HomeMy WebLinkAboutBuilding Permit 99-1437
DATE TIME
SCHEDULED cJj; <J,/(JI "1 ! 30
&~ d~ I.e..
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/i?J09/
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
COMMENTS: L. L ,
~"-
-:..JJ 0
N~ U.ovIv.'
f
99-/'-137
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'--.....'--
.)
)lCWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~I
Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DEG 2 7 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
11."'1 Sl/hJ. L.kc r,.., SE. pr/4f' L.k ,/tl'"
3. LEGAL DESCRIPTION
1. DATE
r1..z.H'I
!<!.I SD
LOT
5'
fII / Ln F:P AJ F.iSS
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POAl() , ')
PID ::>_'" -.':~:~~- rn.!3.=(L
2f./D
BLOCK
ADDITION
14. OWNER (Name)
Jt:r_<-
15. ARCHITECT (Name)
6. BUILDER (Name)
(Address)
"'" I DI,,,J L.14 7i-.
(Address)
(Tel. No.)
,'Z. 'I'IO-/7Pl.
(Tel. No.)
G.I'Jtr
(Address)
1'-"1 J',.~ ifk. Tr.
(Tel. No.)
Jc","'( G Iflef'
,'l..Yl/o./7'Z
7. TYPE OF WORK
New Construction D
Fireplace 0
Alterations LJ
Septic 0 Deck 0
Addition D Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basemen~
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 99../437-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FI.OOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
16. PROPERTY AREA OR ACRES Ig. PROPERTY DIMENSIONS I'~. 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 that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware thai the
building affi ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perlonn needed inspections.
$'. ~ IZ'U'1'1
x
Signature
LicensaNo.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
17. COMPLETION DATE
Date
MATERIAL FILED WITH APPLICATION
SOil TESTS 0 ENERGY DATA 0
USE OF BUilDING
ees /ilK-
,
OFF STREET PARKING PILING LOGS OJ PERCOLATION TESTS OJ
SPACES REO. PLANS & SPECS OJ SETS
SPACES ON PLAN SURVEY OJ COPIES
PERMIT VALUATION 4,M.I"\." t7 PLOT PLAN OJ
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .... .... ...... $
Sewer Tap ................................... $
$
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM A S U
City:
DMsion 1 2 3 4
Permit Fee ................................... <t'
R7.x
Plan Check Fee ............................. <t
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennlt Fee .qel:~:I4.$J $
Mechanical Permit Fee ..................... $
I A. 'Sf 2,C?:"/
40:00
*
Pressure Reducer .......................... $
Meier Horn ................................... $
WalerMeler ................................. $
Sewer & Water Connection Fee ........... $
WalerTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Sewer & Water Permit ...................... $
ng Permit When Approved.
Da'e 1'2.-'2P,.'11
Issued
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zon'
s. y. e C" anner constitutes a temporary Certificate of :oni~ COmpljan~~md allows truclion to com ceo
AA l1.~,;.>.ql1. ---ey_
Planner .... Date -
24 hour notice for all inspections 447-9850
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White - Building
Canary - Engineering
Pink - Planning
Thf (~f"tfr of lhf Llkf Counlry
~IIlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ,../:.--
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Accepted
1/
Accepted With Corrections
Denied
Reviewed By:
~~~
Date:
IZ--;{CJ-qq
Comments:
~~ ~ h~~v1I\I~ tVv\.\-~ W~
~LlMd,\ V'AAtM., tJruh, ~ Clv0u ~W~~_
"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."
~~
Cf9-1Lf.37
White . Building
Canary - Engineering
Pink . Planning
Th~ Ct'nlt'r of lhl' L.kt Counlry
mm..DING PERMIT APPLICATION DEPARTMENT CHECKLI!;T
NAME OF APPLICANT
APPLICATION RECEIVED
eL..r-1.5~, V t;~OH E:
/7_/27/ qq
, I I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(ofoCf/
ELI ND
LA k-E 7le..
Accepted
Accepted With Corrections ~
Denied ~ f
Reviewed -< _~a~
~ - /
Date: / / -&.A -9 '1'
.
Comments:
Q...,ra JL l"Yl=~ HvdS.L.
H~
"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 Ilolo9.l t,\;wt LAk.o \;:0..;\
NATURE OF WORK [<,.,"P~ h'\A(c;-h
L
USE OF BUILDING
PERMIT NO. qq - N?,\7 DATE ISSUED I?-;:;]~-q'l
CONTRACTOR CI r. "u J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
--
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
____ I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
-
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bt:1>
~
;
UNTIL ABOVE
NOTICE
HAS
;2//~Id/
1..;2//~/
Id-II!;/(J/
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BEEN SIGNED
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.
wheTe 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