HomeMy WebLinkAboutBuilding Permit 99-1349
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'-It) 5 2-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING (tJ
o INSULATION
~INAL
o SITE INSPECTIO
COMMENTS: L, L,
I~
OA TE TIME
SCHEDULED "';//19102- / 1/tJ7J
I I
tf?u~ At~ r
CONTR.
PERMIT NO.
99-/317
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
':/~
~WORK SATISFACTORY, PROCEED
9 CORRECT ACTION AND PROCEED
o CORRECT WORK, C .~FOR REINSPECTION BEFORE COVERING
L'
.
Inspector: I Owner/Contr:
CALL 447-9850 F~R HE NEXT INSPECTION 24 HOURS IN ADVANCE.
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.{ SAFETY!
lNSNOTJ
~~
QAT. R.".'V<;Q CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
99-/3LILf
Permit No.
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
4052. BRouCS IiAt-1 Bu/D
1. DATE
/o-Jo-99
BUILDING INFORMATION
11. SIZE OF STRUCTURE .
(H'i,ht) 'i' ' (W~th) ~b'(b'Pth) f4 '" '
12. NO. OF .f+.IES~"""",,;I-
13. TYPE OF'CONSTRUCTION
UJ <::X1'b
NE
3. LEGAL DESCRIPTION
J()
(,AR.e\A6IF~
J
HILUS
25 - ::>.p,G,- (), (J- n
ADDN
PID
5E..c..ON D
LOT
BLOCK
ADDITION
(Address) 1f1II1Ie};. No.)
5Aff1r:...11-s IM()I/~ ~ L../t{O-~v:.
(Address) ~r.1;o.}
4. ?V}NER (!Jame)
L(~l~ ~LI6I4 Me.'fh.-h~
5. ARCHITECT (Name)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS j
b/2.. '-/:f'f-Lf9:[s-
/VOi/ f:!K - PW-cK
7. TYPE OF WOAK
SEATS
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re*roofing 0 Porch 0
Ae-siding 0 Finish Basemenj)(
Fireplace 0
Alterations 0
16. PRO;iCT COSTNALUE
e YS(J:Jr'
8. PROPEAlY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. 15: '1'1'7 Width 117 Depth /~ 1. ~ '1 Yes No r'eiJ ~cz:O
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
~Uildl~ can revoke ~i~.%rit for just. cause. Furthermo'e, I hereby ag'ee that the city official or a designee may ent.er upon the p,operty to p'rlorrn;Ded~~g~:;
. ~ Signature License No. Date
New Construction 0
Chimney 0 Misc.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS LI
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION L.J J ~ .CP.....
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
R.ES AIR.
USE OF BUILDING
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... It:
Sewer Tap ................................... It:
$
City:
Division 1 2 3 4
Permit Fee ................................... $
'M'1 . '2.'->-:
Plan Check Fee ............................. $
? .A(~
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ..??::.t.--?1:1.. $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... It:
Meter Horn ... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... It:
Builder's Deposit ............................ !f:
Other ......................................... CI::
Total Due ..............................!f: /zq. 7.5
Paid / Zq. Z. <)'" Receif Iif~'" ~ z. I
Date 1/ /~o/t;'/ By %)t/( _ / f
t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce~s requested. This document when
~~rary ceL(~ r'~~,l5jPliance and allows construction to commence. Before occupancy. a Ce~of Occupancy must be issued.
Ci~lanner Dale Special Conditions H any
'10.196
tol ~If)\~
II
Sewer & Water Pennlt ...................... $
Issued
This is to certify
slg
(/
24 hour notice for all inspections 447-9850
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Thr Cenlrr of lhr L.kr Counl!"}'
q 9-' /31/-;
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t::6/711 Ii I j'/./ Ji/I!. //\1 771<::' E;"'
, .
11/lrt/r;tr"l
I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..1-0:'; Z I:.;/." () vi 6 H1 t Ivl 13 L V L) /,j E..
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~ UT~
Comments:
~sl 0,PA-V_vt-v~ "'\7')
?- ?-.owa~S ~ {
Date:
1I-1>?''77
. r:--'~
{/v1Li~ H . ~ 1
k1a'J:t: M }.[ D kl ./' It:) <-1 ~
~ v - l
"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 jurisdiq,\ion. Permits
presuming to give authority to violate or cancel the provisions ot ~his code or other
ordinances of the jurisdiction shall not be valid."
~~
CJ9-/34j
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr of Ih. La.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t::6/17/ ILl S;q /l/e I IV /7 Ie c-
/1/ //'2/ C/q
I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4C52 6/?OcJ61irtM 15L l/ (J j'J L
Accepted
Accepted With Corrections .><:
Denied ~)/!?
Reviewed B( ~{/.J.--G, ~
V
Date: 11-/9-"( "j
Comments:
~ ~ p~~ +-: ,,~CJ--.
~..,Q ~ L
- (
"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
INSPECTIONRECORD
SITE ADDRESS . L/ ()S":) J<)t-r) uq~~ LA l<,tVo\
NATURE OF WORK~__ 1- -h'1.A....A.. <-J
USE OF BUILDING 3Ft)
PERMIT NO. IJ~341 DATE ISSUED ! (~18-qf
CONTRACTOR . 1-'\--_ rIA },\.p r- .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
,
DATE
... I i
I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING No,.- {),,...,,y.
HEATING (if required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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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 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