HomeMy WebLinkAboutBuilding Permit 99-1297
CITY OF PRIOR LAKE
INSPECTION NOTICE
S'CHEDULED
DATE TIME
q.f:. rJ7) 4;vV
ADDRESS
.5-4'105 (~--tJ.~\A?V~
OWNER
PHONE NO,
CONTR,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL ,t!GMOPG'l.--
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
,
.~
~)
, /
-
-
i:WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: v:r I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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I I ,._-.....~.,.__._._._. --.-----.~-_..---,--,-..--.--------.-.-,.---
!: CITY OF PRIOR LAKE
II BUILDING PERMIT,
FMPORARY CERTIFICATE OF
" ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
-,
~
.28.
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 ,
,-<ll.f,< ('" ~/UA
3. LEGAL DESCRIPTION
LOT
2..
H/LLS
fd2f
/:3 _ , BLOCK
l:>$:~V /(,.,(,,6
4. OWNER \ I (Name~ (Address))
C-N-..d $k-r\L.v-/ fit{&' Cro6a-....dvr:;..
ISo ARCHITECT (Name) v (Address)
6. BUILDER (Name) (Address)
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No,
99-/2-9"1
1. DATE
io }f.},'~ M
/
12/
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID
7,"-/'f7-1?~"7-n
13. TYPE OF CONSTRUCTION
ADDITION
S"H2
7, TYPE OF WORK
Septic (]
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16, PROJECT COSTNALUE
Fireplace (]
Alteratio~
New Constructlon 0
Chimney 0 Misc.
I g, PROPERTY AREA OR ACRES
Sq. Ft.
19, PROPERTY DIMENSIONS
Width Depth
1'0, CULVERT SIZE
Yes No
(Tel No.)
4LJ.G~n
(Tel. No.)
14, FLOOR AREA APPORTIONMENT USE
(Tel. No,)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
17, COMPLETION DATE
I hereby certify that I have furnished 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 ention property and that all construction will conform to all exlstlng state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildin I ermlt for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform kededMons.
X License No. -r, ~~Ie
FOR ADMINISTRATIVE USE
Water Tap ................................... ~
Builder's Deposit ............................ CI:
Other ......................................... !I:
Total Due """""""""'''''''''''' $ 35. f,<=)
Paid .3.5 ,,,:>, Rece~ptf1$:3 b c.fq, (
Date It /<:/'1 '1 By ;; ~
T~iS i to certify that the uest In the above application and accompanying documents IS In accordance With the City ZonIng Ordinance and may proceed' s. requested ThiS document when
sig t~ PI r constitutes a temporary Certificate of z02f'1 compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ISSUed.
I'rt< )1~5'-. . ...
City Planner Dale Special Conditions if any
SETBACKS: Required _
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ,
SPACES ON PLAN
PERMIT VALUATION
,~.oo
USE OF BUILDING
R.I5S A /-e...
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Pennit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
S U
City:
71.06
I ~. [,'5"
.~O
c$
Plumbing Permit Fee ....................... $
Mechanical Pennit Fee ..................... $
Issued
MATERIAL FILED WITH APPLICA nON
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
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 ........... <I::
WaterTowerFee ...........................!I;
24 hour notice for all Inspections 447.9850
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i
Thr Crnlrr of thr Lakr Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
J_.!/
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/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
Reviewed By:
,/
.(r~ ~~
~.
Accepted With Corrections
Accepted
Denied
Date:
I I /S"" -'77
.
,
Comments:
"The issuance or granting of a permit or approval of plans, specifications liOd
computations shall not be construed to be a permit for, or an approval of, any violation of
any of \J1e 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- /2-97
White - Building
Canary - Engineering
Pink - Planning
Tbf C'rnlrr of tht L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(!,ffl1D ,570eK 611
10/ z.q / qq /
I ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5L/-{05 ~OSSrrNOI2A
Accepted
Accepted With Corrections ~
Denied c2-)A'f]f2-
Reviewed By: ff ~
-~ /'
Date: 11- /-'1 'J
Comments:
(. f.el6c~ lkivrtA. A,'r-
/, j'(pr1--.~-(' oJ Q~\- &-T'^-'3F-d\~ ~.
"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,"
1 I ....-._...~~-' ._.m_'....__..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 54/..,5' (lM;",~
TYPE OF WORK fZa.~ Wa.QJ
USE OF BUILDING S\=p
PERMIT NO. <=1'1- I?-. '1/
BUILDER '2A1"\~ \~/ I
NOTE: THIS IS NOT(A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED II-I-'l'l.
INSPECTOR
DATE
Clec.+r-l't.cJ l L I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
f,1e.ctt(cc..( t::''^'''- l I I
, FINAL
~
16-.
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, .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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