HomeMy WebLinkAboutBuilding Permit 99-1384
CITY OF PRIOR LAKE
IN~CTION NOTICE
/
ADDRESS A I l ()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
P)NSULATION ^--
K.f.I!lAL f'\
o SITE INSPECTION
SCHEDULED 1 ilQ/ .~
~srtW\A ~
CONTR. l
'1er- /1rLf
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMi,TS: i
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7 _ _
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I
~KS
o CORRE
o CORREC
Inspector:
L FOR REINSPECTION BEFORE COVERING
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
1~rE' ~ rc:' r,\!7 ~ [.
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U ~'NOV29l999
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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)
1. DATE
2. SITE ADDR~
Lf//tJ k J4:'>?j<;,c'~ ~y '.?-t>f.C
?9do~7CJ'
f>i?IOl/: /A-ct;; JIJ1i1f 55372
?d.
3. LEGAL DESCRIPTION
LOT 4 BLOCK
/:.'rZ5:/--/,d6;,,?/' V k" In eyE:
(Name) _ jAddress)
K?~u '::>r:>,-VV\G"
(Name) (Address)
2.
PID 25 <sc4 - (j()p. ()
'7 ND
L
ADDITlDN
(Tel. No.) C e.1I
h/7375:"-7/S-.s
/' } 2 (Tel. No.) WK..
'" -( 7'1-800/
(Tel. No.)
.~OtER
1-\)1/
5. ARCHITECT
6. BUILDER
(Address)
(Name)
7. TYJ'E OF WORK
New Construction 0
Septic 0
Addition 0
DeckCl
Finish Attic 0
Re-roofing CI Porch CI
Re-siding 0 Finish Basemen~
Fireplace 0
Alterations 0
l. White
2. Pmk
3 Yellow
File
City
Applicant
Permit No.
qq-/3A4-
BUILDING INI<ORMA TION
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
OCCUPANT~
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. 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 mentio.ned prop ~and tha all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can r . is pe . or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform neede~ ~pections.
X .. ~ ~ - 7.t?/Y/J Jl9t1
- r Signature License No. ~ Date
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS I:l ENERGY DATA I:l
PILING LOGS I:l PERCOLATION TESTS I:l
PLANS & SPECS I:l SETS
SURVEY I:l COPIES
t.{p,n ./!:) d PLOT PLAN I:l
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Pressure Reducer .......................... $
MeterHom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposil ............................ $
Other ......................................... $
Total Due .....".............."'...... $ /2 q z.s-
Pa'd /;;;. 9. d S- Rece!E.pt .3'"., '13 C-
Date ,I r;-/Oi) By f-'
rtify that the request In the above application and accompanying documents IS In accordance With the City ZOning Ordl'nance and may proceed requested. ThIS document when
an co~mporary Certifica,\ r~3;og ~Iiance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City P anner Date Special Conditions n any
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
RF..<; /I/R
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM A
Division 1 2 3 4
Permit Fee ................................... 'I:
S U
City:
81.?.<
Plan Check Fee ............................. 'I:
State Surcharge ............................. 'I:
Penalty ....................................... If:
Plumbing Penn" Fee .9.:l..:/??4:-.
&.00
t./o.oO
~1>vlq1
,t-
Mechanical Permit Fee ..................... ot
v
24 hour notice for all inspections 447-9850
17. COMPLETION DATE
--" --,-"---- "~,.,-.,:~_."'.......",.._.~"..,----=~
-,--,...".,.
."-~-, ~-"
~
~~
71- j,::E/-1-
White - BlIilding
Canary - Engineering
Pink - Planning
Thf <:fnter of the lib Country
~UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
:Iol-I fJ A/6;v1::; I K
// )ZQ/99
j II
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-11 () /:j-L-:FI;;:6kl<...y *jID6E I<~Li.
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
(1,0), ~
-(J 00. Sf/Vt\MVt ~
v
Date:
1f-3o-cr7
Comments:
-OK
"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."
99-/304-
White . Building
Canary . Engineering
Pink . Planning
ThOI' ClI'nlll'r of lh, L.kll' Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,)01-( IV R. C;Vl S I F:-
/I /2 <1/ c;c;
I I /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
d- / / () ;(jqc;PI56;Q /2. 'j A:/D66 R.LJ.
/
Accepted
Accepted With Corrections
~
Denied n f
Reviewed By: (.,.) ~ ~
. Date:
1\ - 7~ . 71
Comments:
j(""A .\-I--L R..~ h~lA.~
l-t"'-<...d ~
"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
INSPECTION RECORD
SITE ADDRESS 411 7'\ Qa.s~\-4,; ~~R _ (t.J
NATURE OF WORK J?n,,,- a.. A UF.-",~_ .
USE OF BUILDING ~t=" i\
PERMIT NO. '1'''1- f :3 'n<-f
CONTRACTOR t'R.........S;'K:"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
YV ;)/ii}lj/~i'J
. 7
I
I
'If
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
1"2-"/-C( 7
INSPECTOR
DATE
~T
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I j
FINALS
)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
F9
S)3~/ct)
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and mJlintained 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