HomeMy WebLinkAboutBuilding Permit 99-0971
I.
DATE
TIME
~Oo
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3/to( 01
OWNER
/-5 ~.5 J
1$'302..\
H6NN2-Q
LArLE I?d/,
ADDRESS
CONTR.
PHONE NO.
PERMIT NO.
9 9 ~ 97!.
o FOOTING
o FOUNOATION
o FRAMING
Cl)!lSULAif,19N
.E ~~NAL;-r
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP ^_
q PLUMBING FINAL tl
10 ~MECH FINAL ".
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
),
C;
- ~.
e~
~ORK SATISFACTORY, PROCEEO
o CORRECT ACTIO~ ANO PROCEED
o CORRECT RK, ;ALL FOR REINSPECTION BEFORE COVERING
Inspeelor: Owner/Contr:
CALL 447-9850 FOR E NEXT INSPECTION 24 HOURS IN ADVANCE,
I
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
--_._---~._._.~---_._'--- -_.__._-----_.._..~..-.,----
I iI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'~?t;.119
OATF RFr.FIVF;Q
e/c. /C;q
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE AnnR68IO
. /5d3/ It/VjYll'd
j?j
lake
3. LEGAL DESCRIPTIUN
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
Clt?-(j7/
A-/J' .0
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Hei~t) (Width) (Depth)
12. NO. OF STORIES
LOT
BLOCK
PID ?!!;" - t:?3'Z- -010 - J
13. TYPE OF CONSTRUCTION
ADDITION ..;t?€''Tl!TS A?v.o dOl/NOS
14. ~ER ,,(Name) (Addressl
/hh..... () V<'" c:::X:UYlen-S G.h--.II-P
ISo ARCHITECT (r-k.me) (Address)
6.!II,lILDER (Name) (Address)
u6h!') Dvs
7. TYPE OF WORK I Flrep~ac Cl
New Construction 0 Alteration
Chimney 0 Misc.
Ie. PROPERTY AREA OR ACRES 19. PROPE~TY DIMENSIONS 110. 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
:uilding 0 cial n revo this pe;.\it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform~ej~~9ns.
~rJt.ure .~ Ucense No., OUt ....
So me Cl sabovp
Septic 0 Deck 0
Addition 0 Finish Attic 0
I-'~~
(Tel. No.)
1:1 to -o8c:; 7
(Tel. No.) -
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Re-roofing 0 Porch 0 ,
Re-siding 0 Finish Basem:K
16. PROJECT COSTNALUE
I
SETBACKS: Required
Actual
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Builder's Deposit .,.............,.,.......... $
Other .,..,.,.,...................,...,.....,., $
Total Due .............................. $~ ;''5"
Paid ? ~ / r Receipt No. _'5r; 09 E!J
Date <;/t'/?9 By ~
above application and accompanying documents is in accordance with the City Zoning Ordi~ance and may proceed~ requested. This document when
a tempera: CertificaQ~,Vr~~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
.../~ Special Conditions W any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
L6:S R/'<"""
PERMIT VALUATION
SCO.OO
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
'2.1.06
l'? .to-;-
SO
Plan Check Fee ............................. $
State Surcharge .,....,....,....,.,...,...... $
Penalty ....,.,..,.".,..,.,...,....,....,...,. $
~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ."......,.,.,.".... $
40.00
Sewer & Water Permit .",...,....,...,..... $
TI'-
B
ace :~;I~i~~i:t;i8he~ {r;~
Certificate of Dc pancy
Issued
ThiSiS~O fy ~.J:.: int
'ned by C' ~~nsr
CilyPI8l'lner -
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY Cl
SETS
COPIES
PLOT PLAN
o
Amount Brought FOlW8rd .................. $
Par1< Support Fee ........................... $
SAC ..........,...,...,...,...,.............. $
Collective Street Fee ..."..,............... $
Sewer Tap ,.,.,.,...,...,.............,.,.,., $
.
Pressure Reducer ......,................... $
Meter Hom .............,.,.,.,.,.,.,.,.,.,... $
Water Meter .........................",.",. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ..,...,.....,..."......... It:
Water Tap .."..,....,....................,.. $
I,
24 hour notice for all inspections 447.9850
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T_ COIl" of t.... lAke Co..'1')'
9t/.-t/71
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
8/{~ /9q
,
The .Bui!ding, Engineeri~g, andf;~~jQQ. pepartments have reviewed the building permit
application for. construction a~t1"~proposed at:
. I~ 3, I /--If} I ,IV- L K /2..L)
Denied
~ .
O.VJ~
I~~
i II ~ Aw q Ui"'1
.
Acceoted With Corrections
Accepted
Reviewed By:
Date:
-OiL
~.- / K -7cr
. ~ I k-ckIv-n
U
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."
........'
,0 ",'
<<
9'9-97/
White - Building
Canary - Engineering
Pink - Planning
Th~ Crnlfr of lhr Llkt Cuunlry
BUILDING PERMIT APPLICATION OEEARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
8/& /11
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ l5 ()-- 3 I
I-fO W 4ieD L/C- Ie.L)
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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 r ~-"---~-"-I'--"-"-'-"-'----'--'--'---'-"- --.----..--.-"~----..,--~,.---"~..-~...--..-~.--.-..,-.".,.-".,...,.,-.,.,..
PRIOR LAKE
INSPECTION RECORD
I /A (4-e_ g:,Q ~
DEPARTMENT OF . .
BUILDING AND INSPEC'; ION
SITE ADDRESS j5}'31 1+()t.U~
NATURE OF WORK lJe<.0' ('~ .
USE OF BUILDING S'F:i;
PERMIT NO. C; ~ -'71 r DATE ISSUED 8-/(p - "Z (
CONTRACTOR -"1~\.~. 0,\ S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
~_. .~-~,~,1Il . r'lI) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
j
I
Ildl"o-
_.4 .......,.
~AC:'1M'IfI!" ~=F'1'rE>
FRAMING
INSULATION
ELECTRICAL
PLUMBING \f),"\.)aA
HEATING (if required)
/:1 s/cd((J
L/ ..
~~.. -."'
~""R~ :~. .f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~~"...-_'Ul~,u I I
FINALS
I_._J., ", "_,,,,~I.L..)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(31/
"3 -G. -() (
/3v
'j-~-ol
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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