HomeMy WebLinkAboutBuilding Permit #99-1348
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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.
ADDRESS
/<l3()7
Rtl j,/~ Rd. JJ ~
CONTR. 99 - /3/P Z -V\~ .
PERMIT NO. 99 - / 3 '-I '? L . L.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA 119N
~ FINAL K
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: L.L.
~ 119s,e, .c,1 e.,
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE7tR~' fALL FOR REINSPECTION BEFORE COVERING
Inspector: jJ~ Owner/Contr:
CALL 447-9850 FOR T1E 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
/ BLOCK 3
KNOB HilL 2ND
14.oWN~~ (Name) 0 ~, /J (Address) (Tel. No.)
~7P(j{::; q., r<u,,) /'}f"rq tff'-. ~ - () 'fl b
15. ARCHITECT (Nam.) (Ad~s) '(T.1. No.)
a.BUILDER (Nam.) 7tP01 ClI.lIN'/t'1If.J<~I/€L). SIHTE: ZO" (T.I.No.) ~
Ca.5-t(-e C~#1>~~_::~~1flft?-'tf 53
Re-roofing 0 Porch 0
Re-siding 0 Finish Basem~
&~~
.QATf I=IFr.Fl\lE.Q.
II In ICfq
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 A /7, I
j '-I '? ~. I ~ro.ti;.... IIf 0l
JJE
3. LEGAL DESCRIPTION
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq - 13L/-fJJ
I f;~7(cr9
\
121
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
PID
2.5-33Q- DOq~O
13. TYPE OF CONSTRUCTION
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished 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 . ned 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
. ~Uildlng lei ca .vok ;:or IZS. Furthermo~ h.reby agr.e thal~lClal ~~~go rRf (t.'.;F~ ~.rty to P.riOlft?nsp~n'r-.
Slgnhturet- -....--- license No fJaV f .,
ADDITION
7. TYPE OF WORK
Septic 0
Addition 0
.eOOM.C;
Deck 0
Fireplace 0
Alterations 0
.3
Finish Attic 0
New Construction 0
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION <."m.b/"":>
USE OF BUILDING
R...e:s niL
TYPE OF CONSlRUCTlON: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee .................. ......... .... .... $
71.'1)
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ............................... .... .... $
Plumbing Permit Fee ....................... $
I.~"""C>
t.tO.oD
Mechanical Permit Fee ..................... $
~\ l'bltf\
II
Sewer & Water Permit ...................... $
Gas Fireplace Pennlt ....................... $ <.40 .OC::>
This~ecom-fJ....- u. .::...."...(ligPennitWhen Approved.
By l:. ,qr- Date
....t-'-
Certificate of Occupancy
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ............. .............. $
SAC ......................................... $
Collective Street Fee ... ...... .............. $
Sewer Tap ................................... c;:
$
Pressure Reducer .......................... $
Meter Hom ................ .... .... ........... <t
Water Meter ................................. $
Sewer & Water Connection Fee ........... 4:
WaterTowerFee ........................... It
Water Tap ................................... It
Builder's Deposit ............................ c;:
Other .............................. .... ....... $
Total Du. .............................. $-L5 h . z..S-
Pa;d /.5'"l,. zs-- Receipt ti// ~ 3'G. S- z... S-
Issued ~.
Oat. J 11"23./ qq By
This is . at the r uest in the above application and accompanying documents is in accordance with the City Zoning 6rdinan& and ~ay proceed requested. This document when
s~n.~~.::3~.mporary Certilt";.i .{Z~10mPI;ance and allows coostruct;o" to comm.nc.. Before occupancy, a C.rtibt of Occupancy must be Issued.
1'1 City Planner Date Special Conditions it any
24 hour notice for all inspections 447-9850
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Thl' Cl'Aln of thl' L..lr.l' Country
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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4' 2r.,,/'" "'''; ./'/ ".';.
. '~.~L-' /\_(.~,/ '" /"".L./'
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(],~ Jr~
f
NAME OF APPLICANT
APPLICATION RECEIVED
'..J ,'--"1'7 ,C
r-/ '....-L-'
. I
/i117
6'tJ l E..
/ (lei
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Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
Date:
/'-...
! f:-
11/ Ig/11
"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' cotte or other
ordinances of the jurisdiction shall not be valid."
99-/348
The Cfnlttof lhf l.abCnuntry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(J,A.5Tl..-6 6r:rrE: Cf)!'iS~.
IJ/17/qq
. f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
143cr7
I
KOt3/N ~
;J6
Accepted
Accepted With Corrections
::::dBykjJ~7
Comments:
I. W +-G.. J;c<'S.Q"'__~ DlAcsL 4~~
Date: 11- Jflj-"'I'7
"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."
PRIO.R LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDREsslL/201 Ro~~v\ R~
NATURE OF WORK r--r~n.J; R~.ltI
USE OF BUILDING
PERMIT NO. '14 - \34A DATE ISSUED 11- If! -'17
CONTRACTOR (\"o.H... G&:. ~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING W
HEATING (if required) CJl/z/~
FIREPLACE (/
GAS LINE AIR TEST (;f) Iz)z.j., '1
COVER NO WORK UNTIL AjOVE HAS BEEN SIGNED
I I
FINALS
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,
12. })u 1t11
I .
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/
JW
1"..,3'~ /
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This care; 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