HomeMy WebLinkAboutBuilding Permit 99-1387
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
,SCKcEPUI-ED 6 -;:}.Cj -0/ t/; of)
/~, IY~ +~A14~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q 9- 13?7
o FOOTING 0 PLUMBING RI
o FOUNDATION {PJ 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATlO 0 SEWER HOOKUP
...,ld-1'1NAL . O/'(/ 0 PLUMBING FINAL
o SITE INS ECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
"'_.._-~.-.---
~c/d;'--"'-)
c
(' I A-<JA7
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~/
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
~1
'WI~'~';~ roM:E~~~~~~k OF
:\\ " ZONING COMPLIANCE
.. H;m UTILITY CONNECTION PERMIT
t. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
C}9:"/36'1
" ,
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
1. DATE
/~/if8 hl-l-/J1tJ.(!c
live. ~,E.
/I /';"'11'17
f:./
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
BLOCK
5'
PID
25-/{:r7- ObO-O
'.
13. TYPE OF CONSTRUCTION
5
J3.e0OK.S VIL-L6 HIL.~ G T1i
14. OWNER /1. (Name) / (Address) r. J (Tel. No.) 0"
J;J IZ//CE v-/!/J1JW (T.L rJr').eJ... I tlW r IItJ1N"L 4tf1" J./,}.3 d
15. ARCHITECT (Name) I (Address) (Tel. No.)
6. ElIlIUlER (Name) (Address) (Tel. No.)
al.l,77LU::T/;yrJ
ADDITION
14. FLOOR AREA APPORTIONMENT USE
(); In ,UlfEE)..{/
7. TYPE OF WORK Firepla6e 0
New Construction LJ Alterations LI
Septic 0
Addition 0
Deck 0
Finish Attic 0
89p-~tf?
Rs-roofing 0 Po~V-
Rs-siding Ll Finish Ba/amant ("'I
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
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 mentioned property and tha all construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
building official ca~ke thiS~e it t ca e. Fu harmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~A..,3~t: //.cz-:J/q'l
. - 'SlgnMure ( .J. License No. ~ n.r. ,
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
I MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required _
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
P.F-S AI R_
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PERMIT VALUATION
.f;,(yy), 0 C)
PLOT PLAN
o
TYPE OF CONSlllUCTlON: I II III IV V
Occupancy Group A B E F HIM R
Division , 2 3 4
Permit Fee .................. ......... .... .... $
S U
City:
Amount Brought FOlWard .................. II:
Park Support Fee ........................... $
SAC ..............................,.....,.... $
Collective Street Fee ....................... 't
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
<;'1 ,IS
(s.,-{.M
? . .C;-O
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... <l:
Mechanical Permit Fee ..................... $
~
Meter Hom .................... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ............................., $ "Z- 07. () q
Paid No.3
Sewer & Water Permit ...................... $
,;). 40 00
::~' PI~JeaJfF ~'~~..... ...:....~';e:I1WhenApp"':~~
By ~~ Date 1"2.-2-'7/
L ." -
Certificate of Occupan
Issued
Date
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce
r constitutes a lemporary CeC:;} ~r1 i:Pliance and allows conslruction to commence. Before occupancy, a Certific
City Planner Oa e Special Conditions if any
24 hour notice for all inspections 447-9850
/
requested. This OOcument when
of Occupancy must be issued.
Co
_..._'___......,~_._:......_.A~~ ._..,.--_......._ _........~. _" ~ _.._L...
-- _. --_._-_.__...-...........-...~_.._--~_...-
~~
qq- /387
White - Building
Canary - Engineering
Pink - Planning
Tht CtnttT of tht Lib Country
flUlLDING PERMIT APPLlCATtpN DEPARTMENT CI-ij:CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
GLHTZ t:..-L-.J RKUcE/t../'l/LV
'I I I'
/2..// /CJ1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(c.146 1~/LL/~;(I<'C Ill/C:. ,~,.C.
Denied
/
(d/:;1,j~
~~d(L]- Df<
Accepted With Corrections
Accepted
Reviewed By:
Date: />/ d '7 9
. ' I/I(l{H"",/
Lb-r ~ile,<',<ZJ:J~, rJ~ /k)frd-J'
eg,'/hO.xY I S""k - ()/~
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."
D~~
qq- /3B7
White . Building
Canary . Engineering
Pink . Planning
The ('tnltr of thl Lak" Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
GLA-TZ6L-J 13J2UC-6/6HILV
, / I
/2-// / qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&7/4B r/(_L/'1o,e6 AVE:. .5.6.
Accepted
Accepted With Corrections ---;/...
Denied - A--
Reviewed By: ldQ.;b~- r .
Comments:
I. SS\-\j G,k'3s ~. ~ ~Ui~
L. \J\D~. St.M...8'k ~\-R
Date: n -"""2. - '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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Ilo \ 4.R :r-i 1\ \^J\o\""'Q.. A Vf'
NATURE OF WORK (<.) SPa.c,6Y\ ~..;~
USE OF BUILDING G.,\- '"
PERMIT NO. C)"I - I <,PI'7 -- DATE ISSUED /'2-2-'1'1
CONTRACTOR' c,\ ~'t-7"~\
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~.l.OR
!~U I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
12;' IJ;q
I FOOTING
FRAMING
INSULATION
ELECTRICAL
\/J\li
'~)
\\ tt \~
1-
FIREPLACE.' I ~ :;)/1 / ~ ,
GAS LINE AIR TEST I zIr /(JU .
COVER NO WORK UNTIL OVE HAS BEEN SIGNED
I I
FINALS
g)
d:r,
Cold-11m
BUILDING
ELECTRICAL
....
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 maintairred until all inspections have been approved. On buildings and additions
where no serllice 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