HomeMy WebLinkAboutBldg Permit 99-1051
DATE RECEIVFD
6/z 3/1 '1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq -105 /
~ -
. DIRECTIONS
SPACES NUMB~RED 1 THRU 17 MUST BE FILLED IN
B~fQ,~~ fE;i1M1WS ISSUED (Please Print or Type and sign at bottom)
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4. 58 ?.eeo/r RIVc,(C
t'ws [~4
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
RD. R2-
3. LEGAL DESCR PTION
12. NO. OF STORIES
PIC Z5-<102 -0.'52- 0
ROUNDS
LOT
ADDITlON
It'l:lWNER "
1) O....lL))
5. ARCHITECT
BLOCK
/0/<:;;,=5 t4A/D
13. TYPE OF CONSTRUCTION
(Name) (Address) (Tel. No.)
L "2......'Sf _ O{~~l( (MJJ (lll ai:> <IV 7-:J.15S4
(Name) (Address) (Tel. No.)
(Name) (Address) (Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTF
,!":n'PEOFwoR.C&" Fireplace 0 Septic 0 Deck 0 Re-roofin~ Porc~ ' SEATS
'New Construction:J" Alterations{b Apdition 0 f) Finish Attic 0 Re-siding 0 Finish Basem~nt 0 I ,_ I 16. PROJECT COSTNALUE
ChimneyO Misc. _"qi)Q..{r- LX\'<",\hA..Ct ~I A ~ /-InHp:', 6flKA~~ ~ .sl-lj;,j)
8. PROPERTY AF EA OR ACRES 19. PROP~TY' DIMENSIONS 110. CULVER~ SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No
I hereby certify th It 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 mentic led property and that arr construction wirr conform to arr existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
. r.' . golflrnal.q . n revok~. it for just cause. Furthermore. I hereby agree that the city official ora design.ee may enter upon the property to ~~. one ad ed insp.:~i.ons.
1"'" ( ~ ~"- / '"
~, . - ',\,' - ,,:'
I Signature License No. ., Date
f
FOR ADMINISTRATIVE USE
SETBACKS: Ree Jlred
J ctual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Front
Back
Side
Side
BUILDING DEPAI :TMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMITVAI.UATION J J D:nO. C9 {J
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
H'E5 ...,V~
USE OF BUILDIN :;,
PLOT PLAN
o
TYPE OF CONS' "AUCTION: I II III IV V
Occupancy Groul I A B E F HIM R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Corrective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
Division 1 2 3 4
Permit Fee ...... ............................ $
(p 2:z. '5""
lfo.4.l.;
1.t'Jo
Plan Check Fee ... ......................... $
State Surcharge ............................ $
~
Penalty .......... ............................ $
Pressure Reducer .......................... $
Meter Ham ................ ................... <t
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ /0.3.7/
Paid /0.3. 7/ ReoeiptNo. .3"O~6
Dale q/r /f'1 By ,{~
This is to certify th, It the request in the above application and accompanying documents Is in accordance with the City Zoning Ordinance and may proceed aI, requested. This document when
s~ ~~ c~ :llanner constitutes a temporary Certificate of Zonir)9.comPlian<~IOWs con~ruction to commence. Befq{e OCCU~rt Certificate of Occulifn~st be issued.
~ 4:,'.?,IA'1. . ~ ".:i-X (k.,..jI(L,.~ r~.M<
- I City Planner Dale .- Special Conditions if any -
24 hour notice for all inspections 447-9850
Plumbing Permit :ee ....................... $
Mechanical Perm t Fee ............. ........ $
Sewer & Water P ,rmit ...................... $
I ~.~~.~...t:......~.e:n ~en ~~ov~ q
~ Dale -C -7c....-~'-f-
Certificate of Occ lpancy
Issued
.~_, _.t__~
~\
White - Building
Canary - Engineering
Pink - Planning
The ('nler ~f Ihe Lab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECI(LJSI
N,Il ME OF APPLICANT
AP PLICATION RECEIVED
Th ~ Building, Engineering, and Planning Departments have reviewed the building permit
apf1llication for construction activity which is proposed at:
,.
ACl :epted V
Accepted With Corrections
De lied
ReliewedBy: Lef. .~~
~v"
Date:
~c 3 (~'7
Co nilents:
!+frI~ 0.;..- .Je-fYpLvs. <Tn l0<-~~~vY'1
~y;)2rt.vt""_ I fDVc.)'\ cw~ vDD4-..
U~ (~~%le \~Te/i&<' I_~';-~ Fv'tvIu,~
?;\f:"VI) C\. L9/~_
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"n e issuance or granting of a permit or approval of plans, specifications and
cor lputations shall not be construed to be a permit for, or an approval of, any violation of
an) of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre suming to give authority to violate or cancel the provisions of this code or other
ord inances of the jurisdiction shall not be valid."
99-/057
Th~ ('f'nl..r .r lh.. L.b Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION D~PARTMENT CHECKLIST
NAME OF APPLICANT
AP PLICATION RECEIVED
D4t/IO LJU.sSb
9,/23/99
Thll Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
49 Sf3 ~1C6V/ r /2 I Vb/C k'-O
ACI :epted
Accepted With Corrections
x
De lied - If.)
Re liewed By: (2J!~ 0
Co nments:
tJo~ S/Ahr9(<L ~{pr~ ~ Co~
.
Date: ~-2CJ-cz9
"Tt e issuance or granting of a permit or approval of plans, specifications and
corlputations shall not be construed to be a permit for, or an approval of, any violation of
an)' of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre suming to give authority to violate or cancel the provisions of this code or other
orcinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Li'1<:>-a (\t<:'r];\- e'Ver ROC1~
NATUIRE OF WORK 12pp-.n- ~ ~..."LA
USE OF BUILDING SFD
PERI\IIT NO. '1'1-L05""1 DATE ISSUED 7S -2~-qc;
CONtRACTOR &'<;<:>.e. .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'F09nNG I
I) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRA ING
!!I!!
I
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUI4DING
ELEtTRICAL
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
. "his card must be posted near an electrical service cabin'et prior to rough-in inspections
liInd maintained until all inspections have been approved. On buildings and additions
where no service 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
JA E TIME
CITY OF PRIOR LAKE .
INSPECTION NOTICE SCHEDULED ~'2~r
If sf r;~L//~~--)f'/
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99-/05/
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 EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o SATISFACTORY, PROCJ;Fn
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO"EINSPEcTION BEFORE COVERING
Inspector: /l~ OWner/Conlr:
CALL ..,fsss; FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'( SAFETY/
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