HomeMy WebLinkAboutBuilding Permit 99-1074
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~
F/I I'<? t. /] tV ;J
ADDRESS
6Lj./tj
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
FINAL .() e c
;g SITE INSPECTIO
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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,~~L
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k.h(~
r A K"./".
-----
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3(,0
q 9. ! (/74-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
l-~~ )
~/
----
/
/-
~RK S IT FACTORY, PROCEED
o CORREC r A NO PROCEED
o CORRE !' RK, ALL FOR REINSPECTION BEFORE COVERING
Inspect: \ Owner/Contr:
ALL 447-9150 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~DE REQU, '1EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
V INSNOH
, ,
-,-
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
'8{26 jc, ~
PI-/el- tIr(q I
-:")ffo ~ T7<. tWJ 5<;)7.1;..
,c150
PID 2F>-03/-on3-0
5 Hoft26S
~ddreSS) .AwrJ 1tMfJ (Te'4~o - 1.(\\'1 i ~.~~AREAAPPORTlONMENTUSE
(~~S~~ WJ.: ,tal (Te' No) 0"
W~~ CJJ./(- O() 1/:7 ?XT ~!5
(Address) (Te' No.) ~MBER OF OCCUPANTS OR SEATS
X tel./-.; fiq -OCCUPANTS
(J~
CAn: R~~l=n{j:.D
8/Z7/Qq
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
5~1L/
3. LEGAL DESCRIPTION
LOT 3 BLOCK
~AIRLAWN
4. OWN~lt1f2.-lc~e)Ch~ e-;e- 1.
5. ARCHITECT (Name)
Fi>nR '-AU)A)
ADDITION
6. BUILDER
(Name)
7. TYPE OF WORK
New construction}s(
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Deck}ll
Finish Attic LJ
Re-roofing 0 Porch LJ
Re-siding LJ Finish Basement LJ
16. PROJECT COSTNALUE
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
ion which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
fonn to 'sting state and locallaw$ and will proceed in accordance with submitted plans. I am aware that the
or , I h agree that the city official or a designee may enter upon the property to perfonn lir.;s17l;Q'
License No. Date
Fireplace 0
Alterations LJ
Septic 0
Addition LJ
'-/
SETBACKS: Required
Actual
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
(jQ..../o74
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth)
(Oopth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
SEATS
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Front
"ok
Side
BUILDING DEPARTlMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION ~I'J . f!Y?)
USE OF BUILDING
1Z6S /tIe
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
5'1.2~
i.II'~"--- :33,3/
Plan Check Fee ............................. $ _ ." ..
-. .~ . Cl.C)
State Surcharge ............................. $ _ ~ CI
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
.......... $
This
By
ng ~:.':n"~tJ7
Side
MATERIAL FILED WI~PLICATlON
SOIL TESTS LI ENERGY DATA' LI
PILING LOGS LJ PERCOLATION TESTS 0
PLANS & SPECS LI
SURVEY 0
PLOT PLAN LJ
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... It
Collective Street Fee ....................... t.
Sewer Tap ................................... $
.
Pressure Reducer .......................... $
Meter Horn .................... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... t.
Water Tower Fee ........................... t.
Water Tap ................................... $
Builder's Deposit ............................ t.
Other ......................................... <I'
Total Due .............................. . ~5.3 &
Paid e~:? (, Receipt No 3" z,. 'Z..")
Issued
Date 4f f./fllJ By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~ requested. This document when
s~ pv the City nnar constitutes a temporary Ce~~tt9f Zoj1ilil~ompliance and allOW~c ctio~ommejce. Betosfl owupancy.. ~rtificate of, ~ fist~ued.
<--yA.. ~.., ~~~\ <..~ ~,(_~~U.~~_/, A<.
~ ; C Planner Date.J Special ConditiOns ff any - -
24 hour notice for all inspections 447-9850
99- /074-
The ('tnlu of lht Lib Counll'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTM~NT CIifCKLlST
NAME OF APPLICANT
?/17Jie/ C/<::.... C-I-/A e./ cH
6/2-7/qq
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
St/-Ic./ rAIRL/'lWrJ SItOR'F<\ T12.
Accepted
~
Accepted With Corrections
:::::d By.()Kj----
Comments:
j, ~o..J ~
Date:
8- 7/-'1 i
t7
Dee~ /-b._JJ O?_~
"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."
II
.... -.--...----..-.-----r---..
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IJ
'iC/, /(74-
Thf Cl!'nlerof lbe Lib Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P.rJ7,.k'1 C/<: C/II--I c../CH
0/27/C;C;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:5t.J./L/ rl-!llc'LI-III/N ::;/'f(JK'ES' T/2.
Accepted X
Accepted With Corrections
Denied /)) J
Reviewed BY:ll,1}/l,. '/
Comments:
, R..w,{ P (J l:.Prf l(r ,I <>.1
,";
Date: () -)/.. 7 T
,"""-.,-,,,~,;,~;:,...
! .
!,:
"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 a.ny 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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Th.. C""lnor th.. L.b Country
White - Building
Canary - Engineering
Pink - Planning
~UILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
! l
;1
,
,
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i;
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~AA... (~~~,
Date:
'1- ! S--~.q
Comments:
~Jt ~ e.~'~ Ct.~~~ee..\ or Le-b(
~~ ~ (cV''-'\L~k\c.J 7Swn/,\-;W'p_u...<
VCYi}-) N"eol ~~ (' J\\:\ ~ I. lnL/,LD7 (7 J
~'AAC."V\rQf)~1MJ\A/'j t9~~S ~ ('~J(~y/X./~
1~&Vh-e- OtA1A)}./\, ~\f'lJ~po~Q
}6-Ot, ~ ~ PX~~~ ~ l~ ~
~ tJi\u-re- (M ~fdo.v~ ~ .I
"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
~ bA \] /'-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS S(/fl/ -r;it.. (r............LA-
TYPE OF WORK [), r LL
USE OF BUILDING 'Sr.D
PERMIT NO. C]q -107 tf
BUILDER
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
INSPECTOR DATE
I FOOTING (k) 18:r, I '1-dtJ~1~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~- I I
I FINAL
I 1( t~ OA
Call between 8:00 and 9:00 A.M. for all ins ctions
FOR ALL INSPECTIONS
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