HomeMy WebLinkAboutBuilding Permit 99-1136
DAT~ Rt=r.~IVFD.
9 /;'-1/91
(3) 5UR.V6Y
(2..) PU1N
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.
,
/HP6/C.V. CEtLC--,
~\
CITY OF PRIOR LAKE
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99- //~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2."~
/4If3c.1O OAt=t..riN.LJ Bel'lCH A v6
3. LEGAL DESCRIPTION
LOT ~ A .et.S 17eLOCK
q)ATE
q!t..jjqc;
~/SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
.:sE
12. NO. OF STORIES
PID J-S-/qf3~OO/-O
13. TYPE OF CONSTRUCTION
ADDIT10N
..~ (Name)
-d_ ~.d<
15. ARCHITECT (Name)
6. BUILDER (Name)
,4 /Jt.AJ
,
(Address)
.t{u",.. ft
(Tel. No.) G (;2.
Ift.'IC-'l//L
rrel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7,.,l;~"wPRK
f4e'1i Construction CJ
Fireplace LJ
Alterations tJ(
SeptiCLJ
Addition.B..
Deck~
Finish Attic CJ
Re-roofingft'.. Porch LJ
Re-siding){ Finish Basement LJ
SEATS
16. PROJECT COSTNALUE
Chimney LJ Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS \ 1'0. 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 thtV" all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
.bu~~ca~ rev:;.~~or just7"se. Furthermore, I hereby agree that the city official or a deslgne. may .nt.r upon the prop.rty to ~~ "nons.
"" - L-' ,-, ~- ., '1
. ,', ' 'Signature License No. Date
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA 0
USE OF BUILDING
RFSA/e.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PILlilG LOGS 0
\
PLANS & SPECS LJ
SURVEY 0
PERCOLATION TESTS LJ
SETS
COPIES
BUILDING DEPARTMENT VALUATION
,
PERMIT VALUATION 8B/l1(lD' ~
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division , 2 3 4
Permit Fee ............................... .... $
S U
City:
Amount Brought Forward .................. It
Park. Support Fee ........................... <t
SAC ......................................... $
Collective Street Fee ....................... It
Sewer Tap ................................... It
$
Plan Check Fee ............................. $
State Surcharge ............................. $
__ ..Penalty ....................................... $
/ Plumbing P.rm" Fee ...'l.?:,!.~... $
Mechanical P.rm" F.. 9.,9..-:/I:3.fP... $
~I/ .A"Z.
6 2~ .>5
4".00
t./.o.c>6
4() .00
~
Pressure Reducer .......................... 'f,
Meter Horn ... ........../..................... $
Water Meter .........j....................... ~
Sewer & Water Connection Fee ........... It
Sewer & Water Pennit ...................... $
Issued
WaterTowerFee ........................... $
Water Tap ...................................4:
Builder's Deposit ............................ $
Other ......................................... $
Total Due ............................., $ /4!-&.5'./5'
Paid /-t! (, 5. /<; R.ceiPt.~({~~6
Dat. /0/24 /.,,, By J.J::{.-/
'fy ~2:req~j.~ ~~~~Iication and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ul requested. This document when
~~1~ Co~ry Certific:Jf(3ortrfmPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner Date SpeCIal Condrtions rt any
r Building Permit When ~roved.
Date 9-/7 4
24 hour notice for all inspections 447-9850
/. 0' PRIOr\>
~1\
.
ClC} - //3~'
Th~ ('pnlu of lhor L.b Counn)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
7/ Ie: / ./ /' / ~ /, / /i /",";'/<
0,//d/c;C;/'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4--;;;;40
Cr'-/C: <.. h' A V
'/"/I"'H
OC '<...--
/llt':;:-
/ -
,~~E
Accepted
Denied
./
Accepted With Corrections
Reviewed By: hl~LTUI. FHaEs-M.4"hl
Date: . }01'3/94
Comments: RtJ,Au.Ff= M.uST a~ Co...JoJE:'T'ED to 4AJD AUlJlJ(" t-............J',....... t..~,- L-IA.J~_<:'
A.I <'\"C-H As ?Rr'\cn c A L .
l",tIlE. """ y ~ "l
?({.,BLEM ,~'J'T1--l
.:r....,; =...>E.Il.. <>::FIl0,<-E
ELEdll4rlt)/",J .
