HomeMy WebLinkAboutBuilding Permit 99-0628
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULEO
DATE TIME
;;/3/19
,
/ f=;-
AODRESS
/4600 HIOOE7\/ V/8J,eLJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING It
o INSULATION
FINAL OECtL-
;:}SITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
c...OMMENTS:
cJoh ~~A
/
99-0 Z-8
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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Clo"," .- +c. :...J
.--/
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~KSATISFAC ORY,PROCEED
o CORRECT A AND PROCEED
CALL OR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL 417.9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE R dMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/'iOTl
'6'- f':lo
Z "'0 6."""-
CITY OF PRIOR LAKE
tJ)/.\'i 'L 1 :999 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No.
QQ-fpZ8
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
FI060 !-I11)(),dv IIIFV~,otp
1. DATE
s- /'1- 9.,
/2/.50
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
K
4. OWNER (Name)
,(3R.,t:JD ,;rj;qJV 1::-6'
(Address)
(Tel. No.)
L,k,ls- -1/5'8
(Tel No.)
12. NO. ~TORIES
13. TYPE OF CONSTRUCJJ,ON
Ji. .$il/fll.e r/tMIL Y
14. FLOOR AREA APPORTIONMENT USE
2,1.# f'f'to
LOT
BLOCK
/
V/~
PID 25-":>'<7/-07)8-0
ADDITION
.J-/ I OOE7L/
5. ARCHITECT
(Name)
(Address)
Septic 0
Addition LJ
Heating 0 Plumbing 0
Finish Attic 0 Residing CI
Reroofing 0 Porch 0
Finish Basement 0
,
\ft NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
(Name) ,I (Address)
::Toe p /U- trfL. 11O"fff
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
ChimneYD Misc. tJFCIC
8. PROPERTY AREA OR ACRES 19. PRO~W3':"b~ENSI~~s: 0 Z. 1'0. CULVERT SIZE
Sq. Ft. /2( 57'1 Width -?9.'iJoepth 15>.~3> Ves No
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 I cons ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official revoke this . r just e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X "5/2 ? /ff
Ucense No. , Da;/' /
6. BUILDER
(Tel. No.)
U7. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
,"ronl
Ilao'
Side
::;ide
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGV DATA 0
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET d
USE OF BUILDING R E5 ~'I R .
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION L/.r>rY"J. 00
PILING LOGS 0
PLANS & SPECS 0
SURVEV 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
CollectlveStreetFee ....................... $
Sewer Tap ................................... $
Ucense Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Occupancy Group A BEl H R M
Divlsion1234
Permit Fee ................................... $
P, iJ. ? ctJ'
6(". '17-
d.oD
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $_
Septic System ............................... $
Other ......................................... $
WaterTowerFee ........................... $
Water Tap ................................... $
ding Permit WhZ APprOVed,2J Builder's Deposit ............................ $
By Date ~t2. - t -- /1 Other ......................................... $
Issued ::~: T:1J~........::~i~!J I
r;t~~"":".l,h__.~___.._~."'-~..~_...- --.-
sig By ~r c"1/~lft.es a te;~ Certifica~ or;p compliance and allows construction to commerK:e. Before occupancy, a Certificate of Occupancy must be issued.
~ r~ ~~!;". -- I Dafi!?!- Special Conditions if any
24 Hour notice for all Inspections 447.42309:00 a.m. . 10:00 a.m.
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White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr of lhr L.kf COllnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLl5;T
NAME OF APPLICANT
~ " ,'/ j /
// I~
APPLICATION RECEIVED
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The Building, Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ",-
" ,
//'__/'L/' ,<,--(
" (C.
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Denied
,/
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- S-e:iY:a{~ ~ u/~. /V!>> ~~ t:u
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Accented With Corrections
Accepted
Reviewed By:
Date:
(c7(d19
v
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."
"
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnlt'r of Ihr L.kt Counll')'
.BUILDING PERMIT Aefl.ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I+CLM. k.o
S-~27-~l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
140 (PO ?-hM-4A Vt'eu..J ~a...&
Accepted
Accepted With Corrections
./
Denied )
Reviewed By: C ~{:JX. ~
Comments:
I, Se,?.D'l-l",t, ~,^^.-\- j-,e~UI'~ct C- .c"tu':--Q. p~t--rc...
2, F"tk....... \{),.,....rlA. ,^-,-,-,,,,t-- V\/1~A r~.~,_,~-'!o C':4:('f~~~ '.Il........ ~~
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I ..
~,~ ~ ~Q.c(c fLJ~.JL
Date: C. - "? - q.<;,
"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."
-~------_____.____._ __._...M_.___...._...^...__._~________.,,___.._._+..,...,,_.,_,.___._..___..____*_.__ _ _ _ ._,........__.._ ..
~.
. \
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS / L( () ~n IIrd &. ~. v,'-p 'I ~J)
TYPE OF WORK Vn--f0,
USE OF BUILDING SP}j .
PERMIT NO. 9'7 - / , ?J3 . DATE ISSUED (. _ L -1 '1
BUILDER _ H~,,----+,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
l FOOTIN<<{j) t..W't.
PLACE NO CONCRETE UNTIL AB
, .(RJ.f ...ICo ./
INSPECTOR
DATE
Call between 8:00 and 9:00 A.M fOi all inspections
FOR AlllNSPECT/O j 447-9850.
I (P - N - '11
E HAS BEEN S GNED
I
I
i
~
I FINAL
.,
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