HomeMy WebLinkAboutBuilding Permit 99-0862
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
15(..43
M .- t-J..J I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING @
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: d~ ~
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DATE TIME
7-2.l-qq
AI
G:...
q1-t~z.
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-985D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
q9 - AC:> 2-
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1'.;7IJ19
2. SITE ADDRESS, 5 fa 4- ~
3. LEGAL DESCRIPTION
Wt\ T c.H~ L-\ \Z-.
<;.-iE.
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
'2. NO. OF STORIES
LOT
BLOCK
Z
'pOND
1(~Z43>
(Address)
PID 25 - /S,~ - tJZO- 0
/;:;
.N/7Z'!-Het-l-
4. OWNER (Name)
~ i--eu' P. I...E-W17
13. TYPE OF CONSTRUCTION
ADDITION
5. ARCHITECT
(Name)
(Tel. No.)
I'1liut€.Lv C-\1Z-, 57/- niJ
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS.
~.-_._-
~_~ VI~
7. TYPE OF WORK
SEATS
,
,
J
New Construction LI
bfIP.J::./ ~
FirepiacEfo
Alterations LI
IZ-EI~
2-;9?~Jfdl.tltJg-: ~ 7(,Z."g~~.'
Septic 0 DeckX. Re-roofi~g '0 Porch 0
Addition 0 Finish Attic D Rs-siding LJ Finish Basement 0
b.7~ .J l\..JDL""-,,,<<_ ~~
If 19. PROPERTYblMENSIONS 1'0. CULVERT SIZE
/ / Width Depth Yes No
fonnation on this application which is to the bast of my knowledge true and correct. I also certify that I am the owner or authorized agent for
at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
it for just cause. Furthermore, I hereby agree t~t:;~ 4 designee may enter upon the property to perf 01 rede insqectiOns.
License No.
OCCUPANTS
'6. PROJECT COSTNALUE
'"
Chimney 0 Misc.
B. PROPERTY AREA OR ACRES
Sq. Ft.
'7. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Fmn'
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY Ll
SETS
COPIES
USE OF BUILDING ----Lf? F; <:; Ai' / .e.-
1.~.r'JC)
PLOT PLAN
Ll
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM lR> S U
Division 1 2 ~ 4 q
Pennh Fee ................................... $ P, ,ts'iJ
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... <t
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
'g\ 83
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Pressure Reducer .......................... $
Meter Horn ... ................................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ It'
Mechanical Permit Fee ..................... $
$ewer& Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ,(;2JooiJoo~es . ng PennhWhen ~V17
BY~. Date '")-/ -
Certificate of Occupa
Other ......................................... $
Totel Due .............................. $ <r)(). 1"6
Paid eo."1 g, Receipt No. .3!Sf, {, "
Issued
Date 7/it; /91 By ...&13 ~
1"hirfii 'fy that U:n:l~~:: ~ a~lication and accompanying documents is in accordance with the City ZoninQ Ordin~nce and may pr~;U~ed. This document when
1 b ~an~ temporary Certi~i i !l~mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. . City Planner . Dale Special Condilions W any
24 hour notice for all inspections 447-9850
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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:
( (
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Accepted \. /
Denied _ j
Reviewed By: (l(]{, ~
T/~~/to ~
Accepted With Corrections
Date:
7-13 -fer
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."
..
99-gfR2-
Tht Ctnl",r of ChII' i..kl!' Counlr)'
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMe'NT CHECKLIST
NAME OF APPLICANT /Yew V / E W CA; N S'TJ2- .
APPLICATION RECEIVED 7,/1'2-/'9 '9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ c;. 3
M 1-m-1I6{/L-- c;e.
Accepted ~
Accepted With Corrections
::::::'" By.pJJ?_.ft Oat, )-1 '--7 '1
~~mI:O Jt~_ ~ ~ ~~
"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 ISlAs h :\-,.,^.12..\\ C~-
TYPE OF WORK 1J",\<-
USE OF BUILDING ~I="D
PE8MlT NO. q 4- P>\.:..""L _ DATE ISSUED - -; - 1'7 -~!
BUiLDER l\\;:,- V;~ c..~"--_._-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING(~) I fLtf! I ')-'1-~17
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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I FINAL ylfQj
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1tsQ....
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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