HomeMy WebLinkAboutBuilding Permit 99-1386
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
AOORESS
I.?Z4-1
/tfi/#rJ A.0
IIWN/tVe; (!,/,e.
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING (@)
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 EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
\.
/)VlP1
COMMENTS: ~o L---
~.~"
-
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
~\
DATO ~ECEIVED CITY OF PRIOR LAKE
. I: I BUILDING PERMIT,
NOV J 0 1!8) 'SMPORARY CERTIFICATE OF
___--J J/, ZONING COMPLIANCE
A~ D UTILITY CONNECTION PERMIT
File
City
Applicant
1. White
2. Pink
3. Yellow
,
Permit No. rJr-/3St/
u
1. DATE
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
/S.:?~j
II-Ia- 91
(<I
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
//4'V-v.no
,
a"R~
12. NO. OF STORIES
3. LEGAL DESCRIPTION
PID 2_'5-072- GOb-C)
BLOCK /
TITUS I~
Co
LOT
ADDITION
14. OWNER
g€rA'
15. ARCHITECT
6. BUILDER
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
dbM(4' J./~ ~-63b
(Tel. No.)
(Address)
/.1~e:./
(Address)
(Name)
-I-/J7.~
/i_.~
aLL.
(Name)
(Tel. No.) ~/.~ 15. NUMBER OF OCCUPANTS OR SEATS
<. "'1/ 1f9<,/. -/,.. 1'<1 '/. - t7 n
J? . -o~CUPANTS
~sp,lk /lJr}' SEATS
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement 0
(Address)
(Name)
I/Ii.ae-C( ~bls ~S7
7. TYPE OF WORK Fireplace LJ Septic 0
New Construction [j Alterations LJ Addition 0
ChimneyLl Misc. in ~""""J) .Ps",/
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS \10. CULVERT SIZE
Sq. Ft. Width I~O Depth . Yes No
I hereby certify that I have fumished i. ,;""".::..,:"" on this application which is to the best of my knowledge true and correct. I also certify that 1 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
building offidal can 'evoke~;'; i;: cause. Furthe,mo,e. I he'eby ag,ee that the dty official oc a designee may ente, upon the pcoperty to perlo"" needed inspections.
X AAAff;,lt niL> ,,"-/s- <} <}
VAJ...LEY ) ignture License No. Date
cJ;. 'p- F R.i>.
Deck 0
Finish Attic 0
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA CJ
SETBACKS: Required
Actual
Side
Side
Back
Front
OFF STREET PARKING PILING LOGS Ll PERCOLATION TESTS Ll
SPACES REQ. PLANS & SPECS Ll SETS
SPACES ON PLAN SURVEY Ll COPIES
PERMIT VALUATION jO,C()('),0 Cl PLOT PLAN Ll
BUILDING DEPARTMENT VALUATION
KbS A/Q-.
USE OF BUILDING
Amount Brought Forward .................. $
Parl<: Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .......................4:
Sewer Tap ................................... 'I:
$
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Pennit Fee ................................... $
City:
S u
I (.'2... '{}t:;
Plan Check Fee ............................. $
~~q
\~Q~
S- ,t)O
State Surcharge ............................. ~
Penalty ....................................... .4:
Plumbing Permit Fee ....................... $
Pressure Reducer ..........................!t
MeterHom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. L.Lk> 7 2.6:.
Paid /u'7. '2--~ Recei~t 0 ?x,?t-- r-
Issued
Date z,/le>/OO By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 'Ordina~ce and may proceed ~ requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction 10 commence. Belore occupancy, a Certificate of Occupancy must be issued.
Mechanical Pennlt Fee ..................... $
Special Conditions W any
Date
CnyPlanner
24 hour notice for all inspections 447-9850
~1
c; 9-/_3 f)!o
The Crnln of lhr L.kr Country
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
V;1~A.CV PooeS
/f /,3;~/ qq
I I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/:3Zff;/ I/EI\JNIf\/(:-7 CfR-
Accepted
Accepted With Corrections
x
Denied
PJI;}-
Date:
Reviewed By:
Comments:
\. Do 1Il!lt- Fll
O-LA- Of~~
~ 9oo\. L0;~ ~ uJabr
SS-Es-.._ k~-P
(j
U.h' tlt i3ci,
"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."
. "'_..---_._----,..~..,,~._'_.__._----~._-'_.._-_.- ..._-,-_._-_.__.._._-~".~_.,.._---~-
.....- ,. ~ '. -,..",."..."."..... "'11""';, ~....""",,",,' .-n-' i.~...,"=... -..~-~<. '; ~ "..'''''''
~\
/---) ~ --"").~ I
'j '/-( ---':i tt:
White - Building
Canary - Engineering
Pink - Planning
The Cenlero(lhe Like Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
V.AC--L-EY PDOL~
1_:> j'~' q
1// "":)D, LJ'.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/32fcl H6/\/IJ/IVcq (!II<-
Accepted
Accepted With Corrections
~
Denied
Reviewed By: <?:P .. " bJr~ Date: / 2r Is--:= '2 q
Comments: s._9v'~ <qD ~bJ4:> lM../.v-P~ L$
0we q-'O 'h\I\!'ct{~ fYBl W ('~ ~CL-~
\TO Je1/l~1 ~~. ..r~~J)V'~.
~ Vrh~17~ vA WAY~ Id~ ~ IfJ1 ~^
~J()i'{J~ ~;\hiJ evvf~ac.M.~ /A~~
~ /~J. ~'\h/'." L< t:VtUA....D
V
A~v1. h v"v\.WVvUM, {~ 'O.Q.- c \{il-t'S~
1!'LtY\ 2-ttM-~ Jv-CWV\.. ~ ()',~INJ...-.HJ.. d-v"
~COv~'1fi"?~t'f9 I~~..
"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 9ther 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."
~~~~~~\ 1W~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS I~?~l 14-elA\I\\~ 0...
NATURE OF WORK I'V\ G,,,,<o>,,,-^dl i'o<:>\.
USE OF BUILDING S'-E'" D
PERMIT NO. Cj''''I- \<,B(.,. DATE ISSUED (2- '2-c.r'7
CONTRACTOR \lo.J~ \yt"Yl( s I .
NOTE: THIS IS NOT A F/ERMIT FOR ANY OF THE INSPECTIONS BELOW
rl"HE PERMIT IS BY SEPARATE,.gQCU~N~
Ved t'-\ Lot- Ii \1\.12.."'> C\J ~ i Wi,< -:-l-J.JlIS.~- DATE
I FOOTtNG I '-J fb?, I 5/!5/o-c:}
trL.'LI'~ ) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~oPo No~ "'.l:t~~.?o\ 'A):J~' O\)~; o.~~to~~'Sxg't~lA~
~/O.t/%JY/dlh,Y~)';'~'( Y'(V-'~'(V' .-v~
ELECTRICAL
PLUMBING
HEATING (if required)
)/'4-0 .- ~/0/:fU ffir IO~ Up /~ Pr. '7/iz/r? ~.
7//)./00 /Jr 1/~1/{)!J~.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
j:LECTRICAL
~
.~
/~ 1/ !/tm
--
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 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
.-.----.-----