HomeMy WebLinkAboutBuilding Permit 99-1123
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I (,-So, ("
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTtNG
o FOUNDATION
o FRAMING
o INSULATION
)i1 FINAL
o SITE tNSPECTION
COMMENTS: -e~
o PLUMBtNG RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FtNAL
o GASLlNE AtR TST
o
)
pORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
r
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QATI= RI=r.l=I\{r::n
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1. White
2. Pink
3. Yellow
File
City
Applicant
9CZd/?. ~-
Permit No.
t..-'I.DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
B_EFORE PERMIT IS ISSUED (Please Print or Type and sign at bonom)
I ptSITE ADDRESS
1 ~<6a,la W~+bv~'1 A.v-,--- ~L.J
3. LEGAL DESCRIPTION
q-q .qq
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
4-
'P()I../D, <;
PID 2..5-;>95 - 024--()
1
BLOCK
LOT
ADDITION
, ~ OWNER
S~~
5. ~CHITECT
~rla
~ BUILI)ER
13. TYPE OF CONSTRUCTION
W E:..5"'TAt/eA./
(Tel. No.)
1011.-'-I'lo>'Vl,q
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
II" 'i. c, Ie, I.N-t.&+bw",
(Address)
(Name)
ro~",sh",,,
(Name)
A....
~
"1'2-5(,,(-"/'2..1.(,
~ roo.\L\""", (lo....~
Septic CJ Deck 0 Re.roofing 0 Porch 0
Addition 0 Finish Attic 0 As-siding 0 Finish Basement 0
ii3~iC<M.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTR
(Address)
(Name)
z:. ~Y'<'\A-H-,.- oj. ~'\ r' ~
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submined plans. I am aware that the
b~9 official can re~ th",em)it)for justise. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X~~ I ~~..I\A ~ -'1 -,\q
-, . ~ 0 License No. Bmr--
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Side
Side
Front
..ok
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
KG 5 /) lie
USE OF BUILDING
7C;-IYJ.OCJ
PERMIT VALUATION
~
TYPE OF CONSTRUCTION: I 11 III IV L.?i
Occupancy Group A B E F _-tt I M9 S U
Division 1 2Q)4 /5
Permit Fee ................................... ~ ,<I.
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......,................................., $
Collective Street Fee ....................... $
Sewer Tap .................................J $
$
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
,.'2.5
~
Penalty ....................................... ,4:
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ..................... ~
Pressure Reducer .......................... $
Meter Horn ............................ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Totel Due .............................. $ "7" .00
Peid ~~. ()O Receip'li<>, $r,,09fL,
Date By ~
Th~ is ~~uest1f~~ ~~pplk:ation end eccompanying documents is in accordance with the City Zoning Ordinance and may proceed Is requested. This document ""en
s~ned t:: 1~"?7r.co:i~rery Certiq7 tor~ compliance and ellows construction to""" ""."... Batore occupancy. a Certificate of Occupancy must be issued.
(J City Plannar 0 te J SpeclQl Condilions if any
24 hour notice for all inspections 447.9850
.........,...... ~
ulldlng Permit When Approved.
Date
Issued
C;CJ-//z3
Tht Crolrr of thr L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION D~RTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
:5 C-O I / 0ot-!tJ-sHo,/
QIC;/99 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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W6~/6U,eL/ HVG, svJ
Accepted
Accepted With Corrections,,--X
Denied (2 rt ~
Reviewed By: A y /
Date: q-/O~qC}
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Comments:
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"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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Tht Ctnltr 0' lht Llkt Counlry
White - Building ,
Canary - Engineering
Pink - Planning
'..
BUILDING PERMIT APPLICATION DEPARTMENT .cJiECKLiST
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:
Accepted /"
Denied 1\ (]j )
Reviewed By: ~LVJ)..JC/lmAJ
Comments: ()
Accepted With Corrections
Date:
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"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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PRIOR LAKE
INSPECTION'
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS II.A9to f..)09.~b<l7 A'X2-,
TYPE OF WORK ~/
USE OF BUILDING S FD
PERMIT NO. 1''7 _ /' 7"~ DATE ISSUED q -10 - T Cj
BUILDER _~. &lAlA oW ..l-- 'So5'YIS,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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I FINAL J?;r I ~~3,A> /
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850