HomeMy WebLinkAboutBuilding Permit #99-1256
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
j1( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
C/t?- /~SL
o EXlGRAD/FllDNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT AND PROCEED
o CORRECt ALL FOR REINSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/ ,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
CI~F.PRIOR LAKE
. ...B~ING. PE~M.~
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE'
:,' .'. . AND UTILITY CONNECTION PERMIT
("",,~~~~~BERED 1 THRU 17 MUST BE FILLED IN - 1. DATE/I
}ooe PERMIT IS ISSUED ''''''''' "m'" Type .....~ .. _m' 10 { I E:l ("/ '1
'.... 2:SITE ADDiESS ~ 48 vJ I ~D ~ 1) Il.. t::: f.;f,J L.{
3. LEGAL DESCRIPTION I
LOT a:J\(....c:;J\'" 13, BLOCK
ADDmON .' WI '- v.:5 + r-'~
4.0WNER.-:Sr\~~(~
5. ARCHITECT (Name)
.~
.~ ,.:,';. ~ ~.. ....
1. White
2. Pink
3. Yellow
File
Qty
Applicant
Permit No. Qt7..-/25&
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PiD tlS' 3~ ~-O 10 - 0
. {>'
13. TYPE OF CONSTRUCTION
,....,JAddress)
~\)~Pr1tL~
(Address)_,./
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(AddreSS)~ IZ . :$.33 . /f 3.5] (Tel. No). ~ 1 15. NUMBER OF OCCUPANTS OR SEATS
Tl...; b1 ~ W pJAJ.!='i "-A Ii \IS-- IV. OCCUPANTS
t'1,..; M 01~ f>l'!c?O'f:-vt I\J PA~\'- MAJ ~~ ~
. . SEATS
7. TYPE OF WORK Fireplace CI Septic CI Deck CI Re.roofing CI Porch CI
New Construction CI Alterations CI Addition CI . .-finiSh Attic CI Wilng CI Fini'\i j1a~
ChlmneyCl Misc. I ~~'iA-,-,- \t6Ol-t~f~ VOct...~ /kJA-T6e-fVk::
8. PROPERlY AREA OR ACRES 9. PROPERlY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. . Width Depth Yes No
6. BUILDER
(Name)
f"(..,1 {YI.V..JTl.!t
16. PROJECT COSTNALUE
JO/{IV C( /'1 ",o(:.?6.q
17. COMPLETION DATE
I hereb . that I have fumlshed information on this application which is to the best 01 my knowledge true and correct. I also certify that I am the owner or authorized agent for
th ~ e men' ned Prope~nd 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
~ing officia n revoke thi lS'1"it for just cause. f~ermore, I hereby agree that the city official or a designee may enter upon the property to perf~ed~d inspections:
/IX ~~ /,,9 )/t?_/~_:LY
U1 Signature License No. ~ Date -
I - " FOR ADMINISTRATIVE USE
iBACKS: Required MATERIAL FILED WITH APPLICATION
Actual
Front
Back
Sida
Side
SOIL TESTS
CI
ENERGY DATA
CI
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS CI PERCOLATION TESTS CI
PLANS & SPECS CI SETS
BUILDING DEPARTMENT VALUATION
SURVEY
PLOT PLAN
CI COPIES
CI
TYPE OF CONSTRUCTION: I II III IV V
Occupency Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................;..'................ $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
prem:k~~...!./.i..::........... :
Meter Hl!fV....Ti,.7,.~;............. $
Water' r ..............tt................. $
~.:::; .
140.-
...-
Plan Check Fee .............................. $
State Surcharge ............................. $
Penalty .. ........ ............................. $
( !IUmbing pe~it ~~...:............. $
-"Mechanical I'ermll ee.. ;.... ............... $
.
~Pf
V) \ Vl ict1
.GO
~G?f .50
Sewer & Water Connection Fee .........-$
Sewer & Water Permit ...,................:~ $ W t T F $
a er ower ee ...........................
Gas Firepl~~e ">/7J.........l. $ Water Tap ................................... $
This ~tJetl"~ ll1~ur B~9 Permit When.Approved. ( Builder's Deposit ..........................:. $ -
By 1/1/ ;' -'l./ ,..Date'--' /0 - I?; f( . Other .....................................:... $
C rt'fi t f'-"Qccu' V y-- / Total Due .............................. $ &~~.-
e I caeo pancy /
Q ~ Paid (';,.55.00 Receipt No. _~~ 4"4 '5
"";. Date/t"Jh<9/o/'t::9 By ~~
. - - is is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning'OrdinaiW:e and fnay proceed aafrequested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
Special Condijions ~ any
24 hour notice for all inspections 447-9850
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99-/25&
White - Buifdlng
Canary - Engineering
Pink - Planning
Th. (:.nl.~ 0' lho uk. Counlll
BUILPING PERMIT APPLICATION DEfABTMENT CHECKLIST
NAME OF APPLICANT
',Pet YH(;U77-I PL- UI"'? e/NGj,
/O~8/9C:;
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5L/9~ It/LOS ?Kf'vl/ - OUILoT R
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AccePte~ Accepted With Corrections
Denied /') /J
Reviewed BV(/;:()/ .----1 ~~-tJ-oate:
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~ 1,,/ 'Z-z,\..-z,g 31
"The issuance or granting of 1;l permit or approval of plans., specifications and
computations shall notbe 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."
i 11111 II
'.~'r''-'',,",-''''i''~'-~'''''.''~!'r~;,'''~t;,~I;:~~~ '~;:1~~'Yll"''''~~''''''''i~~~'tfoiii~l:\.o, .. -,,'1', -'r."i-~:~;""'\"'W"',:;;-~;rn.~:.~,;"'I:'".::t:',.,'~;;:~~!'I....." ',".' ~"._~~,~~~~"':; ,,~,.-.;;,,~,~~~,;~ ~'f/'~"W",~".=rr'r~.I(f
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tf~rZ6(p
Th. C.nl.. of tho Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PI;BJYIIT APPLICATIO 0;1 DEfARTMENT CHECKLIST
7(j~OO~~ PtU(.u.~,'~
NAME OF APPLICANT ~r"'r~ U.Q.~a ~U
APPLICATION RECEIVED 10 -(A-q tt
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~<f18 Lu (loO-... ?G.t k. ~/
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Accepted With Corrections
Accepted
Denied
Reviewed By:
9t15 -~ Date: /0- f7 -7'1
f~ ft1 vJ~~~! d/)j~~
h~ ~.)JD ~l.
Comments:
liThe 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.1I
.,
,
".
Date Received OCT _I. 8 1999 Date Reviewed
PERMIT REQUIREMENT
Date:
Request:
Date:
Request:
Date:
Request:
Date:
Request:
Building/Planning/Engineering
PERMREQU.DOC
lilll II
Date:
Reply:
Date:
Reply:
Date:
Reply:
Date:
Reply:
Permit Complete 0
Permit# fltf-IZ-~
REPLY DATE
Accept 0
Decline 0
Accept 0
Decline 0
Accept 0
Decline 0
Accept 0
Decline 0
Permit Issued 0
Sent By: PLYMOUTH PLUMBING AND HEATING;
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812 5331121;
DREIER
Oct-18-99 8:33AM; Page 2/2
PRIE. 82
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Sent By: PLYMOUTH PLUMBING AND HEATINGj 6125331121j
Oct-18-99 8:33AMj
Page 1/2
Plvmouth
Plumbing
PlvnJOUth
H""ng and "".
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