HomeMy WebLinkAboutBuilding Permit 99-1207
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1()4dl
3:30
ADDRESS
:57Clc; i!lefr<: !)/1/V OI2A
OWNER
CONTR.
PHONE NO.
PERMIT NO.
9'1-/2 () 7
o FOOTING
o FOUNDATION
o FRAMING IBJ
o INSULATION
FINAL L. ,-.
~ SITE INSPECTIO
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 GASLlNE AIR TST
o
COMMENTS:
u,,~ _ ~
)Z'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
I I
~\
DATE RECFIYFjl
/0///91
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-/?O'7
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
~EFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
I ~ITE ADDRESS
57"15 crossClYldr-a <;,t-r e-e.:t s,~
3. LEGAL DESCRIPTION
25
c.~eo/ /V /11--
1. DATE
?uJ>r La. \<.'2- f'M'd
~~
PUD
5"5" 37.2.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
BLOCK
.3
/.C/06E:
PID 2.5- 2'19-05,,-0
1ST ADDN
13. TYPE OF CONSTRUCTION
ADDITION
{9 OWNER (Name)
10..\,,(,.. ~V erOn~ca --h !lA.V\
15. ARCHITECT (Name)
6. BUILDER (Name)
(Address)
o..~ G,b..hJf.-
(Address)
IV
H
(Tel. No.)6Y>/-U,-/ 'tSj
Lf'1V -7'-iO'l
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
!i TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basemen;)r
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 190 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 tioned property and that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building jci n re is permit fo just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
IU-( -Cf/
Date
@COMPLETION DATE
~-JO- 00
x
License No
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
L? 6.S A'/..e..
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~."",...
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN 0
TYPE OF CONSTRUCTION: I It III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ..................... ...... <t
SAC .........................................~,
Collective Street Fee ....................... It
Sewer Tap ................................... It
,
1'1.75
Plan Check Fee ...................... ....... $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ..W.:",/k::Q.7 ~
Mechanical Permit Fee ..................... ~
~,so
mes hour Building Permit lhe::t;,pro~erj,
~ Date :/') --1"(
~
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. It
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
40.00
Sewer & Water Permit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ / /h. 2.5
Paid //(, .2-'5'" Receipt No. 3C. 1/0(,
Issued
Th:~~~~ req in the above application and accompanying document, i, in accordance with the c~:;on~~~~~~ may pr::~ Thi' document when
$i~ bYLhm~nner ns . utes a mporary Certificatll5 9Df liance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
'-11 C~y Plinner Special Conditions if any
,;
24 hour notice lor all inspections 447-9850
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White - Building
Canary - Engineering
Pink - Planning
The Crnlrr of thr Lake Country
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
~
Accepted With Corrections
Denied
Reviewed By:
"tfJ ~~ ~ -at::-
v
Date:
ID ~ 7-17
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."
q9~/zo7
White - Building
Canary - Engineering
Pink . Planning
Tht' C""ler of lht' L.kt' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECI(USI
NAME OF APPLICANT
APPLICATION RECEIVED
CJI/2IS J{JICOA Ai
10/I/qC;
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
57q5 (!"R()SS/JNLJ~ 5f S E-
Accepted 0<::..._
Accepted With Corrections
Denied _
Reviewed By: (K1J ~ 9-
j/
Comments:
Date:
/0-(,,-'7')
I. l?ecot +L. ISG..~ r::,",;~ 1--k..J.. ~Jl...
"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."
. .
, ---r--"
_..,_._..._~-_...~-_..".._-'_.._....,--_.~_._-"._~----
PRIO.R LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS St']qc::; ()"S".~
- ,
NATURE OF WORK &.~P..J- F.'~~<; l.
USE OF BUILDING s~\)
PERMIT NO. '}'1-12.07 DATE ISSUED (0-(,-'19-
CONTRACTOR ,\"',A~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, WALLBOARD I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
4
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OCCUPY UNTIL ABOVE HAS
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.
/1'I/ilLdj
I vI JT"l
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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