HomeMy WebLinkAboutBuilding Permit 99-0472
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
fD/4fcrt
2..:00
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ADDRESS
38q I vv'/0vOlN WOOf)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING 0 PLUMBING RI
o FRAMING 0 MECHANICAL
o INSULATI~N 0 WATER HOOKUP
~INAL D 0 SEWER HOOKUP
o FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo 0 SITE INSPECTION
COMMENTS: I!~ ~.
E:~~ --'~J..f ~ r
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ i1 REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
V
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
T
DATE RECEIVED
MAY-31999
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
2. SITE ADDRESS
'3~q I
5- 3- Q'1
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1 PID;)5 - _.?~x-()//-{)
(AJf<ilJlI fl / ~f/ltI s
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UJ, / I t!)uJ W"po
3. LEGAL DESCRIPTION I
LOT
ADDITION JS!.lIdtIn
4. OWNER (Name)
-EI::UC--f. f/~ r~~C:;d"J
5. ARCHITECT (Name)
BLOCK
ItJ
(Name)
,t:>f..u"H z><-T,
IJ 0 I! T() Ai
6. BUILDER
$f7~c / A-t-
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7, TYPE OF WORK
New Construction LI
Chimney LI Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace LI
Alterations LI
(Address)
SAm i-
(Address)
(Tel. No.)
t.f'l7-393f?
(Tel. No.)
1. While
2, Pink
3. Yellow
File
City
Applicant
(Address) T#-
/].t' 'i' 7~ sr
18~ ..::fL./tJlh t);e
Deck~
Finish Attic LI
(Tel. No.)
#'1'3 -Z3~O
'iL/y-z.,997
Permit No.
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Septic a
Addition LI
Re-roofing LI Porch LI
Re-siding LI Finish Basement LI
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
I hereby certify that I have fumished infonnation 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
bUildin~o ~oke this ~rmi'.!?~st cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections,
X,.. ~ AU. /,/,.,.&:s ..JI.2-t:J1) /J:,/ffS Y J-99
Signatfre License No, Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
/Z6S A-/Je..
9. PROPERTY DIMENSIONS
10, CULVERT SIZE
Width
Depth
Yes
No
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
_ PERMIT VALUATION ~''''CJ
TYPE OF CONSTRUCTION: I II III IV W
Occupancy Group A B E F HIM CIf) S U
Division 1 2@4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Pennit ...................... $
SOIL TESTS
LI ENERGY DATA
LI
PILING LOGS LI PERCOLATION TESTS LI
PLANS & SPECS LI
SURVEY a
PLOT PLAN LI
SETS
COPIES
74,71;i'
ttA.s1
J ,~('J
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
~ ~ ~ ,Ov0\
Vh
'J
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $~j
Total Due .............................. $ lof"1 . 6 '-1
Paid /2.~. 8 ~ Receipt No. -3r /".J> -
Date r/~ /f''f By ~
uest in the above application and aCcompanying documents is in accordance with the City Zoning Ordinance and may proceed a( requested. This document when
s~ by '!::!!I{ ~Ian st' te a temporary Certificat of oni compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued.
-trI" 1/' City Planner Special Conditions ff any
Gas Fire!>1 ce Penn' ....................... $
This .?: ms 'II ur Building Permit When Approved.
By Date K- cr- - 5<=7
- ~ I
Certificate of Occupan
Issued
24 hour notice for all inspections 447-9850
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qq- 1/2-
Thr erntrr of thr Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
5PECAAL- I ()LJ~t-1 / 1.J~It-K..SO N
S/3/QQ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
38Of/ WllA./OW WOOD
Accepted Accepted With Corrections ~
Denied
Reviewed By:
Comments:
J2j) ~~_ 9l:~ -
- - I -
Date:
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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."
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White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
aUILDING PERMIT APPLICATION QJ:PARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED.
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity w~ich is proposed at:
.- l ' ,. / ~
.,_., I , \ " , Ii )
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Accepted .../
Denied /'\ j
Reviewed By: {J~. JPlJ('.uJ
Comments: ~ ~Jtc> ~ ..-1J1l-
, ~ IV '
~~.
Accepted With Corrections
Date:
C;/t..tI 11
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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 otf'1er
ordinances of the jurisdiction shall not be valid."
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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 381 l l...)I'\\~~(')(")c-l
TYPE OF WORK \~,. \'-,
USE OF BUILDING St='O
PERMIT NO. C1'1 -'-172 DATE ISSUED ~S--99-
BUILDER I\\o~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ECTOR DATE
FOOTING I. I ~,t4'" 'I~
PLACE NO CONCRETE UNTIL ABg E HAS BEEN SIGNED
, W:-rMu'", I I
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'FINAL 1M ~f I A oi-! ~ ) I 71 ( I t - L/ -1~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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