HomeMy WebLinkAboutBuilding Permit 99-0985
il-30~i7
tN/'~ ST ,.E,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .J:; 7 R q
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION" n fi;\
}( FINAL ~ \ll.I
'r:i SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
9'1" 9g5
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
Inspector: Af'J... Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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6//1 je11
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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PUD
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qtJ - 9f3S
I DIRECnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE P~RMIT IS ISSUED (Please Print or Type and sign at bottom)
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SE.,
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT J!.(p BLOCK.3 PID z.5-2qt:j'-057-0
ADDITION /fA'ileO/NAc.- l</o6t:?; / sr.r ADON_
~ _ (Nare) (Address)
!.'.. ~':k/iJ? Gl~ (~ ..') <tbt'VL)
15. ARCHITECT (Name) (Address)
6. BUILDER (Name) (Address)
13, TYPE OF CONSTRUCTION
(TeL~_~1
(TeL No,)~_ ill-I~
eqr. 'iDl.'U\(~~
(~LNO,)
14. FLOOR AREA APPORTIONMENT USE
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
R!~~:1
Fireplace LJ
Alterations 0
SepticLl
Addition 0
Dec~
Finish Attic LI
Re.roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
SEATS
16, PROJECT COSTNALUE
Chimney 0 Mis"
8. PROPERTY AREA OR ACRES
Sq. Ft.
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
nnation 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
II construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
r J t cause. Furthermore, I hereby agree that the city official or a d6Sign.6 e may enter upon the property to p.~.' "." ",'rt,~,s".
,.1r:" ".i
license No. Date
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
..ok
Side
Side
MATERIAL FILEO WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
L&,S "(/.e..
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PERMIT VALUATION
q~.CJn
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... ,ot
Collective Street Fee ......... .............. ,ot
Sewer Tap ................................... ,ot
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
8'7. 'G c;-
O(n.7 J
2.06
....................... $ Water Tap ................................... !I'
m'!!!1;~i1ding permit~~r~roved,'j Builders Deposit ............................ $
By . Date -If Other ......................................... $
Certifica,eofOccupanP' To'a~~ue ..9.../"..................... $~tt::-:..r........-
" Paid /.,:~" Receip' No, 3r.,oO(P
Issued '
Date ~/2()/;~ By ~
T,ry', IS to m' e req~, n the above application and a com anying documents is in accordance with the City Zoning Ordinance, , end, may proceed afrequested. This document when
s' ad 'c" nnerc itulesatemporjcertifica n c mpliance and allows construction to commence. Before occupancy, a Certificale of Occupancy must be Issuad.
, _ '~ \e7/r:A'A
-rJ . City Planner Date Special Conditions if any
v
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Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. !I'
Sewer & Water Connection Fee ........... ~
WaterTowerFee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
24 hour notice for all inspections 447-9850
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Thr ('rnlrr of thr Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVFn
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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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Accepted
v/'
Accepted With Corrections
Denied
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fI c;c(hac/CO ~ d<:.....
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Date:
~-J1-71
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 jurisdictiol) shall not be valid."
.............
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(79- 985
Tht Ctnlrr of lhl! Llaf Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECI(I.JSI
NAME OF APPLICANT
APPLICATION RECEIVED
l3/<:! I/-! /IJ G I c:;,sON
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"5 769 (!Jc: c. ,':; ~""/ IV U/~/-j S T
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Accepted
Accepted With Corrections
/
Denied
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Date:
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Reviewed By:
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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cJc;-985
Tht ('rnlrr of lhr L.b Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
13;Z//lN GIBSON
8/11 / qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
57gq
,
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ST.
Accepted
Accepted With Corrections --/
Denied
Reviewed By: C~ ~~
Date: B-/8-'(<7
Comments:
I. ReCl.d) ~ 'D-ec..~ \-\-c........& ~
"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
DEPARTMENT OF .'
BUILDING AND INSPECTION
SITE ADDRESS S'189 C'>o,,;~
TYPE OF WORK D.ec\<;. ~ Fooi...".. !=Or fu.\ol-..... ~
USE OF BUILDING :;=WD
PERMIT NO. C, "r - q B'S' DATE ISSUED d - /6-"1<::'
BUILDER G...k.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING J-, I &, I ?rJ, ~- 91
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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I FINAL I ~ I (J
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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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