.!UJ>lIl\.bT "'frQ G'A<<<."'''',J LJ
(Tel. No,) 15, NUMBER OF OCCUPANTS OR SEATS
'""7..-40'2'''1'('7-,' OCCUPANTP
SEATS
6, BUILDER
H--
Deck~
Finish Attic 0
Septic 0
Addition 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
7, TYPE OF WORK
New Construction a
Fireplace CI
Alterations 0
16, PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. 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 that I am the owner or authorized agent for
the ab ned p~that all construction will conform to all existing state and local laws and will p. roceed in accordance with submitted plans. I am aware that the
Lng official vOke)~1s p it for ~~~ FjoIrthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed iOSj)ections.
~ ,_ ~J'Al ",/2-9/4<1
Signature License No. . Dafe .
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL ALED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS Cl PERCOLATION TESTS Cl
Side
Side
Front
B,ok
BUILDING DEPARTMENT VALUATION
J{f<, If/t<!
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
USE OF BUILDING
2~O, C)Cl
_c>
.;."'"""C....___#-
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PLOT PLAN
Cl
PERMIT VALUATION
TYPE OF CONSTRUCTION, I II III IV ~
Occupancy Group A B E :..bl M~ U
Permit Fee ..........~~~~~~~...'.............. $ Cr., 2. 2S
Amount Brought Forward .................. $
Park Support Fee .... .... ................... 4:
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ...................................4:
$
City:
b~
~~~~
q (') ~ (( '7.
'.00
Plan Check Fee ............................. $
State Surcharge ..................... ........ $
Penalty ...................... ......... ........ $
Plumbing Permit Fee ....................... $
Pressure Reducer ..........................4:
MeterHom ................................... $
Water Meter ................................. lJ:
Sewer & Water Connection Fee ........... 4:
Water Tower Fee ........................... $
Water Tap ................................... _,.
Builder's Deposit ............................ $
Other ......................................... $
Total Due """""""""_"",,,,,,, $_/0 ~ - 72.-
Paid 1 if 3.1 'Z.. Receipt No, ;'\~
Date 7 h. /qq By R.o H
in the above application and accompanying documents is in accordance with the City Zoning Qrdfnance and may proceed as requested. This document when
te a temporary c~~~ compliance and allows cOf1stlUc1ion to commence, Before occupancy, a ~o, ""_'0 01 Occupancy must be issued,
ale Special Conditions n any
Mechanical Permit Fee ..................... $
Issued
ThIS13's ~fy therequ
sign y t ner
,
(/ ". city Planner
V
24 hour notice for all inspections 447-9650
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Thr Crntrr of thr lIkr Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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:
//~('\ /'( (,.'t/i / j /,t/,,{/' /~// /?!(C
Accepted
/
Accepted With Corrections
Denied
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,
Date: vA () 9/ /7
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Reviewed By:
Comments:
IO''S-<-dP
"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
Thr Cfnln of lhl Lak, Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J{)IU1 6arnholdr
0/d~/t;'f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-<j;,j5!) (}JOd1jY1a,u 1.;fJ Ale.:
~
Accepted
Accepted With Corrections
Denied n
Reviewed BY\ d.Q ~ A--
- "
Date:
(.. -"0-7'9
Comments:
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"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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"
/
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 4450 Coo.rklMr,!,1A ~-
TYPE OF WORK f).prJc.
USE OF BUILDING 'Sf'D
PERMIT NO. 9'7 -8 { (
BUILDER ~~~ \ Ai-
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
~-30-CC'7
INSPECTOR
DATE
I FOOTING ~) I J{~, I 7 -1[-'757 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, jJ((AMI+JG I I I
(
, FINAL I \ I '7 / { 3 / ~ l I
Call between 8:00 and 9:00 A.M. for II i spections
FOR ALL INSPECTIONS 4 7-9850
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