HomeMy WebLinkAboutBuilding Permit 99-1245
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Ie., ~g/
OA TE TIME
SCHEDULED S - c;- ;;... t.;'; 09
~~Q7--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
7' q - (.;li./~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING I I 0 WATER HOOKUP
o JNSULA!JOtl ./}--/ 0 SEWER HOOKUP
,)i(FINAL . 1--'0 r~ 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~~
}ld 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!
INSNOTJ
II
--....-- ". .. ^.-..__.~._-"~.."_._------
-~---'-'---'-'--'--,,-
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2. SIT~A~SSl /l ,
I::f1'K (r, ~S'iV\
3. LEGAL DESCRIPTIO fir'"
.-,
W/l..-De:R.IIle;s5
14J"\":~Rf(" lJ ~me) \~. ~. r (Address)
LTt...-..,........ ~<:!.",6-t = 1{''1~1 Cc:M~A... C\
I~' ARCHITEct (Name) ( (Address)
6. BUILDER (Na7 (Address)
4uv'(" --< t.,," J ~v--.,L ~ b r. SEATS
( .:r.iYPE O~ORK Firepiacs'O Septic 0 Deck f- Re-roofing 0 Porch 9J....
New Consfruction 0 Alterations 0 Addition D Finish Attic 0 Re-siding D Finish Basement 0 16. PROJECT COST~UE
Chimney 0 Misc. '7 ~ ~ ~ .
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE 17. ~IJOR>iPJ'/~~IO~E
Sq. Ft. a I J 6)..2,. Width Depth Yes No II I J d /y.,
I hereby cerilty that I have furnished informatio on this application which is to the besl of my knowledge true and correct. I also certify that (am the owner or authorized agent for
the ab2ve tiooed property and that all. ~t 'on will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building off!' can revoke this permit 10 sl ca e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo"1l ne"d I~ons.
X :""':-~f~ .---:::; J.c...('- ~ /O'/Jh~
- , /. Signature /' License No_ ( DilS .
~~
nA TF RFr.I=IVI='1
/O/L3/qq
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
LOT
('T
::L
Pot..lDS
1. DATE
10\ (~ '19
1Z.ISD
BLOCK .
PID ~-aI6- 001-0
ADDITION
(Tel. No.)
~) W7 "'786 ~
'[reCNo.)
(Tel. No.) ,1
t"!< 'at - ; h tJ
r-~/'- /'ibY
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
-ees Ale
Side
PERMIT VALUATION
J q.1Y'lr'1 . 00
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 :3 4
S U
City:
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
2 '7<1 --,c;-
I I(~. s<;
'i .515
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $'
~
Sewer & Water Permit ...................... $
:a.aif;l:;;:;;;;;~:,~-~;:
By ~'~' :.;es::.--"-""Date In .(8' l'l'l"1
Certificate of Occupan
Issued
I
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99-/24.5
BUILDING INFORMATION
11. SIZE OF STRUCTURE
~9~t) 1"Jl"i tj' I' (De,,;; I
11 NO. OF STORIES -:1-
13. T'(P,I! OF CONSTRUCTION
/M".d
14:F(OOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTf 1..
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOI.ATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PI.OT PI.AN
o
Amount Brought Forward .................. $
Park Support Fee ............. .... .... ...... t.
SAC ......................................... $
Collective Street Fee ............. .... ...... )1',
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ........... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
II
24 hour notice for all inspections 447.9850
502.13'1
Paid Recei~t~~1. u/V')
Date I()_?/") -~' By 1/['7 ?
in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
't tes tem rary ceT{j~ of zmmPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
L'lJe Special Conditions n any
,-,,-_.:.~-.-.- ..-t."'."". ..;-..~. ~,,'!.,<~,,"~,,"~,...~lt,.,~I-.".'-"""'.."..-
~~
..--
~. .1
Th, ("'nl'f of lh, L.b Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION gEPARTMENT 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:
i
/
Reviewed By:
v
o /J5' ~ Dat'. 1n-19-<rl
-If ~Cl(M at. ~AAJUfl/vJ ~,-o/<-
~~( It:- iJ/lAfYVl wd/Q/r(7J-6K.
- - Ii
Accepted With Corrections
Accepted
Denied
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~ Iz45"'
Thor ('pnluof Ihor L,kor Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CIiECKLlST
NAME OF APPLICANT GB0K66 SI9NOHe-Lj6!'<-..
APPLICATION RECEIVED /O~3/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t,,981 e,e/nSON e T
Accepted
Accepted With Corrections '/.
Denied
Reviewed By:L..jj;
Comments:
J. UrJ.,,_t;; S'AN'lb ck1ectoM Q.QJ- l<t('<{ ORe
13-<0 )j
j/
Date:
fO -f8''J9
"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
SITE ADDRESS Iln18l r.rLI^ cc,dv\. c.\.
NATURE OF WORK f<1Jj:~.,~ ~ ~r lc
USE OF BUILDING "-t::.'"\)
PERMIT NO. '19-174<:; DATEISSUED IC-('1-'1"\
CONTRACTOR ~..A",^"~,,, .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~
I FOOTING1~ ~ 11/r't
INSPECTOR
DATE
I /crf).,{- 1l}
II) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I fJ:r,
FRAMING
INSULATION
ELECTRICAL
/}A.~..__,';)-/'C1 r-/ U6
t.L/) dy/o~
II
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
(,p.
......-
!f! J 3/:J/tb
ffJ.r. 41s(D I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
fA.... b I Cj! trZ.--
BUILDING
ELECTRICAL
..
DO NOT
OCCUPY UNTIL ABOVE
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.
~I ~!'1/~
J
HAS BEEN SIGN-ED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
. ,
:I