HomeMy WebLinkAboutBuilding Permit 99-0817
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
682-0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING~D WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
VFINAL i? 0 PLUMBING FINAL
/iJillTE INSPECTION 0 MECH FINAL
DATE TIME
C?9-B /7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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L SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTlON BEFORE COVERING
Inspector: tJ ,1- l Owner/Contr:
~
C!ALL 447-~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSHOT1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
'7/I{qq
pu.D
c25'-a31'-- ;'63-0
/
s-'i:!::<- Ad@!
(Tel. No.)
"Pn'oV'tA.t.t.. (6)(2,\403.YiI/~
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OATI=I=lI=r.I=~
JUL - 1 1999
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
j-fJO t!e.dclr (..{){YJc/ S-t:
3. LEGAL DESCRIPTION
3
ADDITION ")rLvtd
BLOCK
rbitJe
PID
LOT
4. OWNER (Name)
SI..v~n ~. r+
5. ARCHITECT (Name)
(Address)
5'610 {l nJaywlh':l q
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq~ 6/7
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
6. BUilDER
(Name)
(Address)
(Tel. No.)
(p1Z-' 7$ - 8534::>
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address)
.5~(;:
7. lYPE OF WORK
New Construction [:J
Septic [j
Addition [)
DeckJ(
Finish Attic LJ
Ae-roofing 0 Porch [j
Rs-siding (':J Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Fireplace [)
Alterations 0
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 above mentioned property and thaI all construction will conform to all existing state and local laws and will proceed in accordance with submined plans. I am aware that the
building official c~ke this perm~.t f' :au-,~rthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inse..es1LOns.
X ~./!C-- ,#~ j..J'j') 1"1'1
. -s1gn ure I License No. <J Oat
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLlCA nON
Water Meter ................................. $
Sewer & WaterConneclion Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Paid TO;4~ ~?...........~~~~i~;~O~
Date 1 / z../ 'i 'I By -1UA--
in the above application and accompanying documents is In accordance with the City Zoning'Ordi~nce and may proceed a!:o.:estsd. This document wtlen
u s m rary ce7~ i ~omPliance and allows construction to commence. Before occupancy, a.....", u".....v of Occupancy must be issued.
Date Special Conditions n any
Front
Bo'"
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION
I P'l:P'l. ~
USE OF BUILDING
R-G6 If /.e.
TYPE OF CONSTRUCllON: 1 II III IV( 'lr!
Occupancy Group A B E F H I MtW s U
Division 1 2()) 4 ~ ~
Permit Fee ................................... $ S.
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
'3~.~
,''1'0
~
~\~~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Pennlt ....................... $
This J :C1-J '10 : . ):is Your Bullding Pennit \:nIen APp~:1Pd.
By ~/ ~ Date /-/-.,.,
Certificate of Occupancy
Issued
ThlsjstoIT~O e(llq
signed C" I r
,
n-' . City Planner
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS (j
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. or
Park Support Fee ........................... It:
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Pressure Reducer .......................... !!'.
Meter Hom ................ ................... $
7.J.Yf
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24 hour notice for all inspections 447-9850
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Tht ("l'nll'rof lhl' L.kt> Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING 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:
Denied
/
. .
9 t}f jf1/CV1
~~
Accepted With Corrections
Accepted
Reviewed By:
Date:
Q/c....,
,- J-97
Comments:
. .
.,.
A,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 ot'
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."
~~
19 -~/7
Thr Ctlul!'r of ChI!' L.kt Counery
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APP\..ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.J I c- i/ 6/\1 }I() c..:T"
7/1 /97
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
582..0 (!,E-O/JK: W 000 Sf.
Accepted
Accepted With Corrections ~\
Denied n A) j
Reviewed By: vi i}u~ r
Comments:
I. e""ooO ~ Dec.\-:.
Date: I - I - r i
1+"u-J o-d
"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."
.....------.-..---r--
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DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS _5P>20 ~&u-L(\~~ St.
TYPE OF WORK J:d?.: ~<:...
USE OF BUILDING _ ~\:D
PERMIT NO. C;g _~i'\ DATE ISSUED 1- 1- "1 i
BUILDER ~-("\}..Q. ~ ul \-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR OATF
I FOOTING(~ I~\ \ q-2J-~7 -
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
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II
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I q-d'g!-<J'/
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I FINAL t<M
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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