HomeMy WebLinkAboutBuilding Permit 99-0830
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
'7- 2.3-'1'1 3',3,0
ADDRESS
L/o 33 tlJ, LCO W woo 0 -sr-,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATIO
JJt FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Q'1-83d
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TsT
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINsPECTION BEFORE COVERING
Inspector: e.e. Owner/Contr:
I
(:ALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNon
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
DAT~ Ri=r.I=IVi=.Q.
~/{,lq1
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE AD,?RESS
L\.O.'>:!,
\\hl~v.lw~o
S\. S.~
3. LEGAL DESCRIPTION
LOT
.3
BLOCK
z.
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. \'1 ~ 8 30
11D~i - 't q
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
K./
12. NO. OF STORIES
ADDITION
4. OWNER
PID 25-:~Ot.- Oll-f)
h'ES775t/e.v PoN.05 .31<.0 AooN.
.
(, 1",\", (Addr.ss~o~ Wll~~c\)~L~). 7..2/,,-So7?
~~
5. ARCHITECT
(Address)
(Tel. No.)
~ . 90/- 574iO
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
(Name) S~"'d~N.
6. BUILDER
(Address)
(Name)
7. TYPE OF WORK
New Construction LJ
Fireplace D Septic 0 DeckK
Alterations 0 Addition [""J Finish Afti/D -
Ra-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
OCCUPANTS
Chimney 0 Misc.
8. PROPER1AREA OR ACRES/ \ 9. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. . / fWidth Depth Yes No
I h eby cert that I have fu ished info tion 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 bove ntioned~rope and th t nstruction will conform to all existing state and Jocallaws and will proceed in accordance with submitted plans. I am aware that the
bui ng offi Jean re oke is pe t fo JUs cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X - ~~~
Signature License No. Dale
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Builder's Deposit ............................ $
Other ......................................... c;:
Total Due .............................. LI n -"). Ti---
Paid ID~ ./2- R.C.iPtNo7,q~g:;-
Date i-IW -'lc, By (\jfj;.J
in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as ~rJu':;;. This document when
itutes a temporary Certifi e of 'ng compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Fron'
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2.nco.OO
USE OF BUILDING
,iZCS H/L
TYPE OF CONSTRUCTION, I II III IV {:J;2
Occupancy Group A B E F .r I M-:tR'
Division 1 2 ()3 4
Permit Fee ................................... $
S U
City:
(I2. .'2 .:;-
40.4,
I . t)O
~~
'~lvt
~
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Permit ....................... $
oo;)es our Building Permit When Approved.
./- Date ..., -?> ;.q-"
r - .
Certificate of Occupancy
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... ,It'
SAC ......................................... It'
Collective Street Fee ....................... $
Sewer Tap ................................... It'
$
Pressure Reducer .......................... $
Meter Horn ................................... It:
Water Meter ................................. $
Sewer & Water Connection Fee ........... c;:
WaterTowerFee ........................... It:
Water Tap ................................... $
24 hour ootice for all inspections 447.9850
SpecialCondilions ~any
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Tht ('tnltro' lht Lib Counll')
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
\
NAME OF APPLICANT
APPLICATION RECEIVED
i
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: C ,'-1
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,,~-'
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Accepted
./
Accepted With Corrections
Denied
Reviewed By:
11 /If dncvt
tI ~~ ~ Ole.
vv
Date:
,hlqc,
. .
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."
CJ9 - 830
Thr Ci!'nlrr of lhr L.kr Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION Dl;PARTMENT CHECKLI!ll
NAME OF APPLICANT MAP- IL ~ ~N
APPLICATION RECEIVED -r / (p .I q 9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4033 Wr~owvvOCJD 5/. S.6.
Accepte~
Accepted With Corrections
Denied /)/i/ )( _
Reviewed B~j).L'~
/
Date:
7 ~8-?~
Comments:
Reo.J ~ Leek w,^--,z f"'~ 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."
/
. ;...-:'--
/
./
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS {JIF:<., l/');llrn...,\wcl<:xY C::r.
TYPE OF WORK JnrC
USE OF BUILDING SFfJ
PERMIT NO. qe; - ~ ~o
BUILDER <:::' r- ~ld\ V'-
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 7-(3 -1 i
INSPECTOR
DATE
I FOOTING ~ tr1v If~t1-. 17-1 {" 97
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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, FINAL
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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