HomeMy WebLinkAboutBuilding Permit 99-0875
DATE TIME
CITY OF PRIOR LAKE ...,/"''/0::;
INSPECTION NOTICE SCHEDULED ~' '-f: ~<':l
ADDRESS /4087 5/1;110/ l3/;7JtVI 71<-
OWNER CONTR.
PERMIT NO.
qq. B75
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL l>fiG/I!'-
o SITE INSPECTION
COMMENTS~k 'AoUAA.''''"1 ...;;..., ~ ~
Adl1 ~ 'J U,,,, ~J
~ ~ A;:tr" ~'>-- ~.
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
o ~K SATISFACTORY, PROCEED
;{~~~ECT ACTION AND PROCEED
o CORRECI:70 , CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
7/;:;;;
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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
CilY
Applicant
Permit No.
99-875
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) ::j.ILl' .qq
2. SITE ADDRESS
I ()~ ~ If~ ~t '"PriOr kltv M.~ rJ5?;:1-1- R/sD
LOT
ADDITION
4.OWNEFI
M
5. ARCHITEC
6. BUILDER
51\-11.6
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID 25-1/'-1--002--:.3
8 BLOCK
pESC.f!.tPTlotV
vot~a 14081
(Address)
clv ,>"
13. TYPE OF CONSTRUCTION
(Tel. No.)
to I;l. 44'5 sou,
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
(Address)
Fireplace 0
Alterations 0
SepticLl
Addition 0
Dook
Finish Attic 0
Re-roofing [j Porch LI
Re-slding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
17. COMPLETION DATE
I hereby certify that 1 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
building ffeiar can r ke this permit for just cause. Furthermore, I hereby agree thai the city official or a designee may enter upon the property to.pe.rform... needed ~ections.
X r;J() . .... .;r..I4I-n
Signature License No. Dale
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
B.o<
Side
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
SPACES REO.
R~S -1//.L
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION, I " III I c;;;'
Occupancy Group A B E F HIM R S U
7'1.7)""
48.51
I.SO
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 12.4.~L
Paid Receipt No. 3S-G. ~
Date T- ?/- '7'j By
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 Ce~';j;~"77rc'Plianoo and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
--If ~ -I- Special Conditions if any
Division 1 2 3 4
Permit Fee ................................... $
CiIy.
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
C"1r::J11
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
Permit When Approv~,
Date 7-~0-7
MATERIAL FILED WITH APPLICA nON
Side
SOIL TESTS
Ll
[j ENERGY DATA
PILING LOGS Ll
PLANS & SPECS [j
SURVEY [j
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
24 hour notice for all inspections 447-9850
"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."
Date: ~
O'
'--( , vV !Lj
<;;dJ2 fv;n ~. #n~d vr>
Comments:
Reviewed By:
Denied
Accepted With Corrections
Accepted
v
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/409, 5f1r'1o'1 ~'4 T(L.
,
I ','I
, ,
NAME OF APPLICANT
APPLICATION RECEIVED
'.
'I
~
r
..) i
,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnltr of Ihl!' Llk, Counlry
QCf-57;
1""~~~_d:r~Ji?''''''''''('''l;;!'''''''"''''' (, .. ..~'. ~""':..'C1"hr!i-~~'.':;~_""""""'='-:"'~""~"_"'--'-""~"""'T':~"""'-:~'~""'r-,:~""'--,",~r'-"'-',~-''''''''''.~~'~~~':'c___",-,'-
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS lJDBr S'~ ~O~ ('~_ ~.
TYPE OF WORK _~ c(<::::""
USE OF BUILDING /7-4].':)-: SFD
PERMIT N9-:J I 91-876 DATE ISSUED 1-20-'7. '7
BUILDER ~r:>sdc
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING~uJk, 1 64, 11-;/,3- 11
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~.IJ&- I 1
I FINAL @ Llt, 17- 3D - 9'J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
, I r
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