HomeMy WebLinkAboutBuilding Permit 99-0881
......e... liON NOTICE
ADDRESS _ILl / (, 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED fa//I/OI f'\,.,.I.
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CONTR. 0 / - _2, &l - R-e - P.m;t,
PERMIT NO. l'1-'88/ (fLalJ..!....rr...)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o EXlGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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[WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:s:::o:ECT W~:L ~OR REINS~::::/::n:~FORE COVERING
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYI
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
IDIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type 8-p sign at bottom)
1~.S~).;,oRESS <::""" /' /
/~/60 ....->~I..; L~ ~/*"L
/ PID 2.5 -I S7) _ () 03 -()
1'/t'I./AH/tNS IS'/ /'iVDN. I
(Add,ess) /7 (Tel. No,) 41h.- .
/4/6,0 "S/~"/,"X7fJ-,t./7?>I17L ~'T4
(Address) i (Tel~ No.)
6.IluILDER (Name)
?-/ A/,o.5.i>'219-<A7 5 .';?.:Jt
7. TYpe OF WORK Fireplace LI
New Construction LI /gerations [j
ChimneyO Misc. ~~
18. PRopERTY ARE..6.o'RjP-RES . "19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. / / Width Depth Yes No
I hereby certl ha e furnished infolTTlation 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 nad operty d that all construction will conform 10 all existing state and local Jaws and will proceed in accordance with submitled plans. I am aware that the
building offici can re rmit for just cause. ~more, I hereby agree that the city official or a designee may enter upon the property ~J7~~S~9CtiOns.
~ License No. Date ..
3. LEGAL DESCRIPTION
LOT
.3 BLOC~
E:6tS IJM ..
ADDITION
4.~ (NameV./
/y-Rt/O;1- /<.hv
5. ARCHITECT (Name) r
. .
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
k!~ ,4 /.e.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H t M R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & WalerPermit ...................... $
(Address)
1. DATE
7 J 1f1c;~
t< IsD
(Tel. No.)
Pl.'(l1ltNT!4 /YlN
/;& "/tr- A:/ >~+I' 6Z4 -'i7?1
Septic 0
Addition 0
Deck 0
Finish Atlic 0
Re-roofing ~ Porch 0
Re-siding 0 Finish Basement 0
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION ~~. 00
S U
City:
'3~ ( . 75""
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ThI:4pp cePe ~~.~... o~;.....~'~~.;e:llwhenAppm~
By . Date 7-?-O-"/7
.
Certificate of Occu ncy
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99- PiR /
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTF
SEATS
16. PROJECTCOSTNALUE_/
-;;;7, /97,3,)'
17. COMPLETION DATE
MATERIAL FILEO WITH APPLICATION
SOIL TESTS
a ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY a
PLOT PLAN a
SETS
COPIES
Amount Brought Forward .................. It
Park Support Fee ........................... (-
SAC ......................................... It
Collective Street Fee ....................... $
Sewer Tap ................................... ~
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ <t
Other ......................................... $
Tolal Due .............................. $
Paid h 20.2 'i Receipt No. 3<;~f:r I
I~~ f
Date ? -z.?;fq~ By /2.t)/,f
Thi;q' t tn' at ~uest in the above application and accompanying documents is in accordance with the City Zoning Ordina~ 'nd may proceed as requested. This document when
1 . e Pia r,~.~~a teflPOrary Certificate of Zoni.ng compliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
. ',,_. . Uc..u\ ~ j- )..-r1j .
'T";. citY Planner . Date Special Conditions if any
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24 hour notice for aU inspections 447.9850
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'?9- 88/
White - Building
Canary - Engineering
Pink - Planning
Th,(",nl'foflh,l.abCounll'y
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L 1 /vV ':;Tk C 1'-;
7/1~/97
.--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/41 Cc 0 ~~Hrl Olj eE/Jc.!-f TIC
"
Accepted
Accepted With Corrections
Denied
..
Reviewed By:
Date:
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
ordins.nces of the jurisdiction shall not be valid."
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Thf Crnln of lhr Liar Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMJT APPLICATION DEPARTMENT CHECI<LISI
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:
,
1/ ' .....!
1.<-
Accepted
~
Accepted With Corrections
Denied
(j(Jj ~h~~
71
Date:
j- .)? -'yCJ
Reviewed By:
Comments:
"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."
, I
,~OR LAKE
.NSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
, .
SITE ADDRESS LC{{(oQ :Sk~ 1So~ l--t-.'
NATURE 'oF WORK 'l'1AJ- A- 'T X'.( .' R,., ~;''^ I~
USE OF BUILDING
PERMIT NO. q"j - 00 ( DATE ISSUED 7 -~ cJ -'1"1
CONTRACTO,R ( ,'v-v-M I'rl\M c;.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
goo~ S\....ew\-L.,(\f...,''''''''':'() I I i
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
FRAMING I fu. h/'(/'~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
)
BUILDING
......A.
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DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough,in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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