"-;:;10 g.."d:>e:rz MusT" IJf.A,rY
t L-F~Jl'\no,..j~
... ~ 1_. r.:.,~....~~I~'., ~
--
'-0
~s....u
... API'fU:J'..IATF;
SLoPe.. O,J
'HE. <;E...>= 5F.:n.Vlr'J::.
SEE II'JFol<MAllON nN me i?..c\J€.a..5.€.
:..I\~
SEE .4rmcHI'1"AlT3'
!. F.^",e G;II.II-O€' /N~(Jf:cDo^, /-.JFoIl",.crnOiU 2.
,
)"Cd':l<- f ~rD1
CJ<- E.OIL'T'"> ,?, &"5'00 C.~rnOL t"l1IA<.InE.<
t/, ElI.oSlo,J /3,,,,,,1..,,,- f?IlN
"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."
.- ~~
Th" Cl'nfl'fOf Ihe L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
\/
Accepted With Corrections
::::::ed By: Q, tJ) ~ Date:
Comments: ~. ~ #'1~ - 33 PC ,~I( J.-d1oC/l.Jc. - ()('-, D filA)
~u.cJ0- ok, ~rl(;v) s(/rfz:t.~ _ole,'
- . v
!,()u)f.s,f -r/mr- nil - r1.nVfM}c? ::;Jft. ~o/L.; eJ~~Wv.7-dL
~ ;1)(./"(-\ Vlo(xI ~(t(/ajr()r, Cui. f(i~( iDf('amij
1 n':fjC diiJ jI
f S~ -tv ere r~muw.{'J
-4 t.nshn'1 -non CA)f1Wrmi/l--c., rUOY'Yl a idJfmn
v J
tD (;c (t:./"J'uIved -per 'S-uYv'~,
of dd !ir{Ie,1 Oa.rluh'1 'C{f(6-. tv fx (()fvVC(J) 0SdJ/)eed
. J J
"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."
C19-//3&'
Thr Crnltr of Ihr Lake Country
White - Building
CBnary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMeNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Trror/ /"JS /'? nNSI<
q//c/-/qc;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4--~40
CJ~~LRN.o 8&/"ICH AVE SE.
Accepted
Denied _
Reviewed By:{f
Accepted With Corrections
~
~/s..
Date: 9 - (7- <t:.. e
Comments:
/. ~c..d. 0.11. aJt-~ C"",,-,,-.,.::::::L.
4
~
"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
SITEADDRESS ItJ'D40 Chld~ ~
NATURE OF WORK MrO,'L'rJV>.
USE OF BUILDING ~t:: II
PERMIT NO. '19 - (( 3Co
CONTRACTOR I~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED 9-n-'iS
INSPECTOR
DATE
. ~
I FOOTING }P~ {&:r IO[Z4(t5ll _ w/~ '~ I kif /!JfJ
I FOUNDATION (Prior to Backfill)~' ~,b/?/~I ~:r;1 &".~I(l{io~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
@r.
~.
1/8"1 D?.
1/04 z.
zl4;L;>~ !;).IG-!v}.
3f:?f~,y L
r
~ \\<<kI
~, I
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I
FINALS "
V\f r~
. t1/Y/
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
4- J ~. Q4-
?f- ).>-f/t.1
-
Y1#' ~
~
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
This car.(Lmust 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.
r"'~'''r
g- .t--;r-(/tl/
SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIMe
i../-Jo 0'1
ADDRESS -lii/lfJ C2.9llc,J Beq[,~ IJ ile
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
J<l' FINt-L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
All
/0f"
19 ~ /IJJ.
,~~LING
~DCoiillEXiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ WORK SATISFACTORY, PROCEED
v 0 \ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
vaNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/l{?ft1() fY/dtMJ J!xr;('~
OWNER
CONTR,
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.liT FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
R> PLUMBING FINAL
o MECH FINAL
COMMENTS:
V re-twr1 h~rlllil5.
(::!1:C-fv,CA I a
OA TE TIME
~-J-J-al
qtl.-//3C
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
/!CORRECT ACTION AND PROCEED
o CORRECT vfr~ FOR REINSPECTION BEFORE COVERING
Inspector: / fir Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/HSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!