HomeMy WebLinkAboutBuilding Permit 99-1055
, ,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
fI-30~
ADDRESS
If 5.(0 IJRMj) U 1'.1 S.E
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?i- /055
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
.. FINAL d!uR. \cy
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(f) o.-lRJ) a~O\- hJ!to ;< ~ Ii n
AU-d? ~
~~
~;ORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Ill'{
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
II
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
J:!ATI= R1=r.I=I\fFn
8/z.L1/Qc;
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (PI..s. Print or Typ. and sign al bottom)
2. SITE ADDRESS
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qCj- /Ot),C)
1. DATE
):>""~ ~ '-I
SC- .tt-:~LJ:..L
_.-
I .. '='ILC OF STRUCTURE
(Heig,t) (Width) (Depth)
)''\'\1
~")
1f:!1SL;;
3 PID _2.5-3/B-037- ()
Po /II LJS
I 65bo "B,\ ; rv.J Lc. t... 1C- L; I
3. LEGAL DESCRIPTION
LOT 2- BLOCK
ADDITION YV J (f) 6J2A1 hS".5
4. OWNER (Nam.)
'D::,L...c., (~"
5. ARCHITECT (Na~ -..l
5. BUILDER
(Addr.ss)
1L<:;bl'l 1,1; n, J L..~h 1(;: I
(Address)
(Name)
(Address)
BUILDING INFORMATION
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(T.l. No.)
Lf/..jO ~ "')U~
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(T.l. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTR
SEATS
FIreplace LJ
Alterations LJ
SepticLJ
Addition LJ
Deck""
Finish Attic LJ
Rs-roofing LJ Porch LJ
Rs-siding LJ Finish Basement LJ
16. PROJECT COSTNALUE
7. TYPE OF WORK
New Construction LJ
Chimney 0 Misc.
S. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE
Sq. F1. Width Depth Yes No
I hereby certify that I have furnished infonnation 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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
bU~ revoke 19iWermll for just caus.. Furth.rmore, I h.reby agree thai the city offici.1 or a d.signee may enter upon Ih. prop.rty to perform needed inspections.
X ,_ (II:... _ A..._ ~t.t "\ '\ I
~ - \.s~re License No. - -, Dale
..........
SETBACKS: Required
Actual
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Front
BUILDING DEPARTMENT VALUATION
Back
Side
TYPE OF CONSTlRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State SurchB{ge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... <<-
Mechanical Permit Fee ..................... $
USE OF BUILDING
P'6S 1'7/ e-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
,']f1n _ or..,
S U
City:
SQ.00
~".IO
.R~
~
Sewer & Water Pennlt ...................... $
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS (] ENERGY DATA (]
PILING LOGS (] PERCOLATION TESTS (]
PLANS & SPECS 0
SURVEY (]
SETS
COPIES
PLOT PLAN
(]
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ..m.................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Du. m........................... $ S"I ."lL
Paid ~q.qS- R.c.ipINo.3~Oof"2-
D.t. a/z.7/99 By-f,J,t--
In the above application and accompanying documents is In accordance with the City Zonin6 Ordinance 806 may proceed at requested. This document when
n_ a tefr4>Or Ce?Zf;JIiFf:;>Plianoe and allows consl",ction to commence. Before occupancy. a Certificate of Occupancy musl be issued.
Special Conditions if any
:s~P~ '~_.. ~......;,~I~~.~.~$mrov~ /'
By . ...- Date - ..,--r ')~
. - /
Certificate of Occupa
Issued
T~~.cc~ei thereq
~,Ienner
(/
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24 hour notice for all inspecbons 447-9850
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Th~ C~nt~r of lh~ Like Counlry
White - Building
Canary - Engineering
Pink - Planning
6UILDING PERMIT APPLICATION DEPARTMENT CHECKLlS"'(
NAME OF APPLICANT
APPLICATION RECEIVED
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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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..../ ; , 11(,__ 1_
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Accepted ~
Accepted With Corrections
Denied
I)_t). ~
tp~~ ~-LAJ
Date:
Die
~I ~(o/Cf1
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 jurisdiction shall not be valid."
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99-/0.55
ThfCfnlfr of lhf L....f Counlry
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlS-r:
NAME OF APPLICANT
APPLICATION RECEIVED
DoUg, CHI':::CI'-1Y
8/24/q;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~5roo /5LINV LHK.6 7l:?-A(L
.
Accepted
Accepted With Corrections
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Reviewed By: iJ 1/( ..
-J
Date:
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Denied
-
/
'.i.;; Comments:
.
J. e.one\ tJ c llw~ \-\' ,,\ (' "*
"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 INSPECTION
SITE ADDRESS IlnS(dJ 1)L'lArD -f'..1o It-,,,,\
TYPE OF WORK Uc Lc
USE OF BUILDING flJew Co~
PERMIT NO, Q1-/D<:::..'S DATE ISSUED (';-/J.,- 'i:q
BUILDER C"1..-J....I-J......... ~
NOTE: THIS IS N01CA PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING~ I ~ I g<3(-9~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL
(t>.)
Jt..o., I /1-.30-' ~
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
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