HomeMy WebLinkAboutBuilding Permit 99-0698
11-30'"~
/ S 77/ 1N~ ~ .CE.
, ,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION f1fl\
'l!I FINAL 4fo.&, \!Y
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/IIL...'o r
~ 1m {1~-Ir- ... L'.iA 61\
/. fJl~ {-&P
DATE TIME
;1- 67a
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
""'NOT1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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DATF RFr:F.lYEl
--W - 8 1999
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I ~~/Y9
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
Q1-fo 9S
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
.a.t=FORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
( ~ITE ADDRESS
/~77/ tV<"'rT /9Y. s. e,
/U5D
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT /0 !. p/c S
12. NO. OF STORIES
BLOCK
PID 2S' 0<11- 607- 0
13. TYPE OF CONSTRUCTION
ADDITION
( Y,WNER
(Name)
(l HA7e'6 7:.svdt:)Oi!..
5. ARCHITECT (Name)
(Address) (TeL No.) ~$ii'
1>771w'ar~. f?~~ ~tt~:~68$
(Address) (Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUilDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
:5A-Me
OCCUPANTS
( V"'PE OF WORK
New Construction [j
Fireplace [j
Alterations 0
SaptieLl
Addition 0
De~
Finish Attic [j
Ae-roofing 0 Porch 0
Re-siding CJ Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
'shed 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
pe 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
is .. it for just cause. Furthermore, I hereby agree that Ihe city official or a designee may enter upon Ihe property 10 perto~ n~%9ections.
Signature. Ucense No. Y ~ '
17. COMPLETION DATE
/
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Baok
Side
Side
SOIL TESTS
o ENERGY DATA
o
"zES AlE
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PERMIT VALUATION
L/ """".I')('}
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM 'A" S U
. D'.~" 1 ,(Y 4 ?'7 "2 c:;-
Pennit Fee ................................... $ .
",'(,.,,1"]")
:;Z, or)
City:
Amount Brought Forward .................. $
Pari< Support Fee ........................... $
SAC ........................."""""".... $
Collective Street Fee ................. ...... $
Sewer Tap ................................... $
Plan Check Fee .............................. $
State Surcharge ............................. $
$
Penalty ................................... .... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Hom ................ .... ............... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Permit Fee ......... ............ $
Sewar& Water Pennit ...................... $
GasFlr6P. ePermit ....*.... ............ $
This' mas r uilding Permit }Nh;n }.pJ?r.<:v~c.
~ D~~ 10 /
,
Certificate of Occupancy
Thisistoc
signed by e
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid /45", c; 7 Receipl o.
Dafe t. //7 / qC; By
uest' the above application and accompanying documents is In accordance with the City Zoning' Ordina~ce and ~ay procee s requested. This document when
~ary Certificate r Z~ft. compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
lP I ~ate ?17 Special Conditions it any
/4S, '--G-
3552-8
Issued
24 hour notice for alt inspections 447.9850
..........-- ....--.-----
_............-_L____.--_____
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Thll' Crnlrr of thr L.kll' Country
White - Building
Canary - Engineering
Pink - Planning
fUJlLDlNG PERMIT APPLICATION DEPARTMENT 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 which is proposed at:
Accepted
v
Accepted With Corrections
Denied /"I j ,
Reviewed By: ().t:)f. ~
Comments: +.Wa d d.t dG C(Jt) P!AJ
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~OYl (A/lJth ~ ~()h 1J
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17) ~IaICt" &z.J:- wcKJ ~ .fTI{d tS 1J-.iL --?0v~CO'
.Jt ud::' A.o ~ e; F. P. 6-,
ClCC-(ilo<lit~ ~~"tl~r:;,
+1Vt<r\ JI;'4'\L- T h~ -S- 0 JD d{; )) 0 () ,,(7 tih ~ ,,,,
Date:
~ft7/77
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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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Thf Crnlrr of lhr Lab Country
White - Building
Canary - Engineering
Pink - Planning
BU.U.DING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
C.Hn;ee.J3;-S SUND6fC...
6/0/19
, . >
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5771 WGST /tt/6" 56
Accepted
Accepted With Corrections X
Denied
Reviewed By:
tP-4J1;,L
Date:
&_/0-97
Comments:
I. R-"-tu1 ~ c1R/k /k..J ~
"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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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I~rrrrl lA)e.,,\- A\Je.
TYPE OF WORK ~",I"""'W\4A^l b"'l"K
USE OF BUILDING Sp[")
PERMIT NO. ~ . DATE ISSUED ~-LO- 77'
BUILDER '\. "^"\1> .....
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING r!t. ~\ I ~~ 6 -~9
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l 5j' ~~'v,.\~ ~) I fU-, I ~~4? -9;
INSPECTOR
DATE
I FINAL
GY M. I Jr~O-~ ~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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