HomeMy WebLinkAboutBuilding Permit 99-1314
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULEO
ADDRESS IbBt:.O ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATIO(@N
o FRAMING
_ !:lINSULATIO
..... FINAL
o SITE INSPECTION
COMMENTS: ~reR
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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TIME
IC~Ob
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'l'l- 151+
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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)(JWORK SATISFACTORY. PROCEED
(0 CORRECT ACTION AND PROCEED
:S::C::E~T W~~ FOR REINS~::::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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f:~~~PR/O-?("J' f,f') rn~@,'r\ CITY OF PRIOR LAKE
u f;; ') i: BUILDING PERMIT,
~ fO' - 5 I!m I tEMPORARY CERTIFICATE OF
1'\ ZONING COMPLIANCE
ND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
QC?-/3/4-
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
1f..,<::J.{.,c> ~
4-
PONDS
1. DATE
3. LEGAL DESCRIPTION
l)J-(sH,U2J
1t-5" .-<11
/2/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
LOT
-3 BLOCK
W sc::rAlJ e V
(Nama)
f.k ~ '\ h.Pf"\
(Na~ ~
PID LC:;-?CfS -02~,-O
13. TYPE OF CONSTRUCTION
ADDITION
14. OWNER
15. ARCHITECT
6. BUILDER
(Address)
fb"i/,o
(~.Mi'^fl1 ~o~"l_t~5ll
U (Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
.--
(Name)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
New Construction LJ
Chimney LJ Misc.
IS. 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 property and that all construction will confonTl to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Uilding off ial c n v;;:t~r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to PL~~rpections.
Signature license No. Date
Fireplace jj
Alterations LJ
SEATS
Re-siding LJ
Finish Basement LJ
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ PERCOLATlON TESTS LJ
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
PEs FIll?
OFF STREET PARKING
5PACES REO.
SPACES ON PLAN
PLANS & SPECS LJ
SURVEY LJ
SETS
COPIES
PERMIT VALUATION
. L:::;l'rrJ.r'..JO
PLOT PLAN
LI
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 :3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. It
Park Support Fee ........................... It
SAC ......................................... ~
Collective Street Fee ....................... It
Sewer Tap ................................... It
Plan Check Fee ......................... .... $
qq .7c;-
L,'-/. B'f
2.50
.
State Surcharge ............................. $
Penalty....................................... $
Pressure Reducer .......................... ~
Plumbing Permit Fee ....................... $ if / MeterHom................................... CI'
'u/!r,1.V Water Meter ................................. $
Mechanical Permit Fee ..................... $ (I 'ty.
JJ! r~I{)Cj Sewer & Water Connection Fee ........... $
:::~p7.~I'r.~,7~i;:.-$ III''? WaterTowerFee ...........................$
.ap :;:r'" ... Water Tap ................................... If:
TllI~A~ca' mes'tOll ulldlng Permi' When Approved. BuUders Deposi' ............................ ·
By 'q-(-._ . . Date Other ......................................... !t.
CartfflcataofOc ancy Total Due .............................. $_/ (,~. () 7'-
Paid / tJ:, "1. tJ q RacaiPtlJ.'~ 3fc.5 / ~
Issued . . .
Date /I ~ r. /'11 By.' _.Jtt ~
T~iS . ~~th~req in the above application and accompanying documents is in accordance with the City Zoning 6.rdinance. and may proceed a;Jequested. This document when
sig ad t.~laJlnar n~ tamporary C1rr ~rl1comPliance and allows construction to commance. Bafora occupancy. a Certificate oY Occupancy must be issued.
City P anner Date Special Conditions if any
V 24 hour notice for all inspections 447.9850
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Th~ ('~nfer of lh~ L.kf Counlry
White . Building
Canary - Engineering
Pink . Pla"!lIing
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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Accepted
,/
Accepted With Corrections
,.
Denied 0 j
Reviewed By: ' ~. c1114/1.J Date: I J I Cj / Cj '1
Comments: -1 x:l.l (2. -I I /YI-() SO. Svl-/-,ctci0 -OiL
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hit e/)IJJWCA. ()IL. A)'i) wd/t/t/hcl.
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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."
qf -/3/4-
Thr('rllluof thr LaktCounlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.s (j N,-sm TE- (!{)I\J c't:: ~ PIS
1I!5/C;Cj
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Irc8hO [lvcs'TBUI2V AVe
I
Accepted
Accepted With Corrections
^'
Denied /~ /J /1 I
Reviewed By: ~OJ"""-,, 0-
Comments: f
e.!Ud! ~ Der.\c ~-~
Date:
1/-I'2:-c/
"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,"
- - ._....___. .._...__...,.. ._. ..._.._..,......--n._.._ .
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1 [0 R too \.JeiO.t- ~ur-'1 )\lI'+'.
(r
TYPEOFWORK O~d,,- LU;l-~ 9.cl~e", ~,^,.("'s...>
USE OF BUILDING S:~D
PERMIT NO. '1 "i -131'-\ DATE ISSUED 11-1 S- -II
BUILDER SL:M "tut....., (\ ""I"(''''';;\~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I !V,~ I L~ 71,,) ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEE" SlrNED
I I
I FINAL
~f\' f~ 1-5/(500 ~ '1 ~. ?/3tJ/tTD
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850