HomeMy WebLinkAboutBuilding Permit 99-1063
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Av(/
ADDRESS B I q I
FiSh<^.
CONTR.
OWNER
PERMIT NO.
PHONE NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o sEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
~OUNDA TION fIv
FRAMING "'"
o INSULATION
o FINAL
o SITE INSPECTION
1MMENTS:
~o...w-
~
---
~.lt,
-
-
-
" I ~:Tl... TIME
~ 'i;~
'lct- Ie c.. "5
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-
RY, PROCEED
A D PROCEED
INSPECTION BEFORE COVERING
Owner/Contr:
EJlEXT INSPECTI9111 24 HOURS IN ADVANCE.
ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
Inspector: _
INSN011
~._..,--_._----~.
-,---
6/;'RZ;99
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIREcnDNS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
11.//91 F/sh@ i' Aile, N E.
3. LEGAL DESCRIPTIbN
4- BLOCK I
.IV 0 12 /7-1 .5/hJre6 ()/1 kS'
LOT
ADDITION
14. OWNER . (Name)
?k/;o f P~'t}o;,~
15. ARCHITECT -(Name)
6. BUILDER (Name)
S:t.JIf e
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations)iil'
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq- lOb 3
1. DATE
G-<<(;- '1'1
/2/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigf1t) (Width) (Depth)
12. NO. OF STORIES
PID 2.5 -tJ Ad - t'J04- . /
477/ .
13. TYPE OF CONSTRUCTION
(Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
'1<15-9'/{3
(Tel. No.1 I
(Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATF:
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
~. PROJECT COSTNALUE
"".5'00.00
17. COMPLETION DATE
Back
Side
(A~~reSs)
MiLKu<;
(Address)
5<Uf1e oS
A J."'t~~
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
1 hereby certify that I have furnished 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 arr construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building Offk:ie~:iJ;~("nnlllor jusl cau".!'. Furthennore, I hereby agree thallhe clly offlciel or a designee may enter upon the property to pertonn needed Inspections.
X ~. '_~ ?-.:It::;-9<1
- Signature license No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
/?F;S. /"ilK.
(Address)
FOR ADMINISTRATIVE USE
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
Division 1 2 3 4
Permit Fee ................................... $
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
t;&) 190 .
,
o
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
7./ . CO
13 I i:
"'~
.c::;"'O
~
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid ....35. /5-* Receipt Ng.
Dale 9h/~., BY~
in the above application and accompanying documents Is in accordance with the City Zoning Ordinance and may pr~~est~. This document when
stltutes ~mporary CertififJ'}'b zning con-cliance and allows conslnlction to commence. Belore occupancy, a Certilk:ate 01 Occupancy musl be issued.
iIy Planner & at!1 Special Conditions if any
Issued
._~
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
35 J.Z)
3(,07:3
24 hour notice for all inspections 447.9850
--...- .-.~:-..........._............-- - -,--.- -------- --.----'---.-.-.....-
, ,
.,~. //' /~ .
Tht C"tnlrr of lhr Llkt Country
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,// ~ / /----'
Ie- ~
. I
{-'. /
/ ../-.' ,~-'
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 1"" i / ,-.- I -.-- /, ./ ,..... /
, .t.. I " ,. '-.._
--
{-
Accepted
\/
Accepted With Corrections
Denied
Reviewed By:
Q G;.lvvw-J
Date:
'R J 50 hi
. ..
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."
~~
99--/0&3
Thr C"enlrr of thr L.... Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DE~RTM~NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
?/I/L/P H(~;::::U5
<3/2(o/qCj
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t.// q / F/SH~ 1t1lG /'06
Accepted ~
Accepted With Corrections
Denied nll/? 1---
Reviewed By: \fi I!V~v u
Comments:
Date:
R- ~ 'T:51-
/
"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 Il!lql Ft...I.A..,.... 4lv-P
TYPE OF WORK 4c,W ~ ~G<H
USE OF BUILDING SF"!;
PERMIT NO. q'1-({)(P) DATE ISSUED CB-5'o-9:' 9
BUILDER N\ic.k0S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,-- I I j
PLACE NO CONCRETE UNTIL ABOV AS BEEf'I ~IGNED
, FRAMING I I ~\ l~\ ~q I
1- I, ~ I ~- 1':Yt}f I
Call between 8:00 and 9:00 A.M. for all~nspectlons
FOR ALL INSPECTIONS 447-9850
II I