HomeMy WebLinkAboutBuilding Permit 99-1237
CITY OF PRIOR LAKE
INSPECTION NOTICE
M,rI~~
ADDRESS 15S 40
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~)NSULA~I 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
o SITE I ION 0 MECH FINAL
COMMENTS: 4d hYla{
PA'~'fS
"5 v b(j::;> ~r-
-':fOt-i) D-:><--UNC
A L),) "v""
QN
DATE TIME
11-/1> J1q
(;n...
4r
'1'1 - 12.37
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/- _ - '" 1./6{.l.. <
~<;C,<6.v .D.:.' w-/
,)(yvORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C, .L . FOR REINSPECTION BEFORE COVERING
Inspector: 0. '\ r""-' Owner/Contr:
~I'
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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..__.,._._--_.._~.,._.,---_._---_..~---~-'"- -'--'---.----'-
~1
DATE RECEIVED
/O//Z-/~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
CJ9-/237
I
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
1. DATE
/O-5-Cf!
S. [;. 121.50
PID 15, \ 8. 'Z. -ooz . \
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
t4 I ~c=-l.. d'\R.
/.:::;-S4-o
3. LEGAL DESCRIPTION
TJlA:;.r ~
(l...L~
12. NO. OF STORIES
BLOCK
63
LOT
13. TYPE OF CONSTRUCTION
ADDITION
4. ~ER (Name) (Address)
hq-+-r.. j..SIJ.\A--~ -Il &/I'nrlt' /,~"cK) IYIdehcl/
5. ARCHITECT (Name) (Address)
(Tel. No.)
tft,f). 7SI.\
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER (Name) (Address) (Tel. No.)
f1 _/ b0-n'C; -9c291'
..L(1f,,{...Varrl hu/ fI,~" ~yd.dJIr<:;. ~(JJD tJ.Iil4(.,/ IflMJI't4lJc:d....
7. TYPE Of"WORK Fireplale 0; Septic 0 Deck 0 Re-roofing~ Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
ChimneyD M;sc. A~<;;eJI2-'< Bu.....D ,p.!b
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished inlormation on this application which is to the best 01 my knowledge true and correct. 1 also certify that I am the owner or authorized agent for
the above mentioned property that all construction w' I conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildin iclal can revoke this rmit for just ca F ermortl, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
x
license No.
Date
Signature
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLlCATlqN
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
Side
Front
Baok
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION !'Il1"rJ. 0 (C)
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
/2.ES fl/.e-
USE OF BUILDING _
PLOT PLAN
o
TYPE OF CONSTRUCTtoN: I 11 III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee .......... ............ ............. $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTliP ................................... $
$
City:
S U
?'1.1.':;-
1"1. '23
.$V
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer ..:....................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Mechanical Permit Fee ..................... $
~/4~
IO!~
Sewer & Water Permit ...................... $
Other ......................................... $
Total Due .............................. $ 47. ~E3
Paid 4?- 417 Rece;ptNp..3b44z
Date /tJ!zs/~ By--fAt<---
in the above application and accompanying documents is in accordance with the City zoning6rdinade and may proceed yfr6quested. This document when
st~utes a;;mporary ceiDTr~!lrlJjlian'" ~r.~c"".~~n ~ Befor~ a Certif;cate of Occupancy must be ;ssued.
er Datel - LS V Special Conditions ff any
24 hour notice for all inspections 447-9850
Issued
-
~
......
..
70< PR/0Ij>,;
~1
qq-/z 37
Thf ('tnlfr of Ihe Like Country
White - Building
Canary . Engineering
Pink . Planning
BllllnlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I<!CeEI2Tj :5U:5r1N Glel/NOr:;
APPLICATION RECEIVED IC/IZ/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5540 1'11/C?HEU__ C'I/e S.t;;;.
Accepted
Accepted With Corrections
Denied
'~
Reviewed By:
Date:
.,j,
Comments:
..
7- 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 6f
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 cotte or other
ordinances of the jurisdiction shall not be valid."
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Tht Ctnltrof lht L.ktCounlry
, I
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMI;NT CHECKLlSl
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
Date:
jD-t3--rn
"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."
qq-/237
White - Building
Canary . Engineering
Pink . Planning
Th~ ernltr of Ih~ I..kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT R.08E.€T/ SUSI"'fN (StelA/Ob
APPLICATION RECEIVED /ojl2-/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5540 /'1/TeHec--(.,. C-lte.. S.b.
Accepted
Accepted With Corrections ^
Denied /\ J
Reviewed B~ j)~ ..J}-/'
, ~~
Date: /6 -/8 -9.A
/
Comments:
(, C)~ .T,"-"-~,,,,,, ~ .
U
f-Pr-.lt-....()
{((,..()u I~n.:
"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."
I!
- "-""-'-'--~-----'"'-_."--~"-"-" ..-..----"-.----.,--.-.--.--
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS l~'-lD ,tv\;~~(t C't- ,
TYPE OF WORK
USE OF BUILDING s\-c.JIe..y "--\:?(c-L(),
PERMIT NO. cr'1-/?...3i DATE ISSUED IO~ IR -9C;
- ,
BUILDER c:.... ,'Ida..,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
IE
\
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
---I
I
~I -
, ,
I FINAL '5~~Us\ ~ uv..\cde&\ I {! IJ I II/{ 14,
fer .Jv.'>f- Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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