HomeMy WebLinkAboutBuildingPermit 98-1419 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � 3 a � •� �
ADDRESS �� �� (' - G'w►'��G� � (
OWNER CONTR.
PHONE NO. PERMIT NO. ��"' J�� g
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDAT{ON ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATiON � SEWER HOOKUP ❑ FIREPLACE FiNAL
�NAL �� ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT 1NSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
avsnor,
�O� pR ��R� DA7ERECEIVED
CITY OF PRIOR LAKE �. w,u�e File
� �'� � BUILDING PERMIT 3. Yell w A Pu��
TEMPORQRY CERTIFICATE OF
ZONING COMPLIANCE
�';; �`�'` � O AND UTILITY CONNECTION PERMIT Permit No. p'' � yj
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THAU 17 MUST BE FILLED IN ��, �� �`
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) � V BUILDING INFORMATION
2. SITE ADDRESS � 11. SIZE OF STRUCTURE
� � � � �W � (Height) ��M (�eP�)
3. LEGAL DESCRIPTION 12. NO. OF STORIES
LOT '� BLOCK � PID �5�� I / � �C/ �
r � 13. TYPE OF CONSTRUCTION
ADDITION
4. OWNE (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
I�t e.+.� e� �(. KH� - SS
5. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) (Address) (Tei. No.) 15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK ' lac Septic O Deck O Re-roofing O Porch O SEATS
New Construction O Alterations O Additlon O Finish Attic O Re-siding O Finish Basemer� 16. PROJECT COSTNALUE
CMmney O Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and coRect. I also certify that I am the owner or authOrized agent for
the above mentioned properly and that all construction will conform to all existing state and local laws and will prxeed in axordance with submitted plans. 1 am aware ihat the
building official, ca, n revQke this ertnf�cause. Furthermore, I hereby agree that the city official or a designee may enter upon the properry to perfortn n eded ir�spectlons.
X �%V v � W �1J ( t� �
Signeture Lwrense No. Dste
FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FILED WITH APPLICATION
Actua� SOII TESTS O ENERGY DATA O
Front Back Side Side
BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS O PERCOLATION TESTS O
SPACES REQ. PLANS & SPECS O SETS
USE OF BUILDING
SPACES ON PLAN SURVEY O COPIES
� � � � OC�� • OO PLOT PLAN O
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V Amount Brought Forvvard .................. $
Occupancy Group A B E F H I M S U City:
Division i 2 � 4 , Park Support Fee ........................... $
PertnitFee ................................... $ �'i •�S� SAC ......................................... $
Plan Check Fee $ � Coitective Street Fes ....................... $
.............................
Sewer ................................... $
State Surcharge ............................. $ � • Sd
$
Penelry ...................... ..... ........ $ � ,�,o, Pressure Reducer .......................... $
Plumbing Permit Fee ��.....�•�•�•� ��± (��.Z `1� Meter Hom ................................... S
......�
Mechanical Permit Fee $ Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Sewer & Water PertnR ...................... $ Water Tower Fee $
Gas Flrep e Perm ..��....1 �. �.�.. $ �c.�� Water Tap .................................. S
This ' me ilding Pertnit When Approved. Builder'S Deposit ............................ $
By Date // - / � - �� Other ......................................... $ C
Certificate of Occupa Total Due .............................. $ j [s�(L c ' �. l
Issued Paid �� �p� � Receipt No. 3 Y� b�
Date / / • � 7 � By
This is to cerd(y that ihe request in the above applicatlon and accompanying documents is in accordance with the Ciiy Zoning Ordinance and may proceed as req . This documerrt when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constnktlon to commence. Before a:cupancy, a CertlficaDs of must be issued.
Ciry Plenner Date Special Conditians if any
24 hour rqfice for all inspections 447-9850
O F PRIp
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White - Building
Canary - Engineering
The Cen�er o( the Lrke Coun�ry Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .. a�t�.� . l �C��-�. w�--��
APPLICATION RECEIVED � i/ � d f 9,.�
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'�,� '-� � ��.lU'.�.'� b�.-�� -
Accepted Accepted With Corrections
Denied
Reviewed By: Date: / / — � 'Z- —g °
Comments:
�. !'�� -� � �; ,,.� S4 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 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."
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� ��
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U r�n
White - Building
Canary - Engineering
Pink - Planning
The Center o( Ihe LNce Counlry
BUILDING PERMIT APPLICATION DEPARTMENT �HECKLIST
NAME OF APPLICANT , . �� �l � ., > > r ' - ''� _ � F �-''_
APPLICATION RECEIVED j f�+ �{ �',j��
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-�f ,! -�; - � , '�; " � , � ::;� :. d . . _ t.:,..�.,. �
��
Accepted � Accepted With Corrections
Denied
Reviewed By: Date: ��; ��7 �
Comments: i������7i�%t1� C��l �� � �
F
.
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"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."
. �, .
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- . DEPARTMENT OF � . `9: � "'�:= AF ={ , :}�
P � I � BUILDING AND INSPECTION `; `" " . `�.
I� LA KE
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�=� PERMIT� NO.` 98 I�tt9 DATE ISSUED 4 !/� �� 2-=�78''� .`'' �
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��'.��`NOTE:-:,THtS IS NOT��A� PERMIT FOR ANY OF THE INSPECTIONS;B,E,LOW.i .:
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� , �:-z�;�u,���� ERMIT IS BY SEPARATE DOCUMENT . • ��. .;�:��� , _��
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,'_�:.-��This;card must be posted near an electrical service cabinet prior to rough-in inspections;�.,:.`'-�� "`�;w�;'.
, , -'"�"and maintained until all inspections have been approved.- On.buiiding�;and�additlon$�;�;_' _��'.:-'.::��`
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,..�, �; �. � 4 `where no"service cabinet is available, card shai� be placed near main �ntrance.��"�"==f�;���;;:r.����• ,�':�;..�� w ;,.��:
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� , ° �W : ° � Call between 8:00 and 9:00 A.M. for ail . e i �` - �`'� '�� � q �' ,, �-��;
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S CTIONS 447-4230