HomeMy WebLinkAboutBuilding Permit 99-0996
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'f'lJ 1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
If FINAL tflR<.81.!J/
o SITE INSPECTION
DATE TIME
SCHEDULED id-J-1~
~ LA. ";S.
CONTR.
PERMIT NO.
<fer- 9V {,
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 GASLINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
);!<cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ft..a.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
INSNOTl
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
.afFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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1'81'/ In
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3. LEGAL DESCRIPTION
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BLOCK Lj
1/;1/5 '-Ill- >.U-fJ",,...,
PID :1 &;-31-1- - oM-a
LOT
ADDITION C4'(;"1~
[4pWNER (Name)
IX -ri;", r})c,r L lie
15. ARCHITECT I (Name)
6. BUILDER (Name)
(Address)
.5liM.e..
(Address)
(Tel. No.)
Yn- 7lj{
1 (Tel. No.)
("'~: 329 .. 31 2. ~(
(Tel. No.)
(Address)
7. TYPE OF WORK
Fireplace LJ
Alterations 0
Septic 0
Addition 0
Deck~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding ~ Finish Basement ~
New Construction ~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. FI 14ft 2<.: I
I hereby certify that I have furnished info
the above mentioned prope and that
l~~1 can revt pe
~~ Signature
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
9t9-996
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No I
n~tion 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
~nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
. ". __~,,"'. ,_ ~,1hermore, I hereby agree that the city official or a designee may enter upon the property to perform ~ (~ i pections.
License No. 0 e
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Si<le SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOI.ATION TESTS 0
SPACES REO. PI.ANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION ~.Oao. C' (J' PLOT PLAN 0
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~F<::; AIR
TYPE OF CONSTRUCTION: I 11 III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Pennit Fee ................................... $
V
R S U
74. 7C:;-
ttr;.S"1
I. <::;0
Amount Brought Forward .................. $
Park Support Fee .... ....................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $.
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ !l:
Other ......................................... $
Total Due .............................. $
Paid /2 4. B 4- Receipt tjp,
Date e>/ZG. /lfq By ~A..----
in the above application and accompanying documents is in accordance with the City Zoning Ordinan~ and may proceed J. ;quested. This document when
. utes a t rary Certj~ra Z~~g comPli:ce and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
{}-f ~atl17 Special Conditions if any
City:
Plan Check Fee ............................. $
State Surcharge ............................. 0::
Penalty ....................................... !l:
Plumbing Permit Fee .......................!t
Mechanical Permit Fee ..................... ~
Sewer & Water Pennlt ...................... 4:
~:~.ope . ~~...... r~~;I~i~~.;e~itl't1Wn~proved "-
By Date _/'l;' -/h' - t '-
-{/
Cenificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
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Th~ C~nt~r of Ih~ L.k~ Country
White . Building
Canary - Engineering
Pink - Planning
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
Denied /I /JI A 1
Reviewed By: L j ,V/) . ~ Date:
r; ~'rJCO ~ DrC-.-
Accepted With Corrections
~"~~-n
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."
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C}t'i - CJ1t;;
Tht Ctnltr of 1M Lah Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISt
NAME OF APPLICANT
APPLICATION RECEIVED
?""[k} 12 Y /'I/-II."( E 1 ( E
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
442q Cu/-ICIINrllV L-N
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Accepted
Accepted With Corrections ;/
".
Denied
Reviewed By: (?fltS~..
Comments:
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Date' b' ) r _ .' r
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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."
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTK>N
SITE ADDRESS Lj1l24 (',.",,..L.................. L-...
TYPE OF WORK berk
USE OF BUILDING Sf:' D
PERMIT NO. '1"1 - 9 or G DATE ISSUED B -2. 0:;--"('7
BUILDER \:.~ IMctrl-e.t\-e.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING (~) I 14, I R, 30-9/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'.P'RAMIN~/l<) "'Ill.. I I
-
, FINAL ~
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1.1..-)-1} Sj,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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