HomeMy WebLinkAboutBuilding Permit 99-1316
CITY OF PRIOR LAKE
INSPECTION NOTICE
OA TE TIME
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AOORESS I In )?91 tJ II-- () IP'72-. jJu; s Tie,
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION f;\
lFRAMING /-IL'I!:J
INSULATION ~,t.-. -MIlD
FINAL €J fl:/
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
9'7-/31 ~
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS liNE AIR TST
o
COMMENTS:{Jf~ ~ P...trk tf)}-eA.
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o WORK SATISFACTORY, PROCEED
)Ii CORRECT ACTION AND PROCEED
I 0' CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Coni
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AD
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INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
-...--.,----....---...-.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .J&~ 9(1
IUtV~ Jr
OWNER
CONTR.
Cf( - /~I y.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o jH$ULA TION
-d' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
R REINSPECTlON BEFORE COVERING
Inspector
Owner/Contr:
CAL
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
/;7 ;/q9
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
{,
3. LEGAL DESCRIPTION
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
Cljct -131&
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
r:-.I~I
12. NO. OF STORIES
LOT
ADDITION
I 0 BLOCK Z- PIO .2. <:;;" ~ :5 I 8 - 0.3 '2,. - ()
fI/ f(.I.Jr;7':rJ6S:.s pz,4-! L.--
13. TYPE OF CONSTRUCTION
4. OWNER (Name)
~t
(Address)
5. ARCHITECT
(Address)
rJ
(Name)
6. BUILDER
(Name)
(Address)
7. TYPE OF WORK
New Construction (j
Septic 0 Deck 0
Addition CI Finish Attic 0
Rs-roofing 0 Porch 0
Rs-siding 0 Finish Baseme~
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
Chimney Cl Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION OATE
(Tel. No.)
t.j..t./-O - 532-3
(Tel. No.) I J
q '-13 - i./-"Z lo-r
ITeL No.)
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
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 con ction will conform to all existing state and local laws and will proceed in accordance with submitled plans. I am aware that the
:uilding official can rev e this p r just e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perf/7:....el :nrrtions.
license No. Date
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Pa;d Ill.. '2. S
Da!e \I q
in the above application and accompanying documents is in accordance with the City Zoning 0 inan and may proceed as
stitutes a porary CertftlfITompliance and allows construction to commence. Before occupancy, a Certificate 0
Dale Special Conditions n any
SETBACKS: Required
Actual
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION 5
USE OF BUILDING
ee:s /-1-/ tL.
I
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
11./.75"
Permit Fee. ............. ..................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
I'se-
Penalty ....................................... $
Plumb;ng Perm;! Fee ..9C:!:::.I$:/f?.. $
46.oD
Mechanical Permit Fee ......... .... ........ $
Sewer & Water Permit ...................... $
.............. $
ng Permit When Approved.
Date
Issued
sig
Side
MATERIAL FILED WITH APPLICA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS CJ
SURVEY CJ
SETS
COPIES
PLOT PLAN
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24 hour notice for aU inspections 447-9650
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CANT. JOISTS
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DINING ROOM
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VALUED
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CONCRETE STEP
ROOF Lt€ .
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3 CAR GARAGE
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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, qny 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."
If
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Date:
~ cJ&
Comments:
Reviewed By:
Denied
Accepted With Corrections
Accepted , /
.
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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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NAME OF APPLICANT
APPLICATION RECEIVED
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White- Building
Canary.' - Engineering
Pink- Planning
Thl' ('pnll'tof lhl' L.kl' Counlry
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Th~ ('~nlf'f of lht L.k, Counlry
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,-TeE. .JCHNSON
/ / / B / qCj
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ b 694- tv / [.-_0612 NESS:7/2A / L-
Accepted
Accepted With Corrections
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Denied
Reviewed By(J(J~
Date: I (-1l--'19
Comments:
hW. ~ ($<<.5. ~ 0,,-~l ~~
"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
INSPECTION RE.CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I~c.f ~:IJ;:lNO~ \)t'
NATURE OF WORK ~ -::~ _ __,,' '\
USE OF BUILDING S FD
PERMIT NO. 't'1- 1>\ t, DATE ISSUED 1\- 4 _c( /'
CONTRACTOR ~~~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING EiY::ISI.
HEATING (if required)elCl'sr.
4-7-cJO
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
B,- 2-J-1':57
@-?I -O""L
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 s~rvice 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