HomeMy WebLinkAboutBuilding Permit 99-1125
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7-~
ADDRESS
II. 7 s-q
\" '''''' /)f,_ .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Cftt-j 11-(
o FOOTING
o FOUNDATION
o FRAMING
D,.sULATION @
FFINAL
o SITE INSPECTIO '
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~1 ,..t1ro 7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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1. White
2, Pink
3. Yellow
File
City
Applicant
~1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
PID ZS-3CJB-fY'f4--0
N6S7:Bu12. 'I fbND.<;
(Tel. No,)
(t>JL) '11-7 -11/~
- (Tel. No,)
DATE RECEIVED
q//o/<J7
1. DATE
DIRECTlONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (PleaSe Print or Type and sign at bottom)
2. SITE ADDRESS
1(.,75""7 5fN!'/<. f-"'oS AVE S:W
3. LEGAL DESCRIPTlON
LOT 4- BLOCK
/sr ~OO/'J 70
/
ADDITION
4. OWNER (Nam}ll-
_1?ORER.'1 L, l-7 Ro SS
5. ARCHITECT (Name)
(Address)
Sib))!': Il-S A8tVl::.
(Address)
6, BUILDER
(Nama)
(Address)
Permit No.
q9~//26
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13, TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tal. No,)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEAle;;:;
7. TYPE OF WORK
Fireplace LI
Alterations 0
Septic 0
Addition 0
Dackpr.
Finish Attic 0
Re-roofing 0 porclJK
Ae-siding 0 Finish Basement a
16. PROJECT COSTNALUE
New Construction 0
Chimney 0 Misc.
\8. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS \10. CULVERT SIZE
Sq. Ft. Width Depth Yas No
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 mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the
building official rev e this p it for j cau rthermore, I hereby agree that the city official or a design,ee may enter upon the p~erty to perform ne-eginspectiOns.
X '1-/0 ,. q
Signature License No. ate.
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
.",
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
/e6S ",/,e
Slde
I MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN
Cl
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
. Division 1234 "';2
Pennlt Fae ................................... $~ :;;t c;-
City:
/f'.t'lC')l").o("\
.
Water Tap ................................... $
Builder's Deposit ............................ ~
Other ......................................... '*'
Total Dua .............................. $ Z-rz. 7/
Paid Z 77..-.1 / Recelpl ~Ol ;$~ z.. rf e..-
Da'e "/!/~9q BY.{J.U--
in the above application and accompanying documents is in accordance with the City zoning Qrdfnance ~nd may proceed#. requested. This document when
nstitu.as a temporary ca""2fl'Jf!Ji compliance and allows ","stru"'on Jo commenca. Bafora occupancy, a Certificate of Occupancy must be issued.
ner D e 1!i- Special Conditions n any
Plan Check Fee ............................. $
State Surcharge ............................. $-
I rh"-2-4 t.
5.00
Penalty .................. ..................... ~
~l'.qq
q: 1fJi
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~-~.....................,
This flit B .. VO". ""I""ng Parmi'.lIihen Approlilld,
By Date <-1- 2.1-9 Y
Certificate of Oc pancy
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer ..........................!r,
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
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24 hour notice for all inspections 447-9850
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White - Building
Canary - Engineering
Pink - Planning
Tht ('tntl'f of Ihl' LakrCounlry
mrn-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
.
NAME OF APPLICANT,
APPLICATION RECEIVED,
/ i_
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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 ~ .A _
Reviewed By: L 4- 0, .;){if.O// Date:
71 s;1tr-A/~ ~-()J<-
- - vII --
Accepted With Corrections
q --- d)--<79
I
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."
~1
qq-//25
White - Building
Canary - Engineering
Pink - Planning
Thlf efnl,' of thr L.b Country
BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
/C0I36..eT ~~OS:s
Q/17/QCJ'
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~75q S//'1,c/,K./NS /}t/6 svJ
Accepted
y
Accepted With Corrections
Denied L--
Reviewed By: (/2JJt;~
Comments:
Date:
9-2.1-'1,
"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 RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS t to 1<)9 S;\M.ID'K~\^-9... ~
i -
NATURE OF WORK _ i).,clc ~ ~ k
USE OF BUILDING 'i3Ffl t
PERMIT NO. q 9 -Il ~~ DATE ISSUED '7-L.-I-CZ '\
CONTRACTOR G;,,.,=
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I ~, /0-/{-1'7 J
I I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
~
f~
m-J
&.
I.{/ VI- 91
3!15i'oJ
t
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
..
M
~,..(yV7
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
II !