HomeMy WebLinkAboutBuilding Permit 99-0942
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /1 j, /"1 'J
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ADDRESS / (, Z- (p 0 P IU!?K. II I 61A..I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION f>,.
'It FINAL 060'- "
o SITE INSPECTION
COMMENTS:
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CONTR.
PERMIT NO.
q q- 94-2-
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 GAS liNE AIR TST
o
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NSPECTION BEFORE COVERING
Owner/Contr:
NEXT INSPECTION 24 HOURS IN ADVANCE.
FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DA H: RECEIVED
1. White
2. Pink
3. Yellow
File
City
Applicant
AUG - . 1999
c;t:;-'l42-
Permit No.
1. DATE
~/3Iq'1
pup
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
I~~ P"'~I/\I>\N DR.S.S.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
3. LEGAL DESCRIPTION
I
t'AIeO/NAt-
4- PID 25-31f>-IJ32.-0
Ie/oe€: ,3/120
(Address) (Tel. No.)
162bo ~~ i)~;S/~. (612) 44'.7A82.
(Address) ,L I'. (Ter. No.)
:TIlHSSlWr 1lt>6/ )~. z.z.'fS
(Address) (Tet No.)
BLOCK
LOT
13. TYPE OF CONSTRUCTION
AOOITION
14. FLOOR AREA APPORTIONMENT USE
4. OWNER (Name)
~tlll"'''""' HI\N18R
5. ARCHITECT (Name)
15. NUMBER OF OCCUPANTS OR SEATS
(Name)
6. BUILDER
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Fireplace)l Septic LI DeckX'
Alterations rI . Addition LI Finish Attic 0
Re-roofing LI Porch 0
Re-siding 0 Finish Basement 0
7. TYPE OF WORK
New Construction 0
Chimney LI Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Ves No
I hereby certify that I have furnished infonnation 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 props an hat all construction w' nform t.o_~1I existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~u' ing official can re'(Oke this it ~rvc~ ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
nature License No. Date
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 2 .1''JrJeJ. C:>O PLOT PLAN 0
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
I?f':S A/,e
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy-Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
CoJlectiveStreet Fee ....................... <t
Sewer Tap ................................... <t
$
City:
S U
(,,2. -zS-
40. q(..
/ .00
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
~~
~~,
Pressure Reducer ..........................4:
Meter Horn ................................... $
Water Meter ..................................'t,
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... <t
Water Tap ................................... $
Builder's Deposit ............................ 4:
Other .........................................4:
Total Due .............................. $ 10;.1 (
Paid /0.3.7/ Receipt No.3SB<lQ
Date e. 'fV1 By ~ '
t the request in the above allllication and accompanying documents is in accordance with the City Zoning 0 Inance and may pr~u-ested. This document when
nst_s a temporary Certir5rQ.9jmPliance and allows construction to commence. Before occupancy, a Cenificate of Occupancy must be issued.
Cijy lanner te Special Conditions if any
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
ur Building Permit ~n kp~tBt:tl2..
Date (3) -cd I 7
This
By
Issued
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24 hour notice for all inspections 447-9850)
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White - Building
Canary - Engineering
Pink - Planning
:~nlu of lh~ L.b Counlry
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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Reviewed By:
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Accepted With Corrections
Accepted
Denied
Date:
C? --S- -r7
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."
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Thr ernlrr of thr ukr Country
White - Building
Canary - Engineering
Pink - Planning
BUll-DING PERMIT APPLICATION DEPARTMENT CH.ECKlIST
NAME OF APPLICANT
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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:
/&-2-(",0 ?/-J/o:!j:::///E.W OK- SC:
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Accepted
Accepted With Corrections
y
.,
Denied ,r)-,. , . ,/'7
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ReViewed By: I, / ~' ~/ J
Date: F3 -(r 99
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."
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS lIo2.{dJ Qarkvl'EGJ i)) -
TYPE OF WORK nl-r ~ .
USE OF BUILDING SFD
PERMIT NO. C{9 ~9f2..
BUILDER Mtll..l\; ~-" r-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
[3 -G,-"'{ '7
-
I FOOTING rti) I tn, I 9-1(- 1i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
P ~. - I \V I "
I FINAL I /\~ I ivr~{q~
Call between 8:00 and 9:00 A.M. f~ all..lin;peCtiOns ~ " I
FOR ALL INSPECTION\J47-9850
INSPECTOR
DATE
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