HomeMy WebLinkAboutBuilding Permit 99-0243
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.., J:~E TIME
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ADDRESS \Co83.~ P~...~ C:-..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
q INSULATION /"1i:'J\
~INAL ~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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f~ {)(U! I --. fz/;-0 7- f2 - 6J.eJ
)! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
::::CT~~LL FOR REINS:::::~:FORE COVERING
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
.......-........,.-.. _.~-
I
QATE RE~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
MAR3/9IJ
Permit No.
qq-dL\~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
1. DATE
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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RI
PID 0tJ ---Y'8; ~ oJ1-o
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS
ID,<(~~ PQrtg(( nG (!:t.
3. LEGAL DESCRIPTION 5
LOT I I. BLOCK
ADDITION 1st McLvl -to L^-XS+ bLtv-r ~
4. OWNER (Name) (Address)
Mt~, s:,,,~ote/L S/..c.-t<e.
5. ARCHITECT (Name) (Address)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
~'t\tV\ -e....
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
OCCUPANTS
9. PROPERTY DIMENSIONS
1 O. CULVERT SIZE
SEATS
16. PROJECT COSTNALUE
~/,~
17. COMPLETION DATE
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement ~
Sq.Ft
Width
Depth
Yes
No
I hereby certify that I have fumished 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 all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~vZ~~cause. Furthermore, I hereby agree that the city official or a de~ay enter upon the property to perform ;7;;s7;~
~ Signature License No. " Date
FOR ADMINISTRATIVE USE
,
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~t; f4; i K
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT V ALUA TION q; I'lt'')/") I? t/ PLOT PLAN 0
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Amount Brought Forward .................. $
Park Support Fee ........................... ~
SAC ......................................... ~
Collective Street Fee ....................... $
Sewer Tap ...................................!I;
$
Permit Fee ................................... $
~1.25
Plan Check Fee ............................. $
State Surcharge................. ............ $
2.0C?
Penalty............ .............. ............. $
.\
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ...........................,.
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
L{ 0.06'
Sewer & Water Permit ...................... $ /' C\.o <3C)
.. I Ai. -
Ga~F ce P ~rmR ... ................... $ ~
Thi I t' our BUilding Permit Whe~ Aepl]ved.
By..: Date If-'''5 ~
';ertificate of Occ ancy
'led
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ J.(' - J""--
Total Due .............................. $ 1(P '1- ~
Paid / &. '1.2. r Receipt No. .3 5V.J-. /
Date t/ II if / 1'? By ./J.&..
.., certify that the requ t in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as#quested. This document when
,,~ner. co stRutes a temporary Certi~<1e of,Zcn~Jf1pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~~. --!=t -l'7 - '1.':L
city pJ\jf,ner' Date Special Conditions ff any
24 hour notice for all inspections 447-9850
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Th~ Crntrr of Iht Lakt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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1\. '("1 ( I"
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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. ;' ( (
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Accepted
v
Accepted With Corrections
Denied -
Reviewed By: ~.. ~
Comments:
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Date:
LI-5"'~q
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"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."
I' ~,
qq-z18
White - Building
Canary - Engineering
Pink - Planning
The ('enter of the t.ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~a S~ck r
APPLICATION RECEIVED S '6' I q q
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IbY 3~ P.fU~tL ~r.Ll
X
Accepted
Accepted With Corrections
Denied
Reviewed By: () ~,~L A Date: t.f -5-97
/)t. - I
Comments:
/. Reo.&~ ~r7~\~ ~~~
"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
SITE ADDRESS IL.R3s ~r-P'\ j-''-^. (" J
NATURE OF WORK ~c::.. a...- _-:I ~\,.' r~^-
USE OF BUILDING
PERMIT NO. DATE ISSUED
CONTRACTOR .
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 t0v
ELECTRICAL
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S'- \441
I /0-8-91
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II/)- 'i?'-91
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I required) ~
FIREPLACE t. t . o1v
GAS LINE AIR TEST
fifn.- I
fir.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- I I
FINALS
,
I
I 7/zC'/o-e
I . 7/12,1 cJV
I i'/20/~J
BEEN SIGNED
BUILDING
L
tCR.
~
DO NOT OCCUpy UNTIL ABOVE HAS
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850