HomeMy WebLinkAboutBuilding 99-1236
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DATE RECEIVED
/OPz./t?9
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq - 123ft,
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
1. DATE
(<.../
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
5
12. NO. OF STORIES
LOT
BLOCK
'2
H IL-~ ~~ Je.O
PID 25-3t.f9- 6 10-0
13. TYPE OF CONSTRUCTION
ADDITION
KNOB
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.q~3-l J
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0 __J
Re-siding 0 Finish Basement~
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 that ail construction will conform to ail existing state and local laws and wiil proceed in accordance with submitted plans. I am aware that the
bUild~fficial.A.:vokUiS permimause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X J...( Aj..t ) . It) .Il .19
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~ES ;:t/~
/
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee................................... $
V
R S U
Cify:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Coilective Street Fee ....................... $
SewerTap ................................... $
$
8'1. '2c.;-
Plan Check Fee............................. $
State Surcharge............................. $
'? , no
Penalty....................................... $
Plumbing Permit Fee ....................... $
tf(l)PO
~
Pressure Reducer .......................... $
Meter Horn .............~.................... $
Water Meter ..........~.................... $
Sewer & Water Connection ~. $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due.............................. $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Paid
/2.1.25
$(pt:,lzr
Issued
Date
24 hour notice for ail inspections 447-9850
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CITY OF PRIOR LAKE Me
1628DEaa/t'CteOlcAv.U. iI>.,m,tJojQ, 99-107/
prior I.ltk-, MN 55312 - ~ - -
TIr".fl:ffUV ___
HEAnNG APPUCATIOH I PERMIT
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St.. .o..M'~a. ~ 45~.I1~INGBI~p TRA1L-._~___~
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Owll-'lNl Na.'1I4~CQ1I BU~.1.Q.W__
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H~mi,",Ct'''IJ''''lc' __~ON'-~-~ER\i'I~~ ~F GOLDEN VAL.!:.~I___ ____
.A.oo-' 1 ~~AMP~~I~~~r::~, GOLDEN VALLEY, MN 55427
,~... .!12-546~7377
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MdilticfI!li ...,,,_,,,,,. ...11 t'" b>'ll><:l at $:l5.CO eilC'
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t.!f~I G.r-.: CUl..AflONlJ BiOO.i.l.l1:ll WI1tIllIlmhllf 01 Sliopl'f JH\'t:l .1!11.1I'1 CpernIIQ$lisled wr
mOOl ",it!> CfM's i>!" ope""" ~ llI.ru;lUJnI& <)r 3<ldlIt::ffl U,"O fe"'" pllll' ,.,..tJ "lJpjlt)'
~Ml mum Iocl1li""" "'''''''.. HEAT LOSS CA3.';!JlATIO'lS. ~'nIE"'T AND
APPUCAllONS ~.".,v Ht;. 104''':L.t:\) -0 THE Cry o~ f'flIOR lAKE.. Hl:lOt FAGLC
C~EF'K ~lE.. 5.::'. ?R~)p lAKE, '" ",,;m
C!ty ""Wi bl,;Sf'J~ ~"trjJfS arl1 J! J:tJt" - <'t:30 PIT"'
U< __._..___.._p----- at:".;. c.;;;~;;;;" .----.===-- AU. W(lRK \lUST BE INSPEcmJ {ROUCH-IN ANO FINAL) . CAL.L Cln I-W.\.
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5:. te€:Tf/IfeN If1wr..."MI' atIi)oi~ i& C""'I'~H' aRd sc<:ural<t, lblll.lhe work wF D'Il I" c~.,lor,"~Il~
AkllIII>I\ll~. fl;..ptllCemen: ___...._ ~ Cco!il.lidloo , ._.__ ...m 111. o'din,;ttl<l"e arQ GQI1i~G (1/1'109 en)' iIoX ....,It, :1'8 sl.:" btJ'lilll'19I~i:"l'n1C"1
8/24/99 r.Qa.:-~.lrat lh". kWI1 J....e$ !"()\,t:>\i1C::<'lle e p.lftn1 ~nli! !Ilgl1oo ';Iy ''''' BUILDING
R9p:Jlf _...,._~.______ E_s~, Corr~_ Da:fI .~~ ",~..._........ OFFC\AL 1M,;.t 1M work. WIt: fJe-('l tl'l;(;ord.a..f,.:e Wlt-~ th,.l1 a{:.:}f,:yv'8(1 f7 ~1'1 If. l~
~. ~ $ _.l'UI" "". ...___ bu'........ p..",.u 99- / 0 7L ~a,," "i ..II "",'k ..t",:" ''''ldr.. ".....,.... om:! ~i>pr'M.J 00' [Jlan.
HE~n~PEP;;;;;';..~.sq -_.~.- ~. ... _'L,f--}.J-f/
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~ "","P
SiAT'f StJACrlA.'lGf: $ .50
Kr,Al Ft;nMIT "HS $ '-Ip'-OO~ All",,,,, -Q~-~~-
White - Building
Canary - Engineering
Pink - Planning
The Cenler of the Like Country
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
/
Denied ~
Reviewed By: r__ r?l ..dr~ _ Date: /D-(341
comm~nts: C _~ -(ie.. ~
.:)-~ ~{/5 ~ ~- J4~
/f1Ait fP~ - WJI.:ur uJ~/0;'~~-OIC
Accepted With Corrections
"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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99-/2310
Thr ("tnltr of the Lake Count.,..
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
JOHN/NI60'-'6 BV6L-QvV
I
/O//z./qq
, ,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4647 /fUr/Nt Nc=j/3/'€O 7K-
Accepted
Accepted With Corrections
Denied ~~
Reviewed By:
Comments:
J, f?~jL -:f-4 ~ h~:~~ ~~
Date:
/t:J '( '3 -cz (
,
"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 RE'CORD
DEPARTMENT OF
BUILDING AND INSPECTION
~, r:- I _ (\ r:-....
SITE ADDRESS '-to </'1 ~uW\1M1'^b 'Oit-Cx. h-.
NATURE OF WORK )Je.w CcM<2,~'rvl 'i l~
USE OF BUILDING SF-D
PERMIT NO. CjCJ - {L ~c;,.. DATE ISSUED I D -(~-9 7
CONTRACTOR ""b1__-Q_Sc.'TIA )
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
--
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- I I
FINALS
/6- /-5 -99
)0- (5 --
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This car.J 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850