HomeMy WebLinkAboutBuilding Permit 99-1439
CITY OF PRIOR LAKE .., /;A:E J",
INSPECTION NOTICE SCHEDULED t~
ADDRESS /4,750 q 'i>lu e~l\J Tr"
TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
_QQ-f43Cf
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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,
~RK SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WORK5ALL FOR REINSPECTION BEFORE COVERING
Inspector: P - Owner/Contr:
CALL 447-9860 FOR TH NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSHOTl
CITY OF PRIOR LAKE
\' . BUILDING PERMIT,
I TEMPORARY CERTIFICATE OF
~ ZONING COMPLIANCE
'...ND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12_ SITE ADDRESS XXXX JSLUk;JUKD TKAJ.L
1<J...l",", H lLI- "'t.>E:/~,I""''\J'....n-
3. LEGAL DESCRIPTION
1. DIrE
\~'1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
~+'\.
1\ \
A.~nrn,.J
12. NO_ OF STORIES
I"-N Of!.
BLOCK
14\\..--1.-
rz
4~
PID
LOT i
ADDITION
Aoo
13. TYPE OF CONSTRUCTION
14. OWNER
15_ ARCHITECT
6. BUILDER
(Name)
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
Sa--~..J
t:>~\ e ,J
l{)...q,,\
~.J;../
(Tel. No.)
r /~'-'- (;$;- ?1t,.-1t.3'-1
_':14' (Tel. No.)
Urn' uS;':SO,; '-"''''1'''
C:'-<-i+1'- k,...~ ~
Rs-roofing 0 Porch (j
Re.siding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
(Name)
(Address)
(Name)
(Address)
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0
ChimneY~iSC. "it~.,'Joo..l.,.J /_ vJ" Ar~
IS. PROP~TY AJfA OR ACRES ,.b9. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. // /1 J IIWidth Depth Yes No
I hereby c have furnish . f ation 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
t abov prope all construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans
ilding r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perf~rm
II
License No.
SEATS
16_ PROJECT COSTNALUE
17. COMPLETION DATE
r
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I 0: nr'V') , on
SURVEY
PLOT PLAN
o COPIES
o
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ___________________________.............. $
Collective Street Fee ....................... $
Sewer Tap ................................... C:
$
Division 1 2 3 4
Permit Fee ................................... It
1I^"L.'Lr::;-
State Surcharge ............................. It
Plan Check Fee __.........................__ $_' (')1:), C)~
.t::,OQ
Penalty ....................................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Plumbing Permit Fee ....................... C:
Mechanical Permit Fee ..................... $
Issued
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due _________.___................. $ 2-72. f I
Paid Z7Z- .7/ ReC~iPt 3&52-1
Dale /lP~/97 By '0
t in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee requested. This document when
stil?Q.X1rary Certifi, of Z n. ompliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Cijy P anner Special Conditions it any
uilding ~;r:it 1r-~}lf~
,
.
24 hour notice for all inspections 447.9850
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White - Building
Canary - Engineering
Pink - Planning
Thr ('rnlrr of thr L,kr Counlry
BUILDING 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 \ /
Denied ) _
Reviewed By: L 1. ~ . .Jtl1.JaA
Comments: -, ~~) at:' ctdf 6h
7lJ6d u v
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Accepted With Corrections
11-'141
cra~ C/h ~
Date:
"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."
~~
White - Building
Canary - Engineering
Pink - Planning
TM Cl'llll'r of Ihl' Lab COy.try
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
SCA Ll-O r-.J hr. Sf 9 rJ
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is P70 osed at:
Yx)(')( 5111F=:FSII2D (k-. kNQh /--tILC 4TH AD~
/
x
Accepted With Corrections
Accepted
Denied
Reviewed By: ~ -~ J.I~./)-4.A~ Date:;; /, /qq
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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."
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD 13
SITE ADDRESS - ~x BLUF:RI Q n I K. ~~L..... TIt
NATURE OF WORK 12.E-.AI ~ ALL..
USE OF BUILDING ·
PERMIT NO. DATE ISSUED ~.!19
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FOR ANY F THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
~rior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
__T
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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FRAMING
...
or to Sodding)
BYtt:ID'NG
==
ROUGH - INS
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DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This carr 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 Ilervice 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