HomeMy WebLinkAboutBuilding Permit 99-1325
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIONo,-
~INAL ~
o SITE INSPECTION
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1,?2SQ
OWNER
PHONE NO.
/
Inspector:
SCHEDULED
DATE TIME
~ 4-;-(J[)
ro..,y b..ks
CONTR.
PERMIT NO, qq- (3Z~
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
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PROCEED
CA L FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CALL:;;). 7-985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE QUI EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~ TIME
CITY OF PRIOR LAKE ICY.Ob
INSPECTION NOTICE SCHEDULED
ADDRESS 152.59 Fo... v-lx.....J... s
OWNER CONTR.
PHONE NO. PERMIT NO. 9'1- 13z.s
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING @ 0 WATER HOOKUP 0 FIREPLACE RI
~SULATION ~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
~ ~:NAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION ;zt. MECH FINAL @) 0
COMMENTS:rJ>> d2. d~ .~ -f-o k u&:;L.J
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
?ORRECT W~~L F~R REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
.e..sA ~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~~
DATE RECEIVED
1/ 110 1t:jCj
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
\ c.). "'''' \"~~ r-h-- I" '") __ J
1. DATE
1//10/'7'1
12/ SD
3. LEGAL DESCRIPTION
to
ft1 /-'JI:7~;:; P.4.e.t::::..-
PID Z5 -()3fo -()Ofo-D
~ffp/!!es fl"'I!ZF~
LOT
BLOCK
ADDITION
4. OWNER (Name)
c,,,,, .b.-l\b",^
5. ARCHITECT (Name)
(Address)
\-...',r~b lr":\
(Address)
(Tel. No,)
(,.'3- ~IO' yt.;,i
(T.L No.)
\ <;;;.\.5<;
6. BUILDER
(Address)
l'I"oD ~)~St, t.
4=(..B . "'''' <;;"1>"''),
(Tel. No.)
(;.<;1- W~tl"(-,(
(Name)
L""" O",k Lot\.-t
7. TYPE OF WORK
New Construction (j
Fireplace 0
Alterations CJ
Deck 0
Finish Attic 0
Rs-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Septic 0
Additio~
1. White
2. Pink
3. Yellow
File
Gty
Applicant
Permit No.
qq-13 25"
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Chimney LI Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Fl. 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 conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
bUll~ng~fficr5 ,::vo.. this p.nnit 10' just caus.. Furth.nno,., I h.,.by ag,.. that the city official 0' a d.sign.. may .nt., upon the p'op.rty to p.rlonn n.ed.d inspections.
X 10-'-"+ 'i'1
Signature License No. Dale
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING
f!6S AIR-.
I
SPACES ON PLAN
~ O'"Y') . f'l~
PERMIT VALUATION 4-~..:..l'""lJ.'"~'I"!'''
TYPE OF CONSTRUCTION: I If Ifl IV V
Occupancy Group A B E F HIM R
DivisiOn 1 2 3 4
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA D
PILING LOGS LI PERCOLATION TESTS LI
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Permit Fee ................................... $
1"5'1. "2.S-
lIP,. L. I
finO
Amount Brought FOlW8rd .................. ,It:
Park Support Fee ........................... <l.'
SAC ......................................... <l.'
Collective Street Fee ....................... <l.'
Sewer Tap ................................... $
.
Pressure Reducer .......................... <r
Meter Horn ................ .... .... ........... $
Water Meter ................................. <r
Sewer & Water Connection Fee ........... <I:
WaterTowerFee ........................... $
S U
City:
Plan Check Fee ................. ............ $
State Surcharge ............................. $
Penalty ...................... ......... ........ $
Plumbing Pennit Fee ....................... $
Mechanical Pennit Fee ..................... $
~,
Sewer & Water Permit ...................... $
~atim~~.O...~;,~~.::ihr 1WO:eq., q
~~~ng;at. _ L. '7
Certificate of occ&'ncy
Issued
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Du. ..........................,... L.2.30.'I.Jb
.
Paid z... '30 ,4- <9 R.c.ipt No. 3"""'~ .
Dat. I v{ U.Jf<, By (2..{J (1
This iSfffy that the ~uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and. 'may proceed as requested. This document when
signed ~n const'utes. t.mpo"'" C.rtificat. ol~n~ compliance )t~d allows construction to comm.nce. B.Io,. occupancy, a Certificate 01 Occupancy must be issued.
. /) ~fJll I 9 ~ VI' (l,fYWV>--.l.....A-~....:::tl
~;- anner e Special Conditions d any
24 hour notice for all inspections 447-9850
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Thr Crnlrr of thr L.b Country
White - Building
Canary . Engineering
Pink ' Planning
ID.!.!LDlNG 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 Il A
Reviewed By: / t<ff,{, (.)rvQA Date: \-::? -IY.>14 .
Comments: ..J.tA.:, ~ ~ brweA _ ~ /4ALa/ p.~~S/-..~
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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,"
~~
White . Building
Canary . Engineering
Pink . Planning
Thr Cfnlrr of thr L.kr Count!'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
Lt")V\~
noJc
(( IrO! 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:
I c:;- 2 5'1 ~\'r-\o..~s. 7r-
Accepted
Accepted With Corrections ~
Denied
--k----
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Date: /1 - t~-9S'
Reviewed B .
Comments:
I. llpdili,
"2. Prolll~ ~t:L+- \ oS<< ~~
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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,"
~.
QQ-/3ZS
Thr Crnlt'f of lht' La"'" Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L();V 6 o/)t:::- c.tJ/vS'7K....
/I//()/C:;c;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/52Sq F/l/ICL3/1NKS ~
Accepted
./
Accepted With Corrections
Denied
Revj!3wed By: j.J.'_-r"FR E...nF"''''''!>i.l
Date: IIJlq/99
Comments: '1"Llt=" E..Jt.I,JF:.Ft2\AJ~ 'D,::'DO"1t--r_F='.....l"'r 1-)04'<:" AIl"'! IS.S..JJ;:_ct. lAJ:rriJ 7W1c:. +h~P"'ct:="f)
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to
;.
"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."
r('
PRI.OR LAKE
.
INSPECTION RE"CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I SQ SCl t:tiJr h-'-'^ 1.-"-. '(;:...,
NATURE OF WORK IJvvL.... ~,.c.k 1lcW.;I.'-AV1
USE OF BUILDING ~ r-l')
PERMIT NO. 9<r - l~~ DATE ISSUED lI-tl-Q'1
CONTRACTOR ~~e~~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~ la-Jo -\~
, FOUNDATION (Prior to Backfill)f'*71/1l.oKl t/r/ou I
PLACE NO CONCRETE UNTiL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
rtJ ,",,'~
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I
K }) ~<J/oo
I~ 3/;;O/tro
v
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
=
DO NOT
,
-tiL. .{t> aP''''' ' ~; fJ/5/ pP
OCCUPY UN1TIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and mai1ttained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
BEEN SIGNED
Call between 8:00 and 9:00 A.M, for all inspections
FOR ALL INSPECTIONS (612) 447-9850