HomeMy WebLinkAboutBuilding Permit 99-0952
, ,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
0..-/ -79
ADDRESS /50,).3 IJP..4 oai~.
OWNER CONTR.
PHONE NO.
PERMIT NO.
? 9 .. rs~
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~,. ,? /i:\
)a' FINAL CX,,--<jh \tY
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 GASLlNE AIR TST
o
COMMENTS:
/U.-/J7 ~
.?
c.t? ~O
'0
J24Z
'V
')f::WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEcTION BEFORE COVERING
Inspector:
/11..&..
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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~~
DATE RECEIVED
~/5'/99
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
"\; oAl'E
e/ 5/9'1
RlSt
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. --.9q - Q6Z
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
\,,)02~
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
.RJ
~1f1 d( 00-...(<'
3. LEGAL DESCRIPTION
LOT 7 BI.OcK 2. PIDd5-30L/- 01/-0
ADDITION /J'tD\htcLt I -to ~L'Sp 11{,~~
....:QWNSA (Name) (Address), IJ 'fu) (Tel. No.)
lY\,dla~/rhCi<IVdJ-"lhuI1 IhOJ.~BJo.clt oaK. I\~\I' Lf't7-"/~O
(Name) (Address) ( W }6(~'~oJ ) 17 ~
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
&,-.IlER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
1:__tJFWOl'lK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition D
Deck}(
Finish Attic 0
As-roofing 0 Porch 0
Rs-siding 0 Finish Basement 0
"1'5-08COt:OTNAUJE
17. COMPLETION DATE
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS /10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished 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 official CJn revRke ~ ~ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~f104I AM-A1/l--'lQA-7 ~ - '-/ - 99'
.- ~No.....)
FOR ADMINISTRATIVE USE
,.
I
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA
Front
LI
Back
Side
Side
BUILDING DEPARTMENT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~. =
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
-ees /I/-e
USE OF BUILDING
.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $
S~ ....._...................._.........._$
CoUectiveStreet Fee ....................... $
Sewer Tap ................................... $
City:
Division 1 2 3 4
Permit Fee ................................... $
q'1.7<;;"
t.'" .B'l
? .~---o
Plan Check Fee ............................. $
Stale Surcharge ............................. $
$
I)
r IJY~;~
Vr~~~I~
Penalty ....................................... $
Pressure Reducer .......................... $
MeterHom ................................... $
Water Meter ................................. $
Sewer & WaterConneclion Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Other ......................................... $
Total Due .............................. $
Paid / ~ 7. 0 &; Receipt No.
Date 8//.3/9' '"1
1~7.~
3 58 7 -z-:
-f4a
By
r
that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
~ co itutes a temporary Certificag 7,JnOCPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
ily Planner Date Special Conditions it any
~
24 hour notice for all inspections 447.9850
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White - Building
Canary - Engineering
Pink - Planning
Thr Ct'ntt'fOr lht' L.bCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKIJSI
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,"".-
Denied
t/
()a<..~
~~(/0 ~AJ
Accepted With Corrections
Accepted
Reviewed By:
Comments:
Date:
R/u{t:j'J
[)f:::..
"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."
CJ9-ctS2
Th~ C..nt..r of thO' L.b Count"..
White - Building
Canary - Engineering
Pink - Pianning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~/eHr/6L- -neOTH;::; tV
<s/s/qq
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5023 /3LrlCK.. {)/1,t::: 1<..0
Accepted
Accepted With Corrections
Denied ;; I /1( /
Reviewed By: L/l!~'
Comments:
r.~c..JL ~ ~c~~ ~~
Date:
~-/tJ-97
"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."
. r
PRIOR LAKE
INSPEC liON
RECORD
SITE ADDRESS Jc:;r,2~ rAl?Jrk ocJb LS2
TYPE OF WORK ~rlc
USE OF BUILDING S FD
PERMIT NO. C;c; - '7S2 DATE ISSUED 9' -(0- 7'7-
BUILDER ~ ~l,,,,, A 1
NOTE: THIS IS NOT P\ PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
t2 "IN. SPECTOR DATE
, FOOTING (l\)-l~'I())-Ii" o1v w I ,f )Ji- 99
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, ~lM'.~"~
I FINAL
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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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