HomeMy WebLinkAboutBuilding Permit 99-0824
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
77 ;i9VE;
1. White
2. Pink
3. Yellow
File
City
Applicant
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99~ gz,q
Permit No.
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDR;.~ /7/
/ 0/ ~ 6I20SS'1NOI2.A all< e L.6
1:;;t /1;
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES "2-
13. TYPE OF CONSTRUCT ON
AI "
14. FLOOR A
3. lEGAL DESCRIPTION
lOT . 0 t.( BLOCK ~t:> \
ADDmON (u..~ ~t ,.z~~
4. OWNER (N~ " , (A.ddress)
.,-' -~~ ~
5. ARCH~ (Name) ... '-' (Address)
z..s- L'11-c>c>lID
PID
4el. No.) ..,.,.,. b"'11-1
( PIbS~~ .a.. 1'>>
(Tel. No.)
2;ZS/b r;~N;~f-A-,)~
N"J^J~~ (\I\.~r-
Re-roofing LJ Porch)(
Re-siding LJ Finish Basement LJ
6. BUilDER (Name) I (Address)
~ -~r-~f/9-.341~
-CJ~"~ l~" ~VV'
7. TY E OF WORK Fireplace LJ Septic LJ DeckO
New Construction LJ Alterations LJ Addition)( Finish Attic LJ
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
,
"
1 O. CULVERT SIZE
Yes No
9. PROPERTY DIMENSIONS
Width Depth
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
it for just cause. Furthermore, I hereby agree that th. e c. ity official or a designee may enter upon the property to petrm ni~ i~ons.
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Signature l.ic8'lis8 No. Date ".,'....
x
/
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S~: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOil TESTS LJ ENERGY DATA LJ
PILING lOGS LJ PERCOLATION TESTS LJ
Side
Back
Side
Front
BUilDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I ~ ~~ · C> 0
PLANS & SPECS LJ
SURVEY LJ
SETS
COPIES
Ae65 ;t/ /,e.
,
USE OF BUilDING
PLOT PLAN
LJ
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $ l'~
Plan Check Fee ............................. $~q
Amount Brought Forward . .. .. . .. .. .. . ..... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. ... . . ... ... .. .... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
City:
~
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
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C/o. () 0
Sewer & Water Connection Fee ........... $
Water Tower Fee . .. . .. .. .. .. .. . .. .. .. .. .... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ................. ......... ........ ....... $
Total Due .............................. $ 31~.l1
Paid 371;, oq Receipt No. .3t;,~~1
Issued (L ~
Date ~'7/9'9 By
T~~ ~ ':""" application and accomponylng -.me"", is in accordance wllh tho City Zonilg ~nce and may ptoooOO roquoslod. This -..... wilen
s~. ~~_.ner~ternporary Ce~ of ~ning compliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
.. City Planner ..., ~ Special Conditions if any
24 hour notice for all inspections 447-9850
Sewer & Water Permit ...................... $
Ponnft ~:~I~~~~~
This
By
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White - Building
Canary - Engin~ing
Pink - PlamJtlg., .
BUILDING PEBlftIT APPLICATION D.EeARTI\ft]:NT CHECKLIST
NAME OF APPLICANT
APPLICATION AECEIVED
K - e (/.) I 0/'--1 Hofvj 65
7/ z /91
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&/_3 / CA!OSS H IV'UK~ e Ik(!LE
Accepted ./
Accepted With Corrections
Denied
Reviewed By: lJALrM. e...1l~S""AAlN
Date: J/u}(n
. '
Comments: TI'4~ f...,J.(~fE,~WG. 1)UMT.....f:'NT uAS Nt!J ISSuES W/'nI ~'S
?~Po~t:ro
~ ~ r tC:. gv"...~INCa AOOIT\ON.
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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 jurisdicti~n. .Pe~its
presuming to give authority to violate or cancel the provisions of this code or other
ordin~nc~s of the jurisdiction shall not be valid." ~
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It
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Tllf Cfntff of tllf lIltf Country
White · Building
Canary . Engineering.
Pink - Planning
BUILDING PI1RMIT APPLICATION DEPARTMENT CHECKUSI
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:
,/. //. ./ .7 / 'L ~-" ~ I.._"j./ I," c/ I r-
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Denied
~/ Accepted With Corrections
(~ qr. 4WCvV
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Date:
8-11-77
Accepted
Reviewed By:
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, ~ny viola'tion. of
any of the provisions of this code or of any other ordinance of the jurisdiction. PeR'Tlits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
<il',
91,1z4-
Th, e,nl'f of Ih, LIIk, Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PEmIIIT APPL.ICATION D.EeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
K - (!,(/.) 10M HoM6S
7/2-/99
. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~/3 / C;eoSSrj NOR.~ (!,/IeC!-L6
Accepted
Accepted With Corrections ~
Den i ed .........-J
Reviewed sW&y1
Comments:
Date: B {2"'~
t. \)~~ s'LA-cb &.L4~ ~ eoot.,,_
z.~u.Q~~~
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."
PRIOR LAkE
I~SPECTION RECORD
.. .
SITE ADDRESS la.13\ O~~~~ Or.
NATURE OF WORK .;II:- 1.4~~,
USE OF BUILDING SFD
PERMIT NO. 19-8Z~( DATE ISSUED 6-l~
CONTRACTOR K (\, ,q~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
<< .....
INSPECTOR
DATE
FOOTING (~) ~ \d9 ?~ ~ ,-Cj/
FOUNDATION (Prior to Backfill) (;JJ 44/"Hi"
PLACE NO CONCRETE ld'NTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
~ICAHNG (if required)
1:11:11:- '? I .... CC-. .
GAi LoUJE: AIR TEST
m
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1~/;z(~1
16~. II ~I OC} ~~
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11/1Z,/97
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.,.. ~ta;If'eAl u.J
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
,
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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
where no service cabinet is available, card shall be placed near main entrance.
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" Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
'<l(
CITY OF PRIOR LAKE
INSPECnON NOTICE
SCHEDULED
DATE nue
#.0 3:00
~.
ADDRESS
Lf,/3/
OWNER
CONTR.
'-
PHONE NO. PERMIT NO.
e FOOTING 9'1-1,- e PLUMBING RI
[J FOUNDATION f7 0 MECH RI
X FRAMING PtJe.e.H/ [J WATER HOOKUP
[J INSULATION [J SEWER HOOKUP
)('FINAL ADO. N~ [J PLUMBING FINAL
[] SITE INSPEcnON 0 MECH FINAL
COMMENTS: '11- 274- t+
o EXlGRAD/FILlING
o COMPLAINT
o FIREPLACE RI
[J FIREPLACE FINAL
[] GASLlNE AIR tST
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~K SA~ISFAC u i, PROCEED
o CORRECT ACT N A PROCEED
o CORRECT CAt FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
" .
447-9850 FOR. "HE NEXT INSPECTION 24 HOURS IN ADVANCE.
A.RE FOR YOUR PERSONAL HEALm & SAFETYI
INSNOTl
qC\CA.
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