HomeMy WebLinkAboutBuilding Permit 99-1318
DATE
#
/4/8/ AI/1mL--16
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNOATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~SULATIONA 0 SEWER HOOKUP
FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~~.R..---
\ '\ ( .JfVrVr1i ~ 1-- J
C?n '- \J ~U
TIME
2'00
Cff-/318
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
cJ .0~ r: 'v
tt~~ O~ 1YU ~~"". dC,?{VC_~_
t(' 'S,p I :+ ~ +te LUAi--
+r-6J-y, V t~u.d ~ (J/l \..j (J-V\..". Y'o T
v'U;vJf fJ -+ ~.<t r' 6 \ e.-ct
/ I. <It J . {I,,,, I
/ W~VIf.uJ{ f>... 500. OV. 1Yu. ",,;(OS. r
~K SAT'SF Y, PROCEED CY'- ~ rrlJr<17 k
o CORRECT 5P'" ""...~~ ED ~ k fy~
o CORREC ~ORK, LL FOR R INSPECTION BEFORE COVERING ~
Inspect r: ""- Owner/Contr:
Co
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
C E REQUIREMENT. ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~_.m_~'^'__'~'_. ,.. ._>._.__.._ .___....__.____~_..__~____,._
8~~
,QATl=l=I~r:!:WI=r'!.
11/6/9'1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-/3/&
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
\2. SITE AO/~~!3 I /V /n71 LIE /CD
1. DATE
11/8/91
,e/
eUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
L/
12. NO. OF STORIES
LOT
BLOCK
801/L)//vS
2.
PID
/rJ/J/!/O/c
2$- IZ'; - ()z.3-0
4~
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER (Name) (Address)
0,'&4. n -<. I( (l \1 u,,,, -l;;L41d.. :!IV'l I /J I (I JIr~t; I ,<'f.
5. ARCHITECT (Name)' (Address) .
(Tel. No.)
'+..!LH t <)7)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
T-<-<},>-<
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Ae-roofing 0 Porch 0
New Construction a Alterations 0 Addition 0 Finish Anic 0 Re-siding 0 Finish Basement 0
Chlmn.yO Misc. nCE:-ES.. .5:z.evl!'/Z',ct:" / 6r1;t:/16jC
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that 1 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. I am aware that the
building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X J..>~;:"""~^",,--J.j,L:7:L-. JJ- r-f 'f
Signature ~ . License No. Date
IvvVtU../s
~I'=- 1/<li.J.(,
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
L?es ,q/e..
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ /YY). a:>
PLANS & SPECS D
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Amount Brought Forward .................. ~
Park Support Fee .... .... ................... It
SAC ......................................... $
Collective Street Fee ....................... 't.
Sewer Tap ................................... 't,
$
Division 1 2 3 4
Permit Fee ................................... $
2 'gf7 . 'J '"
1'>4.'21
A.Ot/
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .................. ..................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~
Pressure Reducer .......................... It
Meter Horn ... .... ................. .... ....... <l::
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Sewer & Water Permit ...................... ~
Ga~~~.I~~i~~.;.:J1h~tf.P~T
~~I~~UrCUlI[ Date ~
Certjf~cate:;- Occuptcy
Builder's Deposit ....~.A.:.~.~c;:.:::.:.... $
Other .~~."""1~."....... $_ <t:n-
Total Due .............................. $ '[3QQ. 'IlL}
Paid <r;qq.L/b R.ceiPt.~3(;,S2(..,
Issued
Date I/m/'lq By, ~ /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 pr as requested. This document when
siglJ'lU>~ityflTner constitutes a temporary Certificate of zo~mPliance ~d allows construction to commence. Befe. re occu. .pancy.. t a, c:~cate of Occupancy must be issued.
c:-. -v.&. ')It= . .. J l--t 15. y.&>_- ~ / \A~. /A\.o1A.:t:t\.A....""
c? -City Planner Date -- -~ - Specaal Condrtlons ~ any - --
24 hour notice for all inspections 447-9850
~
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..
-
/'/'-7. 13 ie,
White - Building
Canary . Engineering
Pink . Planning
Thf' ('f'ntf'r of lhf' lib Counlry
J3I1ILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED.
//-1i', E ,~~ ('/JI:'c:/\/- fl._!/Cl-f/::'c/-.1
///;/<;'-1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'4 ' - I
I... _ ! (...
/ ;,.
,rl
1..- i E
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Accepted
.."h.,.............
Denied
Reviewed By: .~~./''-'" Date: !(-!f5-qq
Comments: WD d). ~J.J.e..J~ )).:;- 1J\Y~f)<;e,--] 1 IAAj)~
()'VI I V liT'
.~C9A ~)/~ ~~ ('WuW~ ~~ ;V\~l1pJ4
/
Accepted With Corrections
<V ~ WW~&1/v{ ,f).o- '?5L)/\.I~~ %'\l\Js Lf7 '\-1' ~~)
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p%
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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
,O?;;s;th;:::ct~~:tval~ k- Vc-~ CMfL
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~~
qq-/3/8
Thr (""nln of Ihr Lak" Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUlJ,..DING PERMIT APPLICATION DWRTMENT CHECKLIST
NAME OF APPLICANT
D/I'1N 6 K.. ONt::..6N - HuTCHISON
!I/6/qq
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j4-/<?,/ N/9mL-lb
,eo
- /
Accepted -"
Accepted With Corrections _
Denied n~
Rev;ewed ""'Y r-rt~/
Comments:
Date: If- q-9r
"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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Tht' ('t'nIPfof lht L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D/I-iN6 K. CNt:::.6.N- HuTCHISON
/1/6/qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-/9,/ NI1T7'1'-IE
I?-O
Accepted
./
Accepted With Corrections
Denied
Reviewed By: I..I"L"'~. t:;..nF:5""'w.J
Date: 11/1""/99
. ..
Comments: E.....,.I.oJr:jC."/),...v_ J)':PAtt'\""Mc:'Jr a..IAo;, ~ 1!lo~vES w.nJ "'lJ.h< P4a~f'\
.
..sHoP _
"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
f-d
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IllIR\ NaTa i i....
NATURE OF WORK ~J"'o..J2. [),
USE OF BUILDING 0
PERMIT NO. q 1 -/('(9,
CONTRACTOR '....\('*;:I:_,':~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
/("'9-9("
INSPECTOR
OATE
I FOOTING I i
I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
(II) l/t&'/od
U
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
(?t7
(J
. .
3bi/OD
,
v
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This ca~d 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