HomeMy WebLinkAboutBuilding Permit 99-1105
II
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED tq6~);,! 3:.3e)
~.eeE:ll/ O/tJC-S ~
ADDRESS
/-5?)90
OWNER
CONTR.
PHONE NO.
C?9-IIOS-
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
'lINSULAT!
FINAL
SITE INS ECTION
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
A 0 GASLINE AIR TST
I'T 'r;t( ~/.,Pj~SS
r W(NQOW
COMMENTS:
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~ORK SAT. F <;TORY, PROCEED
o CORREC A ~ND PROCEED
L, 0 CORREC I 7LL FOR REINSPECTION BEFORE COVERING
Inspector: J Owner/Contr:
J CALJ447JS50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
~ ~ ,_on
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~1
;/;~9
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
/9jQO 0rr>NJ fbh: Tra;/
3. LEGAL DESCR6"ION
LOT
J1-;(11'" I ak-~
1. White
2. Pink
3. Yellow
File
City
Applicanl
Permit No.
Q9-//05
1. DATE
~d 7, qq
/(./50
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
ADDITION
BLOCK
G;Je66tv' O/l.1=S'
PID 2.5-/2.6 - {)(j(;.,- 0
13. TYPE OF CONSTRUCTION
~t:rNEFl. (Name)
flI~Wt?1I''''~/
5. ARCHITECT (Name)
(Address)
.siwJ-t
(Address)
(Tel. No.)
&./d. t/</f; 3.3rJ,;
(Tel. No.)
L~h;k
6. BUILDER
(Name)
(Address)
14. FLOOR AREA APPORTlONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Deck 0
Re-roofing 0 Porch 0
Rs-siding 0 Finish Basement 0
16. PROA"CT COSTN~UE
~iX). OCJ
17. COMPLETION DATE
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction 0 C _Alterations (] Additi<iln 0 Finish Attic 0
ChimneyO MiSC.~rtA<:<;' WlndtlvJ
8. PROPERTY AREA OFh<CRES r9. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that 1 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 mentioned property and that all construction will confonn to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
:Uilding oHic' en 'evoke I 's pe it , just cause. Furthermore, I he,eby agree that the cily aHicial 0' a designee may ente' upon Ihe property 10 peV pons.
License No. B
FOR ADMINISTRATIVE USE
I
SETBACKS: Required
Actual
Front
Side
Back
Side
MATERIAL FILED WITH APPLICA TlON
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
J:<E:.S A/~
OFF STREET PARKING PILING LOGS Ll PERCOLATION TESTS Ll
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY Ll COPIES
PERMIT VALUATION t:;d) .0 CJ PLOT PLAN Ll
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM A S U
City:
Division 1 2 3 4
Permit Fee .............. ..................... $.
"Z1.n()
J~ I,."
0.')0
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This p(;,JicP}p#e?me r Building Permit v:th~n AppJP~'
By (j;f...(flt/- Da1e '1 '7 ~7-7
Certificate of Occu ancy
Amount Brought Forward ...................4';
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Ham ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... It:
Water Tap ................................... It:
Builder's Deposit ............................ ~
Other ......................................... It:
Total Due .............................. L 35". ( S
Paid 3~,f ~ ReceipINo.3(,013
Date q/r./'l'f By ~
Th.ti) . 0 :~. ~"~~~.'he above application and accompanying documents is in accordance with Ihe City Zoning O.rdin~nce. and. may proceed ~ requested. This document when
s~ by "{;?/"n;;l7.R!'Je;!Je:Jry Certifi~ at~liance ~nd allows conslruction to w"""O,'oO. BefOre'irancy, a Certib1. of Occupancy musl be Issued.
-- , "~ity~nner - ale /7- ~L.I(<? C~peclf:.6ndillonSjfany
24 hour notice for all inspections 447.9850
Issued
I]
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Tht Ctnltr of tht Llllt Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
./
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, "
"
- ,
. _,J.
/1 L
Accepted /
Denied /J/ j
Reviewed By: I ZVTJ . :JU/"O.A.:J
~ ~J0 -6Ie::::..
-"'
Accepted With Corrections
Date:
q -'X-'Cj
. .
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."
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Thf Cfnlrr of Iht' Lab Country
White - Building
CBnary - Engineering
Pink - PIBnning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DA/II)</e:Ae- EY
Q/7/'91
(/1/f/rr~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/50QO GREE,;V OA/<::..-S 7""K.AI L--
Accepted ~
Accepted With Corrections
Denied - I~J 1___
R.";,w",, BIJ/ tfJ/
Comments:
Date: t:J-7-9/
I. 3;a\"" ~..~~ ~
? (;.GJ:~ WeJ,{ cJ"",--
:? ~ '7 r<;;R LJ,~~\
J"D<-L ")~ ?
~
"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 I
. ---_._-_....._..,---~.._~.".-._----_.._._--,--
PRIOR LAKE
INSPECTION
RECORD
!Snqo G.~ ~ It,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING SeD
PERMIT NO. 7''1 - / I t'JC::-
BUILDER l,Jl:-'V
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
I~ I I 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,~ I I 1
'ANAL I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
INSPECTOR
DATE
II