HomeMy WebLinkAboutBuilding Permit 99-1282
CITY OF PRIOR LAKE
INSPECTION NOTICE
l.~
'Tk..-
SCHEDULED
TIME
16~?b
ADDRESS \ 10 9 &'n
\A)' \/'1 A VIP <,,5;
OWNER
CONTR.
PERMIT NO. ~
PHONE NO.
o FOOTING 0 PLUMBING Rl
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
.0 JNSULATlON~ 0 SEWER HOOKUP
~FlNAL 0 PLUMBING FINAL
o SITE INSPECT 0 0 MECH FINAL
COMMENTS: \ o,eR ~ ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
l)O~
/1
'11~:
(~ r~ FJ;;)
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: ~ ( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS \ bqg(."
OWNER
SCHEDULED ~
f~~ IL
CONTR.
PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATION ",Sp,
)it. FRAMING lZ-E>-(E)'
'~NSULATlON
~INAL
o SITE lNSPECTl~
COMMENTS: ~
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME
q~
9'1 - \2...8'2-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
~~
~
~. --01-
):r WORK SATISFACTORY, PROCEED
/O\cORRECT ACTION AND PROCEED
o CORRECT K, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
I , . _ ..-,----.'.'.'-...-.--........--.......'.' .. .--..----r-.......u.'.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
&~\
DATE RECEIVED
OCT 25.
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
3. LEGAL DESCRIPTION
LOT 7. _
ADDITION W'\&..\\J'~
4. OWNER
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
rp-/2f3? -
1. DATE
IO/ZO/9?
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
1<./ SD
12. NO. OF STORIES
BLOCK '2...
~~
PID ~S .~\e '0'2<.\.-0
13. TYPE OF CONSTRUCTION
5, ARCHITECT
ii:fL
(Address)
AboUt;'
(Address)
(TeyOv-o_ to 1Cf
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Name) D.HN n"TzJP:2ess)
/Y'Joft:-rQ ~O'" ~ {1Lvc...J: 0"'\ 'J=-IV(,
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction 0 Alterations 0 Addition ~
'<{liTO
(Tel. No,) , ,r,
,~. c"t'"L--"n-~,
C-. I. 1'1 _ '11 0( . 'Pi 1/
70".1. ct. v, f'J.F.
OCCUPANTS
6. BUILDER
Oec
Finish Attic 0
15. NUMBER OF OCCUPANTS OR SEATS
Ae-roofing 0 Pore
Ae-siding 0 Finish Basement 0
SEATS
16, PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 1 am the owner or authorized agent for
the above mention Pe and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans.
bulld1 revoke thi rmit fa .u t cause. Furthermore, I hereby agree that the city offici~1 or a desi nee ay enter upon the property to perform
X
License No.
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 'J.()()O,()('
USE OF BUILDING
Ie 65 Ii /1'<-
I
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:
(P'J .L.~
40.l{(,
1.00
Plan Check Fee ............. ................ $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~
Sewer & Water Permit ...................... $
. g Permit When A'f9Ved~ i
Date 16' _LP ?
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS a
PLANS & SPECS 0
SURVEY a
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ............. .............. $
SAC ...""."""""."........,...,....... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................ .... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WalerTower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid /03.
/1J3, 7/
3(P~9~
Date
est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr s requested. This document when
nstitutes a temporary cenWZ/nJJ compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner Date t Specl8l Conditions d any
24 hour notice for all inspections 447-9850
~-~"_._------_.__._._-.---_..---~_.~_.._--'_.---r--_.
"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. P9rmits
presuming to give. authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Denied
Reviewed By: Q7}{, jVL.UV1 Date:. , '.
Comments: ~d0 -oIl. {;Jd1L:wd ~0-ctC
,(~ ~~~a
Accepted With Corrections
~
Accepted
,,' '''--
,;
t'... '; I:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
r
I
NAME OF APPLICANT
APPLICATION RECEIVED
/
-",'
~,
"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
The ("rnln of Ihe Lab Country
White - Building
Canary - Engineering
Pink . Planning
"
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:~'~,"ffi-'1'!o'V"7 "'J4".';'-;i""F'~-"""-'.8":;':;~;~-i:~~~~m-.....e-"r>,<:'
qq-/2-82-
Th~ ('tnltr of lhf lib Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
MOtZKO C-ONSTlZ-.
/0 II 2s;/~1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~CJ60 j/VILD6l?fl'6SS 7J2-.
Accepted With Corrections
f--
Accepted
Denied
0~~
Date:
/0-2(,- "iT
Reviewed By:
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,"
. I
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PRI.OR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
~~T~~~D;FE~~Ril~ :A~~~N~~~T~i\
USE OF BUILDING SFIJ
PERMIT NO. ff - 1;J. r'J 7... _ pATE ISSUED / () .. 2? - '7 J
CONTRACTOR ~? ko ~ .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
~") f/:?-'lhllZ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING I'< -6 10D
INSULATION
ELECTRICAL
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
- -
I~
BUILDING
ELECTRICAL
-/
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This ca~d must be posted near an electrical service cabinel 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
II
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