HomeMy WebLinkAboutBuilding Permit 99-1331
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9. /2-.<>>
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ADDRESS
4-~ 7/ I1flRTllliO,qLf3 sT.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
91-/33 I
o FOOTING
o FOUNDATION
o FRAMING @j
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: SrV~q IS CLOGt.
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~ WORK SATISFACTORY, PROCEED
I~ CORRECT ACTION AND PROCEED
o CORRECT WOR~LL FOR REINSPECTION BEFORE COVERING
Inspector: V J << Owner/Contr:
CALL 447-9850~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
4. OW~R (Name) H (Address) (Tel. No.) _ 14. FLOOR AREA APPORTIONMENT USE
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5.ARCHIT.EC1./ (Nam.) (Address) ,.J .I- (T.LNo.) /' . T--J~ _4~..l- Jtlt<.",-
N '" /,.V&tL 1)/~/I3<, -~t;I)lI- ~/""'t-
6. BUILDER (Name) (Address) (Tel. No.) . 15. NUMBER OF OCCUPANTS OR SEATS
.e:, ~ \A. C-"--
16~OJECT COSTNALUE
;.t, ~({?, 06
8. PROPERTY AREA OR ACRES " [9. PROPERTY OIMENsiotls 1'0. CULVERT SIZE 17. COMPLETION DATE
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I hereby certify1Flat 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
th~m.ntiOn.d property .nd that all construction will contorm to all .xisting stat. and local laws and will proc..d in accordance with submitt.d plans. I am awar.that the
buil' official can revoke thi~or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perlorm needed inspections.
X .:...-t--'....... P - \( J,.......A~./1 -
/ Signature License No. Date
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CITY OF PRIOR LAKE
I' . BUILDING PERMIT,
\IJ TEMPORARY CERTIFICATE OF
1\.,1), ZONING COMPLIANCE
~ND UTILITY CONNECTION PERMIT
NO~ 12.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE ALLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
2. SITE ADDRESS,~I\ . _.-h _ 1 . I <' ..l-.
4{",\ ~")/fl.
3. LEGAL DESCRIPTION
l\)F-
(1-/-9([
R./
LOT
f1{'J I BLOCK
T; -ru '" I
{',(")"J.
=
$-1-: A>J.",
..250"'J..o~ ~O
PID
ADDITION
I-L~)V ~.R.. vV
s ~ vvv<...
51::1~
7. TYPE OF WORK
Fireplace Ij
Alterations 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
New Construction 0
Chimney 0 Misc.
1. White
2. Pink
3. Yellow
File
City
Applicant
P!trmit No.
qq-/33 /
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) r,p8.flh,1
I if' ' ~L/ ' :11:.
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
OCCUPANT~
SEAT~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Side
Side
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ .d"J./
USE OF BUILDING
PFS rJ/fiZ-
.,
TYPE OF CON$TRUCTlON: I II III IV V
OccupancyGroup A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS D ENERGY DATA 0
PILING LOGS Cl PERCOLATION TESTS Cl
PLANS & SPECS 0
SURVEY D
PLOT PLAN Cl
SETS
COPIES
Plan Check Fee ............................. $
tB'7.'2S'
12\.'11
(", -I'?()
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
S U
City:
State Surcharge ............................. $:
Penalty ....................................... $
Plumbing Permit Fee ....................... ~
Pressure Reducer .......................... $
Meter Horn ........................ .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Du. .............................. $ _"~U t../. ~(b
Paid 3/LI_ 9ft> R:l'Pt t. 3&6Z~
Oat. // //g/f'l By L--~
10 the above application and accompanymg documents IS In accordance With the City zOning' Ordinance and may proc r;; requested. This document when
. a temporary Ce1i[" t7 tn".~/"mPhanre and allows construction to comm.nre. B.for. occupancy, a Certificate of Occupancy must be Issuod.
a2 Special Conditions W any
Mechanical Permit Fee ..................... $
Sewer & Water Pennit ...................... l/::
::~rn ........ ...~;~I~~.~.~ltW~.n~rov"i
By _ Dat. 1/-( -
Certificate of Qccu ncy
Issued
ThIS~.S 'ty req
sign nner
. '
7" - CityPlannef
24 hour notice for all inspections 447.9850
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While - Building
Canary - Engineering
Pink - Planning
Th~ C~nl~r of lh~ Lib COllftlry
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
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Denied 1_
Reviewed By: r}. Q0. ~ Date: II ~/l-11
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Comments: _ -Z/J7\.;..eJ e -5 so, ..(/l1AAlt;;U)l!J ~tU.I -ote
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Accepted With Corrections
"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,"
~~
tJCl-133/
Th.,("..nt..roflh..I..bCounlry
White . Building
Canary - Engineering
Pink " Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
B,.e u ~6 He N tV E: N
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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:
Lj.(~ 7 J l'-1/Jk/ /NDAC-C 6/ NC
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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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"~~x PRIOR,;,?
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qc;-/33/
Thf Crnln 0' lht L.h Country
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
APPLICATION RECEIVED
BR.UC6 Ht;NrJEN
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L/-fc 7 / jLJ/lK / IN D/9 [6" 6/ N C
Accepted
./
Accepted With Corrections
Denied
Reviewed By: .1olA~r"lL E:11M-~"'A1AJ
Date: II/Ish?
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Comments: "'f:J~ rAJr..,.u~I"::'(.... _'iJt:r>r. J,/,q" Ale IS<;uF-:~ w,r.-+ "'niIS rnQP<::J5r.n
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"The issuance or granting of a permit or approval of plans, specifications and
computatio(1s 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
ordinance~ of the jurisdiction shall not be valid."
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~71 MIl.'\"\Ad...l-,<- SJ,
NATURE OF WORK }J",,"\ ('rnA"'..Q..
USE OF BUILDING s,"tn'f ---.El&.ct
PERMIT NO. qCJ - ( ~ <; ( DATE ISSUED 11-( 7-"1 'i'
CONTRACTOR H~\AIA eV\,
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
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INSPECTOR
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FRAMING
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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 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 seni'ice 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