HomeMy WebLinkAboutBuilding Permit 99-0717
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
# OlJ3e)
ADDRESS
5/ 7 1 /-10 P t5" .s;--r,
OWNER
CONTR.
PHONE NO.
99-7//
PERMIT NO.
o fOOTING
o FRAMING
o INSULATION
~INAL Oa~
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTAll
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAOIFILLING
o LKSHORENVETLANO
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ ~AfJ FOR REINSPECTION BEFORE COVERING
Inspector: ~ ':h 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
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
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3. LEGAL OESCRIPTION
LOT
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"rl..\ 'lOCI' ~
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Br""'-\-\l
ADDITION
14. OWNER
?\,.~ \ ~
15. ARCHITECT
6. BUILDER
l )Name)
l\.cV'4.,,-
(Name)
(Name)
lGf'lS- b/l;.u. n.1.Ouail C. ';y-
J~R- e~I""'--
(Address)
." it
(Address)
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-7/7
1. DATE
(0-11- q<1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
/<../50
12. NO. OF STORIES
PID J. c;- -I 5)--C;).. '3 - C>
13. TYPE OF CONSTRUCTION
(Tel. No.)
447-101/
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
1-l..\G&S~
.
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTF
Lf4D -'51 Be
SEATS
7. TYPE OF WORK Fireplace [j Septic 0 Declt.Q"""'" Re-roofing a Porch 0
New Construction LI Alterations LI Addition LI Finish Attic LI Re-siding LJ Finish Basement 0 16. PROJECT COSTNALUE
Chimn.yO Misc. _fAtlb b,..n.. I V.nO Si2..
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width O.pth V.s No "5 - I - ~t t1
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 all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building ic' I can r~ke this 'iennit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ..tt:.... \\ D^.0.- ... 4-<0<;'1 (0 -II-ere,
Signature License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.e~5 A/-IL
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ................................... .... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Back
FOR ADMINISTRATIVE USE
Side
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~. C~
S U
(. '2.'/ c;-
4D."'\
I . f'lr>
~:: For. ce P. It .I....~~;I~I~~.;.:" ~h.n App~~
By r'" D.te c...r8-'fT
Certificate of Occupancy
Issued
Thisr:m' c' e req 51 in the above application and
sign by ity nner n' utes a temporary Cert;fi~t
..A/l \,ff,
"-11 ' City Planner
Co
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City:
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Amount Brought Forward .................. $
Park Support Fee ............. .... .... ...... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. If:.
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other .........................................!l;
Paid Toti03.Fl.........~~;~i~;~o$ d!?:!4'f!
ccompaoying docum.nts is in accord.nc. with the c~:;onin~:in~c~ ~ ~y pr::ed as ~~e~his document wh.n
f Zo . mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Special Conditions if any
24 hour notice for aU inspections 447-9850
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Tht Ctnlt'r of Iht' bkt' Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
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
fp,
Denied
l/
(J./). JPLov?
Ii SeAbQ Uta V-fr"-=.
Accepted With Corrections
Reviewed By:
Comments:
Date:
ftJllt/79
ole
"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,"
'.
CJQ-?/7
White - Building
Canary - Engineering
Pink - Planning
Thr('rnlrr of the L.llIf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
J urN (YtS /) /IIOV~
NAME OF APPLICANT ( p)J I L / K A IZ&7I/ t3 eo /I-JIL,I./,J
APPLICATION RECEIVED (p / /.5' /9:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/7/
!-loPS ;::::, ( .
Accepted
Accepted With Corrections x:
Denied ( ")
Reviewed By: ~pgz:.. k
Comments:
Date:
b -/e-1'f
I. /!...cd -I-tt c1fUk. ~~
"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."
. l
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PRIOR LAKE
INSPECTION
RECORD
S\-.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .Ci It'] I I-It"\ro
TYPE OF WORK Dee ~c.....
USE OF BUILDING SF'D
PERMIT NO. Cfi'-7/ry
BUILDER C"c. <:lr~~u',~
NOTE: THIS IS NOT A PERMIT FOB ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED
(., -/8 -C( '9
INSPECTOR
OATE
I FOOTING ~ I ~ I 7-'2/19
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
L F.fl!!BBG iJl61fL-r-P&W ~.M I lSq~ I ~ - 1:; r9~
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'FINAL ~. I {q{\ I r-;~ II-I i~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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