HomeMy WebLinkAboutBuilding Permit 99-0995
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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ADDRESS 3'11 \ PI'> rsJI'\(\:; ~+
OWNER CONTR,
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING A
-&INSULATION
)1"'0. FINAL /
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
qq-qQS
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: Srn (\ b _ \), k (" k1'f':"-..
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Inspector: _
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Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE..
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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ADDRESS
3tf71
DATE TIME
SCHEDULED #- ~
p~ft NO;
CITY OF PRIOR LAKE
INSPECTION NOTICE
F
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q9-tf1r
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION _. L1-
FINAL ?C~
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
~IREPLACE RI
IREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owner!Contr:
gALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QATI= ~:lI=r:!:WFn
e/lz/C/q
12, S1TEAPlll'IISS
"2Q 7 / p~~ q )/;J),}(.,
3. LEGALDESCRIPTION
10
LOT
BLOCK
ADDITION
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4. OWNeR iNa~~ /'
0U/f:J)a"'.. .
~^~TI'CT (Name) I
AtJlhn
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
R.es AIR-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ........................... .... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ............. ........ $
Sewer & Water Permit ........~.Zl....;;.; 4:
Gas Fireplace Permit .... q......{.'q).. ~
ThiS~m Y
BY~
Certificate of Occupancy
1. White
2. Pink
3 Yellow
File
City
Applicant
\
Permit No.
Citl-qqS-
LDATE
f--/J~ 7'1
PI!Jo~;::}IL'
sf.
e:; t-' .
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1?1ZfmK- p~ 2 ~
(AddreSS)''l7/ rf:,f!>J'fI/V(P (Tel. No.),}
~T: S.4.J. il,'/) -J'I'S-
(Tel. No.)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
Ii!.. J.s () (Height) (Width)
(Depth)
12. NO. OF STORIES
PID
2.5'-/0/- Ol/-()
13. TYPE OF CONSTRUCTION
(Address)
(Address)
UJ.?S PlITr?bfVf) C T
SthlJJtIJ/l/?"i?_ n IU
Septic LJ Deck LJ
Addition~ Finish Attic C]
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
,~.,B,Y"_DER (Name)
/) fW J D fE")e. f<.J1> r
r tJ A/~ 1ICT:1..!2.Ad
?ol.;Jrflii~.',WORK Fireplace 0
New Construction LI Alte~ns 0
ChimneyO Misc. r~~
18. PROPERTY AREA OR ACRES 19. PROPERTY 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 ial call r oke is::: usl cause. Furthermore. i hereby agree thai the city .::la/ .:l;t~~lenter upon Ihe property to perto1 ':..z~,;ons.
OCCUPANTf
'l'/J"-,/ o? 'I S-'
Re-roofing LI Porch'
Re-siding CJ Finish Baserflent LI
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Side
MATERIAL FILED WITH APPLICATION .,
SOIL TESTS 0 ENERGY DATA 0 '(
PILING LOGS 0 PERCOLATION TESTS LJ
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
1'1 '1 ()1'''L'' (")
S U
City:
27t.J.i<;'
/79. s'L
9.'56
~
l{() . O()
I ding Permit When lP!f-ve~ i
Date />;- -7
PLOT PLAN
I"l
Amount Brought Forward .................. $
Park Support Fee ........ ................... $
SAC ....................,..,................. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
MeterHom ................................... $
Water MeIer ................................. $
Sewer & WalerConnection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $_
Total Due ................61!.t...'I!f1 i
Paid ,5'OZ, e if Recelpl Ny ..3~OG."2-
- '/1 ~
Date q/i!.. 9'9 By /M __
ThiS IS to certify that the request In the above application and accompanYing documents IS In accordance With the CIty Zomng Ordinance and may proceed~~e~This document when
s~~p~nn~r constitutes a temporary Certificate of ~-.Ag complian~ and allow1'fO"struction to co~menceLBefore occljlM\ncy, a Certificate ~Occupancy must be issued.
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., C~yPlann8( Dale Special Conditions if any
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24 hour notice for all inspections 447-9850
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Thl!' Cl!'nll!'r of lhl!' L.xl!' Counlr)'
White - Building
Canary . Engineering
Pink . Planning
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted V-
fl
, j r...
Accepted With Corrections
}<
Denied
Reviewed By:
~~
Date:
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Comments:
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V/\LVOb-<"~ itATO <~~~& 4e5r0~<-..
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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 Culu of Ihr lab Country
White - Building
Canary - Engineering
Pink - Planning
IDHLPING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DAVIt) et<NSr CON!;;;, IK-.
r5 f; 2-/ CJCj'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3971 PEIC5'I-!/NG; s-r. 2;w
Accepted )'Z
Accepted With Corrections
Denied /) ; IJ
Reviewed By: ~ ;;f!
Comments:
Date: 8-/1' ~ '7'7
I. u~cLj.p
S'^^"O~ J~do M fi)..Rr (/esG
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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 RE'CORD
STSW
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ,,397/ PER.SH//V6
NATURE OF WORK A DD I 77 () /I.J .
USE OF BUILDING R-t=:S 4/ IZ-
PERMIT NO. Q0' - Cf'96 DATE ISSUED B l~ I /97
CONTRACTOR J)A!//LJ G:e/\/2d CON:::'/k:-. / /
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'FOOTING(Al) I ~( I Cj-/3-?J
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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1/0/"'<"#1
VL1J //l<Ilf1
V
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:~ 1/S-/dO
SEWER I WATER I SEPTIC
FRAMING :J,", 41W6.'" 713
INSULATION
ELECTRICAL
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
INSPECTOR
DATE
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
/i~:; Y ) ~ IOc
// .. v
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GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
HEATING
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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