HomeMy WebLinkAboutBuilding Permit 99-0351
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ 9,9
OWNER
PHONE NO.
b FOOTING
o FRAMING ~
o INSULATION
FINAL
~ FOUNDATION
o DEMOLITION
o FIRE PREVo
DATE TIME
SCHEDULED 6..=/5"- 'lJ 10: 0"
&t.J m 111./ NG ..& /G.{) T L
CONTR.
PERMIT NO.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
tJ '. "11 . I '-__
COMMENTS: ~ JJ..LA' ~!'_
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99 - 3r::; (
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
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~ - :/ AU....-
/
, WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wr: ~L FOR REINSPECTION BEFORE COVERING
Inspector: ~ -r \ Owner/Contr:
I .
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2. SITE ADDRESS )L~ 9 q !Izt In Inl f,/ bil-/ r; (j /j
3. LEGAL DESCRIPTION ,-
LOT l BLOCK 2-
ADDITION t:: N 0 g H- (L. L- 2.1J .D AD D t-J
4'Ge;alrl ;"Av!lt~ G();7S) 'f&?~JIa""JH;k~eb:::':;'/1Ycu7
(Name) ( (Address) Pf (~P' !:t-M~!>.5~ '7 L
(Address) (Tel. No.)
300 LJ., u ,.~)-13q(':J- 76 .
If,' Y'1ed/h_~. fth~':>?fCO
Deck~
Finish Attic 0
DATE RECEIVED
~,14A~
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
5. ARCHITECT
6. BUILDER (Name)
])e,5!j l1eio J::t>c k ~ -:;;11 c.
7. TYPE OF WORK
New ConstructionB""'""'
Septic 0
Addition 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
gq- ~51
r7t~/99
I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
r<..l
12. NO. OF STORIES
PID 2.5- 3'39 - 002- - 0
FOR ADMINISTRATIVE USE
Side
City:
~,
~~
O~~
24 hour notice for all inspections 447-9850
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Re-rooling 0 Porch 0
Re-siding 0 Finish Basement 0
1~~~T~r;T~E
17. COMPLETION DATE
I hereby certify that I have fumished inf rmation 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 operty and t all con ruction will conform to all existing slate and local laws and will proceed in accordance with submitted p~ans. I aw~re at the
building official ca ke this pe for just use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform n d ~n51 ~s.
X .6 -_ ~/J/)('J..., /'\ ) / 1~/v9
/ Signa ur . - 7 ~ L/ P-!-icense No. ~ I Dalf l ·
10. CULVERT SIZE
Yes No
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
I
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
USE OF BUILDING Q M ~K.
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 3,.f!X::O . i<Yl PLOT PLAN 0
I
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ - L\
Total Due .............................. $ I ~ y .~
Paid +1z,...,/q4 ReceiptNo.'"3~~qo
Date "2-4".'14- By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed J requested. This document when
signed ~ ity P n e constitutes a temporary certi(jtt: o~ance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
C' Ian er Date Special Conditions ~ any
TYPE OF CONSTRUCTION: I II '" IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
s U
7l./.1~
4 ~ .5Q
I.. 50
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
T
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Thr {'rnreor of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHf;CKLlSI
NAME OF APPLICANT DE;5/GNE-I~ DE,(!/cS
APPLICATION RECEIVED 4- If 4- /91
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections ';:/
Denied (~'i U
ReVieWedBy:(F"_f/~~ Date: ((-((,,-'t't
Comments:
\. Paad ~ JecL ~ c-c.2-
"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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The Center or the Lake Country
White - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPI,..ICATION 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
c/
Accepted With Corrections
Denied
Reviewed By: C;~.~
Date:
y~ W~C;O-;
Comments:
"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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!,;i.~t~t[f:::~*i.
%DEPARTMENT;OF :?;"~;/~:>'
i;'BUILDINGANI)INSPECTION
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