HomeMy WebLinkAboutBuilding Permit 99-1183
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULEO
ADDRESS 156 4 ~
A<DO~ b.
I I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
.O)NSULATION f 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPEcTIO 0 MEcH FINAL
COMMENTS: ~
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TIME
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o EXJGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)()WORK SATISFACTORY, PROCEED
I~- CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPEcTION BEFORE COVERING
Inspector: ~ ( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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nATF RFr.FIVFn CITY OF PRIOR LAKE
q / 28/91 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
AppliCaDt
Permit No.
Q::?-/IPJ3
1. DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS <C'
1..>0'7]
3. LEGAL DESCRIPTION
S
;e~pL$G:E.eA:" !e/Ot5iG 3~
(A~dreSS) J.
I<;O'i3 IlPIJA 00J~ 11M I
(Ad~r~ss)
(Name)
FVo..-hr"- Co",s-J.r,
New Construction 0
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1100 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 stale and local laws and will proceed in accordance with submitted plans. I am aware that the
:uildlng offlc;a:?eV~lTT1lt for JS~ c~ hereby agree that thZ:I:;0~160 3~I~ee may enter upon the property to perl09i~u;;lons.
Signature .J' License No.
LOT
ADDITION
14. OWNER
SMA~
15. ARCHITECT
6. BUILDER
7. TYPE OF WORK
I
SETBACKS: Required
Actual
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
J; A.I
. P/10IL
I
12. NO. OF STORIES
L",k..
,e15/J
BLOCK
PID ;!.&> -3tJ.?.. - DJ:f")-()
13. TYPE OF CONSTRUCTION
(Name)
T?6"''''''''>J
(Tel. No.)
612.-'-1'10 -7'\9'1
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address) (Tel. No.) (, I Z _
1'5066 Frtc!;r",,~,r /),:,;c.;SA'I*jc. 'I'f0-'77'\0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Fireplace 0
Alterations 0
Septic 0
Addition LI
Deck'"
Finish Attic LI
SEATS
Re-roofing LI Porch 0
Re-siding 0 Finish Basement 0
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Front
Baok
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
USE OF BUILDING ..
BUILDING DEPARTMENT VALUATION
/i'.6.s ,q/-e.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
SETS
COPIES
PLANS & SPECS 0
SURVEY 0
PERMIT VALUATION
.~^'"""...."....,
,
CI
PLOT PLAN
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R
oivlsion 1 2 3 4
Permit Fee ................................... $
s u
City:
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
71/.7"
4 ~ S'1
J.~V
Plan Check Fee ...................... ....... $
State Surcharge ............................. $
Penalty .............. ............ ............. $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
GtESFlr ~ep .~..... ...............$
Thi come Ing Permit When ApE.r~ed.
B Date q.?'l-'1"-1
Certificate of ~~cy -
Issued
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......... ................. .... .... ....... $
TotalOue .............................. $ /Z.~1J#
Paid /24.0</ Receipt '10, 3~"s-r-
Date /o/-z-tjY1 By ~
in the above application and accompanying documents is in accordance with the City zonin{Ordinance and may proceecl,if;eqUested. This document when
. utes a te rary cern;:;1 J.1-ot2!J iPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
oafe I Special Conditions W any
24 hour notice for all inspections 447.9850
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Thf ('fntfrof lhf L.kf 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:
/
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Denied
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Acceoted With Corrections
Accepted
Reviewed By:
Date:
Cj /+7~'i
Comments:
'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."
8~~
99-//83
ThOI' Cfnltr or lhll' L.xll' Counlr)'
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTft.1ENT CHeCKLIST
NAME OF APPLICANT
F,eON/7 6t<?- C!-Oll!:::' ( r<..
q/zs/q&>;
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ISDLJ3
/Jpp/J LOO-SA- ~
Accepted
Accepted With Corrections X
Date:
q-21-ccf
Comments:
e".O ~ a 1ft ~~'= r: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. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
-, ..._--- _._..._.... '_._~--_._,.~.._-_._.._....-..._.~..._,.._-_..~--_..,------...-".-. .-
PRIOR LAKE
INSPEC liON
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 15tll/<; IJLI?tP~~"3.c...~,
TYPE OF WORK ~c L .
USE OF BUILDING Sr:l"J
PERMIT NO. 0', - /183
BUILDER ~ru.J;...l- r ~AJ-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO MENT ,
0' 'E
I 1<<1 "&~ If''
E HAS BEEN SIG "liED
I
DATE ISSUED
q - 2't -7 r
I FOOTING I
PLACE NO CONCRETE UNTIL ABO
1~IMlIRS I
, FINAL
rfrh 711 :3/~
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850