HomeMy WebLinkAboutBuilding Permit 99-0843
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED lkl-~~
ADDRESS U1/1 W().tr,dt ~
, v
OWNER CONTR.
PHONE NO. PERMIT NO. 9 ?,~(/ 3
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA~ (i) o SEWER HOOKUP o FIREPLACE FINAL
l! FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~
(~ ~
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XwORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
./iLI.Jt
Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
I III
I
7. TYPE OF WORK Fireplace Cl Septic LI Deck"'" Re.roofing 0 Porch 0
New Construction [j Alterations D Addition LI Finish Attic O' Rs-siding 0 Finish Basement 0 16. ~JES! C9,.STN ALUE
Chimney 0 Misc. 'l? I' UV. "cJ
18. PROPERTY AREA OR ACRES 190 PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. W;dt.h tW Depth I fj1 Ves No 9 -l? - ? 7
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
build;ng . ;al can revoke this _ it for ~ hereby agree that the city off;c;al or a des;gnee may enter upon the property to pertry l,;;z,,'1'f?;ons.
Signature License No. te ~ I
Amount Brought Forward .................. <I:
Park Support Fee ........................... ct
SAC ......................................... <t
Collective Street Fee ......... .... .... ...... <t
Sewer Tap ................................... $
$
Pressure Reducer .......................... <I:
Meter Hom ................ .... .... ........... ~
Water Meter ................................. <t
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
:~:r;~j~;~:::::::::::~:i;;~O: ;~,?9i
Date 7// t, /'1'9 By "'7/;:-'
uest in the above application and accompanying documents is in accordance with the City zoninifbrdinance and may proceed a~~is document when
onstit a mporary Ce~7tf zl~omPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. ~ate Special Conditions ff any
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D.ATI=FtI=r.I=IYI=O
7/2-/q1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
"q7oV91
la SITE AODRESS I ~q (/ IJJ A-LN tJ/ AU E I*JbI?. LA--t:E-- Ie /
DIRECTIONS
SPACES NUMBERED 1THRU 17 MUST BE FILLED IN
BEFORe 'PERMIT IS ISSUED (Please Print or Type and sign at bottom)
3. LEGAL DESCRIPTI~
LOT 002 BLOCK_ QOI\PID25-JlO-003-o
ADDITION W I L..LOuJ""1 ;;l)!:(' () fiDOf'll
cPl1- Ll-4-0(T;;;1. 4
4.0WNm {t~ 6-Du'N
15. ARCHITE~ (Name) (Address)
6. BUILDER (Name) (Address)
(y\frr<.&--ftR.er ~LA-N
(Tel. No.)
(Tel. No.)
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Side
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
I. <;:1,00. VO
USE OF BUILDING
elS.> rile
TYPE OF CONSTIlUCTION: I Ii Iii IV (:id
Occupancy Group A B E & I M -ZfP S U
Permit Fee ..........~i~~~~~...1.......~..~... $ Slo. 7~
3<O.'i:l'T
."1.0
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... !!'.
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
ThiQ~~ Becors Your Building Permit When Approved.
BY~- Date 7-9>-41
Certificate of Occupancy
Issued
24 hour notice for all inspections 447.9850
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 91-I?~':i
BUILDING INFORMATION
11. SIZE OF ~!!CTURE
IHe;9hll g~''';''''')/5 10epthl/:5
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
II'
99 r et/3
Th,('..nltroflh,...bCounln
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,/'?/le4/l,eeT ~(/L-fitV
-;7/-7 /99
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/69// tv/lt..-Ncl7 AVG
Accepted
Accepted With Corrections
L
Denied
Reviewed By: Cr2JJ L / L
Comments:
Date: ~ - B-CZ'7
RpQdI fu dec\-. \rlO,~ out<:..
"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."
~_.~-------.__.."--_.__._..^"_.._--_._-'"--~._'--_..._~-"---...-. .......-,.-.-.-".....-....-....-.'. -- -_.__.__..._--'~_..__..._. -'-
~i>". _.",..,......' ."'.~~ '!""''''''''_~'''''''''_''''''''' ~_" 'fr""'""'" "-'--',,",,,,",""''''' ~,"~,.. ~." ~-'llf"4l.~'- l~l..,........" ....
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White . Building
Canary . Engineering
Pink - Planning
Th" ('''nlfr of lh" bkr Counlry
.'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
(
-< ;'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i i, t:.
Accepted
i/
v
Accepted With Corrections
Denied
/'\
/ J _tJi J7Wv0 Date: 7- /3-77
LV .
s.cfb.L(.Jk:] ~ 0 t-.
Reviewed By:
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."
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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /1.411 Wo.\"u\- Ave.
TYPE OF WORK Dpt' k..
USE OF BUILDING SFD
PERMIT NO. CZ<j -Clf-:z. DATE ISSUED ~-8-,('1
BUILDER "K,..,lrL,^-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
c. INSPECTOR DATE
, FOOTING (~) I tfJ-, I 1')- c?- 3 - 9'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
, FINAL
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I /;;-1-17
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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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