HomeMy WebLinkAboutBuilding Permit 99-1321
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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TIME
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
fer - fsL./
o FOOTING
o FOUNDATION
o FRAMIN~
o INSULAT
}e..eNAL
o SITE INS ION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXfGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT1E TO PROCEED
o CORRECT . R , ALL FOR REINSPECTlON BEFORE COVERING
Owner/Contr:
- I \
C LL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
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CITY OF PRIOR LAKE
I BUILDING PERMIT,
tEMPORARY CERTIFICATE OF
I , : ZONING COMPLIANCE
~D UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99-/3ZL
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
l<':'~"",o tA.:;;....c ~
3. LEGAL DESCRIPTION
1. DATE
II/q/'l'f
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
A~ ~.6.
12. NO. OF STORIES
LOT
BLOCK
/oo1f':TES AND BOUNDS
PID .:<> """ -'"'0 I - ()A-Z - 7)
13. TYPE OF CONSTRUCTION
ADDITION
14. OWNER (Name)
c::. l 1-1 ~ F-
15. ARCHITECT 'Name)
6. BUILDER (Name)
'Address)
Pli!-I.,jL ~
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
--:5~&-
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing [j Porch 0
New Construction 0 Alteration~ Addition 0 Finish Attic D Re'Sjdin~ Finish Basement Lf
ChimneyLf Misc. IA..~ c::o SQc::;.e:..,G.6"S (C/o ~lSnlWc- -r-.c;...&..
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that on 'cation 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 mentio ruction witt con 0 xisting state and local laws and witt proceed in accordance with submitted plan . I m aware that the
building official t use. Furthermore, I hereby a ~the city official or a designee may enter upon the property to perform e ed inspections.
I
Lk:enseNo.
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
~Signature
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y
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING --L,/ (1 - A 112..
,-
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
4000. -
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. ~
Park Support Fee ........................... ~
SAC ......................................... $
Collective Street Fee ............. .... ...... !t,
Sewer Tap ...................................!t,
$
Division 1 2 3 4
Permit Fee .................. ......... .... .... $
R17..25"
,(Co. If
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r-J(v
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ...................... ......... ........ $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Thl
By
Pressure Reducer .......................... !t,
Meter Horn ... .... .... ........................ .t,
Water Meter .................................!t,
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... If:
Water Tap ................................... (::
Builder's Deposit ............................ ~
Other ......................................... $
Total Due .............................. $ I) '::'
Paid 'Z .00 Receipt No. .?,fA s44-
est in the above application and accompanying documents is in accordance with the c~:;onin: j;'a~ ~~ may pr~ l~ Th~ document when
nstitutes a temporary Certifica: of(3~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
CRy anner -II I Date 1- Special Conditions W any
Sewer & Water Permit ...................... $
Issued
24 hour notice for all inspections 447.9850
~~
qq-/32 /
Thr ('rnlff of lht Lak, Counl!')'
White . Building
Canary - Engineering
Pink . Planning
BUILDING Pf:RMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
8/ ry OF PR?IOr2-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~2-0() E7l6~13 {4e~6K- ~ lit;:... S. c.
Accep~ Accepted With Corrections
Denied () ;/ ;;;
Reviewed By: -W I (;!J-z Date: 11- I () - W
Comments:
"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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White - Building
Canary - Engineering
Pink - Planning
Thl!' Cl!'nll!'r of lhl!' L.kf Counlry
mm.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED
I
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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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Reviewed By:
V
(l 01 A
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Accepted With Corrections
Accepted
Denied
Date:
/I/ID/9'1
Comments:
"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 hot be valid."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /~2.00 E:1'16t.L Ctt!!.&eK. AI/~ .
NATURE OF WORK A l--re-J!!.. .
USE OF BUILDING //C, ~ilI!. .. "
PERMIT NO. q9- /32/ DATE ISSUED /1 //O/~
CONTRACTOR C/'1V dJ: ~ G,.' ,
NOTE: THIS IS NOT A P~RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I J
l I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
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If I(o! '1''1
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This cal.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