HomeMy WebLinkAboutBuilding Permit 99-1418
DATE TIME
CITY OF PRIOR LAKE 7//7 / A.
INSPECTION NOTICE SCHEDULED ~ A .(1
ADDRESS /5/ GJS' ~ H~ Ifz ,
OWNER
CONTR,
PERMIT NO, q r - / '-iI f
PHONE NO,
o FOOTING 0 PLUMBING RI
o FOUNDATION @ 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
)d:JFINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
"mIWORK SATISFACTORY, PROCEED
/0 \ORRECT ACTION AND PROCEED
o CORRE~L FOR REINSPECTION BEFORE COVERING
Inspector: I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
------'--_.._._-_._._.._-_._--._---------~.~_._-~,_...,...__._._._---~.-.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~1
DATE RECEIVED
DEe I 6 1999
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
L-
3. LEGAL DESCRIPTION
-;"?
ADDITION Lt) I t.-O S
rILe
wi
qq- /02(0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99-/418
1. DATE
It. -/(.:>-1'1
PUD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
12. NO. OF STORIES
BLOCK
"3~
PID 25-3?)f -O.~~- 0
13. TYPE OF CONSTRUCTION
LOT
4. OWNER
(Name)
(Address)
5. ARCHITECT
(Address)
(Name)
6. BUILDER
(Name)
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Fireplace Cl Septic LI Dec~'
Alterations 0 Addition 0 Finish Attic 0
'l..o'1'?o ~'-'iO~ u.tw1Ll6 1S.5L1l1;-
SEATS
16. PROJECT COST N ALUE
Rs-roofing 0 Porch CJ
Re-siding 0 Finish Basement 0
-g kT'ZA--A PF I-loIl-1ES
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
10. CULVERT SIZE
9. PROPERTY DIMENSIONS
Width Depth
Yes No
17. COMPLETION DATE
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 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
buildi offi' I can r k permit for j t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X --- 'Zoleto~o7 1"I..-I{,.-9<1
Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
F,",,'
Back
S~,
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
ee:s AIR-
,
OFF STREET PARKING PILING LOGS Cl PERCOLATION TESTS Cl
SPACES REO. PLANS & SPECS Cl SETS
SPACES ON PLAN SURVEY Cl COPIES
PERMIT VALUATION 3.ooc:> ' <3(') PLOT PLAN Cl
.
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H , M R
Division 1 2 3 4
Permit Fee ................................... $
S U
,c\. ?S-
~'O . 54
I .~-V
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..... ................ $
~,
............, $
I Ing-""Permit When Approved. Cj 5
Date /2 -( 7-
,
Issued
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 Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid
Date
24 hour notice for all inspections 447.9850
"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 oiher
ordinances of the jurisdiction shall not be valid,"
Comments:
~(~~~ ~ {jtU-k. fc\~'\ M (Wo(YJ~
Date: '2- - 2. I J10
~\~
Reviewed By:
Denied
Accepted With Corrections
Accepted ~
/ /<:. .
L!~
(. /J
,'-
I v
/ ...'
.I.. ..-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l ,~) r;
; ,;:../ /:.
NAME OF APPLICANT
APPLICATION RECEIVED
L "/ i -rZ. L r! ;:.;- f::
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
White - Building
Canary - Engineering
Pink - Planning
The Crntu of Ihe Lak" Counlry
(7 '7 / t./ ( S
~~
"-- ---............--.-...-. - --- _.',- -,--..,,--'-~---....... ~-"_.
[~ ...'-------_...~----~..
B~~
Q9-1t.!/8
ThE' C..nlt'r of Ihl' L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
!<?ATZ.L/JPF
rz-/I~ /qCj
I I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/51&>5
WOOD DU~K 77<-.
Accepted
Accepted With Corrections
{
,
Denied .~ ~
Re';ewed By' C ! ?:3 y "
Comments:
Date:
12 - If-'ll
J ~J. +-~ kdc.
H",-._c9- 0.---*
"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 /SUn:) L.. l()c-0l Dl lC\<- \-r-
TYPE OF WORK D,,(' l,-
USE OF BUILDING :==3 j::'f)
PERMIT NO. Q'7 - I'--! (8 DATE ISSUED I~ _ I~_~
BUILDER ~:~~~i+- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I V"""lRolG I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850