HomeMy WebLinkAboutBuilding Permit 99-0871
DATE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS \4>3t. \
/Jort:-
........-..,...o:c'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CfCl- f?1(
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: :PecIi:.-
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECTff~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Of-, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
II
~1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QATJ= RJ:r.F\VI=Q.
'///</./97
File
City
Applicant
L White
2. Pink
3. Yellow
qq - 87 /
Permit No.
1. DATE
DIRECllONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
N"SI"./ .<J,Dr~ J-..u.;., "",J k
7-/~-97
PU6D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
3. LEGAL DESCRIPTION
'7
SAN.o
h
4-7N
PID 25-2../5- 0'10-0
,qDDN.
BLOCK
pO I Aile
LOT
13. TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
AlE ~ t;L/,>)
(Tel. No.)
(Address)
/"13(0/ Shorc../...vJe.
(Address)
(Name)
It / A:.,
(~ame)
4. OWNER
...ItWe- "-
5. ARCHITECT
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTF
(Add'ess) . ~ (T~V~
. etll $k96J~3? /J1,N
"/1'l?.to4J~r /3rl<51 'li8:>.. 03<4'1
Rs-roofing 0 Porch 0
Rs-siding 0 Finish Basement D
(Name)
6. BUILDER
Kf'O<q.SW
7. TYPEOFWQRK
New Construction 0
~&J.
SEATS
16. PROJECT COSTNALUE
Septic 0 Dec'5)i(
Addition 0 Finish Attl" 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. 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 me ioned property and that all constructi will nform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offic' I an revoke this permi jus rt ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
, ~/O / ~ 7-/fI-9i}
License No. Date
17. COMPLETION DATE
x
~ignature /
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS LI PERCOLATION TESTS LI
SETBACKS: Required
Actual
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY LI
SETS
COPIES
P6S'"J/~
USE OF BUILDING
I. '100.00
PLOT PLAN
LI
TYPE OF CONSTIlUCTION: I II III IV (:f!.,
Occupancy Group A B E F HIM iF"' S U
Permit Fee ..........~i~~~~~...1...?..~... $ 0'/.00
?5".IO
.&S
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................$
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
/
Plan Check Fee ............................. 4:
~\~~
State Surcharge ............................. ot
Pressure Reducer .......................... ~
Meter Horn .................... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Oue .............................. $ 8" . '15'
Paid f!ltJi....- Receipt No. 35'''-''1''
Date 1/7-t- iqf By fl!..tJ/d
in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
. tes a temporary Certificate 9f Zoning compliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
--J I I{Of 4<,'
I Date'- I Special Conditions ~ any
Penalty ....................................... $
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... <t
Issued
Th~ iS7.fy~the. 'eq
signed t ne
. - ~./.)
- /J City Planner
24 hour notice for alt inspections 447-9850
!' "';f,,~...<.~'i.' '<'\.~,:m'M"';:"':V'.'''''.'...... ,_.,"'C' ..~~..~... "',~.".i>-. ,,..;o,-,",\,,^,,-,,~'..Q;,-.............,,,,,.,,,,, .,.....,....,I"',~...'""""'~.":."".............:.._____...'...""'__~..
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~~
I
Thf' ('f'nlf'rof lhf' LIIlf' 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:
Accepted
/
Accepted With Corrections
Denied
/tCA ~wu
~i(..t<J ~.e'.f1t-<j
Ij'rj
Date:
(JYJ
7/J(LJ/<;<F
Reviewed By:
Comments:
.'
"The issuance or granting of a permit or approval of plans, specifications and "
computatioAs 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, 87 I
Thf('t'nluoftht'l.abCountry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CI:IECKUST
NAME OF APPLICANT
APPLICATION RECEIVED
KI<OGSTAD C'(JN'W/K.
7/15"/<10;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/430/ SH()es LI'/
N.b.
Accepted
Denied /)
Reviewed B.}.. ,/ (
Accepted With Corrections ><
Date: 7 ~ ?LJ~9 7"
Comments:
~~ +Lt. ~ err ~J m.k
"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."
.
-,.....__._-"'_._.,----~---~
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPE~TION
SITE ADDRESS /4"(01 S~ L~"^",-,,
TYPE OF WORK D..c (c
USE OF BUILDING Sr-p
PERMIT NO. erq -7>3 7 \ DATE ISSUED 7 - 20 - 9 ~
BUILDER K:t^']c L...f {' r.;:>,...AF
NOTE: THIS I~ NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
-
, FOOTING A1>1' iJ/QJyIA. I hf' I ?-CKJ.q1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I. - .8 I I
I FINAL ~ I/~I I B-L{-9Y
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
. ,-
I II I
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