HomeMy WebLinkAboutBuilding Permit 99-1311
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/5/7 "7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING ($J
o INSULATION
,.&,.FINAL
o SITE INSPEC ION
COMMENTS:?\)~
DATE TIME
SCHEDULED /Ollllao lo:?O
PJ~~) 6_,,~ rJ n i
CONTR.
PERMIT NO.
QCf-{311
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
FIREPLACE RI
IREPLACE FINAL
GAS LINE AIR TST
o
-... ~
\h 'PR '\
/
~
)iJWORK SATISFACTORY, PROCEED
lei CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
Owner/Contr:
/
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
--.--..--....-.._________ ._._____ ____.__u. '~___"_ ____._. _.._ ,.. .._.____. _. __""'___',... ~_.._.___.__..~"__.,-._.__._.. _. .__.,._~..__,..
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\ NOV-5.
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CITY OF PRIOR LAKE
BUILDING PERMIT,
. . ::MPORARY CERTIFICATE OF
ZONING COMPLIANCE
. UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99-/3/ /
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS k h I /
Jl;O?;rrn !i'/:;{"l- Ciy,
v-
1. DATE
1'::..1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
I.f
12. NO. OF STORIES
LOT
2..
PID
25 -()A3-()2-q-()
BLOCK
Om: 12 flJt7 E (:r
14. OWNER (1s (Nam~ hit.
ve;/ I '(ill G; or
15. ARCHITECT (Nam~
. C;f!t r
(Name)
ADDITION
/,;r /lDO;J.
13. TYPE OF CONSTRUCTION
(Address)
UP? f;d. Jl<jrGr
(Address)
(Tel. NO~.) WolUlllr.l
. '{lf7- "7)C(j L H.
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
self;-
:if-
Septic 0 Dec
Addition 0 Finish A c 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
18. 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. I also certify that I am the owner or authorized agent for
the above mentioned pro e and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding offici revo)4 p~se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne ed j qons.
Signature . license No.
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING PILING LOGS Ll PERCOLATION TESTS Ll
SPACES REO. PLANS & SPECS Ll SETS
SPACES ON PLAN SURVEY Ll COPIES
PERMIT VALUATION I ~O. (9(7 PLOT PLAN Ll
USEOFBUILDING _EES 1'l.U:'
TYPE OF CONSTRUCTION: I II 1II IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Pennit Fee ................................... $
S U
City:
Amount Brought Forward .................. 0;:
Park Support Fee ........................... It'
SAC ......................................... It'
Collective Street Fee ....................... It'
Sewer Tap ................................... $
.
Pressure Reducer .......................... 0;:
Meter Hom .................... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ...................................0;:
Plan Check Fee .... ......................... $
5t, .lO:;-
se.. 89
, '10
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
This
By
uilding Permit When Approved.
Date II I~ 'j 'f
~~
II/let
__MechanicatP'ermit Fee ..................... $
Sewer & Water Permit ...................... !t.
Gas Fireplace Permit ....................... $.
Builder's Deposit ............................ !t,
Other .........................................0;:
Total Due .............................. $_<?L/..!S t./_
Paid eye/. ,~-L./ Receipt No. ..:..~ b S~:5 ~/ I
Issued . ,~' 1
Date //,~" I t;<; By /IJ(L....----
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed p requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
C~y Planner
Date
Special Conditions ff any
24 hour notice for all inspections 447-9850
~'i
qq//3/1
Thr Cf'nlrr or lhr L.kr Counl!'}'
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
f)OVI1L- VAN G6LD67e.-
,
11/6/11
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5Ii{ 0171<::: telD66 c::r:
Accepted Accepted With corre~-~~
Denied ~ ()
Reviewed BY:GJ;;.lj~ Date: I \- ~ -"( l
Comments:
~QQJ) I-L heJ(
~~cJ~
"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-1C1-15(l
,
Tht Ctnltr of lht Llkt Counlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
0,0 \/--\ c 0"* N (-, c.. l':\ (:r~
i l ! <{/ C,~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I L- "..~ '\ t" ^ ~ c.---'
I ) t .: I' (..,;,1) K <.. \ '0 (5 F..\' .
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ ~ ' :1" .....
- ".
Date:
[l-Lt- '7'7
f
Comments:
h'(dAvev-eJl ~ ~ \~Mft IA s tt'~kTeJ
/'~ (l~~ ~ ~uV~ ~L1e.-o. Llc/$-4C?,
"The issuance or granting of a permit or approvaf 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
INSPECTION
RECORD
R\'~ (\--,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I SI1 t IJ-.C
TYPE OF WORK U>rL
USE OF BUILDING S~t)
PERMIT NO. c) 9 - l"<; I \
BUILDER \lo.~j:-."drf.r-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED 11-9-'7~
r INSPECTOR DATE
, FOOTING I /!f;t. I 11tLf!ffD
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
_ll1i~l!JJU - I I
, FINAL
I h, I /~ I; / I~
Call between 8:00 and 9:00 A.M, for all inspectlonsl I
FOR ALL INSPECTIONS 447-9850