HomeMy WebLinkAboutBuilding Permit 99-0761
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
)o:.FINAL De0i<--
o FOUNDATION
o DEMOLITION
o FIRE PREV.
COMMENTS:
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~
DATE TIME
3750
-s/;i/c;c; 3 ;~o
P;;Z/Ote-WOOD
SCHEDULED
CONTR.
PERMIT NO.
19- 7& /
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
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,
o EXCfGRAD/FILLlNG
o LKSHORENYETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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L SATISFACTORY. PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT '1)7\ (Y-L FOR REINSPECTION BEFORE COVERING
Inspector: ft J~ OWner/Contr:
V
gALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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t;,h7/11
fJUN I e :999
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 bonom)
12. SITE ADDRESS /J
'37,{'D rf"fOr'IVMd'
3. LEGAL DESCRIPTlpN
LOT /3 f / t../ BLOCK
W/UOw'S
l.V
/
~7J{
PID ..25 - 2.~e - a IJ 7- 0
13. TYPE OF CONSTRUCTION
ADDITION.
14. OW1-E'~+
15. ARCHITECT
6. BUILDER
(Name)
..jOknso "-
(Name)
j.Address)
:S7Su
(Address)
(Tel. No.)
fJrtof'w<",,<-c/ tv ,,*'78S'l?
(Tel. No.)
(Name)
(Address)
SA-Me
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I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. q9-7& /
1. DATE
(,-I7-Ql
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.1
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Dec~1
Finish Attic 0
~'U\. e
Ae-roofing LI Porch LI
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
Septic 0
Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 190 PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished infonnation on this application which is to the best of my knowledge true and correct. J 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 ial an revoke this pe~ fo~ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo~ ne.ede~ i~sp~~ns.
X J_ #. -:pJ..,~ 3." 1\. - . ...,
j) ( ~ignalure License No. DaleVt-l}-V Y
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
IloQ,C){)
USE OF BUILDING
J2~5 ~/JZ--
"
TYPE OF CONSTRUCTION: I II III IV I.p
Occupancy Group A B E F HIM (j:" S U
Division 1 2(j 4
City:
Permit Fee ................................... $
3').,,1')
'2'1" 3'.9
. !>O>
~ C\
,,~~
\'j~
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Pennit ....................... $
~~lst!:ptJ:;irr BUilding ~:,':"Wt,.~!~~<J
Certificate of Occupancy
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS (] ENERGY DATA (]
PILING LOGS D PERCOLATION TESTS D
PLANS & SPECS D SETS
SURVEY (] COPIES
PLOT PLAN D
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .."....".........."....,................. $
Collective Street Fee ......... .............. $
Sewer Tap ................................... $
$
-.
Pressure Reducer .......................... <;;
Meter Horn ... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ...........................0;:
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ......".."....,............... $ (,,;). "{ i
Peld h:J, (j3 RecelPt~ 1~~
Issued Date 6/;29 (?9 By .tv )
ThIS 15 to certify that the request In the above application and accompanYing documents 15 In accordance WIth the City ZOning Ordmance and may proceed as r uested. ThIS document when
signed by the ~ity anner cons1JtU1es e temporary Certificate of ZOning comphance aI\J a"~s corst?tction to c9{T'mence~cupancy, a Certificate of Occupancy mu issu
/~i,-: ""'- Jtl.:U, ptc, _'-W tl~,,'''''I.w1 =1A-.-V ~Pt?
. ./ Planner Dale \" ---- . Spec I CondItions if any r. ...
24 hour notice for all inspections 447-9850
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White . Building
Canary - Engineering
Pink . Planning
Tht' Ct'ntn of lht' Lib Counlry
6UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, / / .,i
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I(
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1./ _ "
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Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ Lv... \~ " ... , -t-, ~ate: G, -2--'6 - ~ t:i.
Comments: 44~_' ~ 1f-V\NJ ~~ JJ-e&~~ ~
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?re-~t'k Pv~ rlPI~~D V~ (~,
1~]' k1-J/~(p~<., /d.cv~~~~ved"f
"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- Ctnlrr of lhr Like- Counlry
BUILDING PERMIT APPLICATION DEPARTMt=NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
91tfJ 8~kN~J
6-lf-19
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
575D J2u ~'+-L(V()()d i..a I<-L
Accepted ^ ~
Accepted With Corrections
Denied n () ()
Reviewed By: \:}.-y ~ r
Comments:
e,/,~. A{. ~~ ~4
Date: (0' ?.P. . CZ' 9-
"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
SITE ADDRESS .~~ So t1,or~ L",.
TYPE OF WORK ~k
USE OF BUILDING ~t: i)
PERMIT NO. qC;-7~[
BUILDER ~(")l.k<;'r~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
/ - -J,.~ - 'i)>
11 INSPECTOR DATE
I FOOTING tiUdJ I fsJk I 7-(-99
PLACE NO CONCRETE UNTIL ~ABOVE HAS BEEN SIGNED
,.. I I
I FINAL
-
.tJ-:f"' /~/t./-9r
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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