HomeMy WebLinkAboutBuilding Permit 99-0854
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'1{7.2
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~g :0
f/'fJ FINAL I!Y
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
11-3o--q 9
/~.,~
~
CONTR.
PERMIT NO.
'1~-o5'f
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~/l~
(J
~~p
')QvoRK 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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INSi'iOTJ
I I
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~)
-07;9
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99~a54
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
4~q2-
1';/9/91
#t/ ~ /"11 jI/ GIs /.eO ---rR IiJL- /VE Je/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
{Height} (Width) (Depth)
3. LEGAL DESCRIPTION
?
.JCNO~
BLOCK
I-I/~L..
{...
2NO
LOT
ADDITION
4. OWNER
(Name)
(Address)
15. ARCHITECT
6. BUILDER
(Name)
(Address)
12. NO. OF STORIES
PID 25-339- /)39~CJ
13. TYPE OF CONSTRUCTION
(Tal. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
,P",eOIV77 ~-e..-
(Address) (Tel. No.)
f S'Ob b 1]tlJJt",f.,. Dr(l," &.J~.,. {,/l. .l.j'tJ-77 S"O
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
7. TYPE OF WORK
New Construction 0
Fireplace 0 Septic 0 Dec~
Alterations 0 Addition 0 Finish At<"O ....
Ae-roofing a Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
IS. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width . Depth Yes No
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 co~~:rm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Uilding ~n~~_ 'obi' I hereby ag:;l; cityOffiC~OO6(;rJ:}y/^rupon the property to perf9 7~nsPi90;'
- --- - Signature J- license No. Date / .
SETBACKS: Required
Actual
Front
Baok
BUILDING DEPARTMENT VALUATION
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Side
USE OF BUILDING
P'.t::.c, AIL
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
MATERIAL FILED WITH APPUCA T10N
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PERMIT VALUATION
3.,,,,",,,,. QrJ
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
7<}. '7~
48.s't
I ,~-6
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ............................... .... .... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $;
This~com Your Building permiUj~er,eppro~
By Date 15-7 I
Certificate of Dee pancy
Issued
City:
~fl
J ~\
~A~
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee ........................... (.
SAC .........................................4'
Collective Street Fee ....................... It:
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn .................... ............... It
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... It:
Builder's Deposit ............................ $~
Other ......................................... $
Total Due .............................. $ /0('-/. tfLf
Paid Receipt No. 3'5 ~ 7 ""
Date ?-"2.I-"t'1 By r?6
est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
s a temporary Certificate/; ~inmPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~ oafs Special Conditions if any
24 hour ootice for all inspections 447-9850
,
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99~854-
Thr ('tnlfr 0' lht L.a' Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~ON776R-
7/'9/99
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4/692- .!Ir/HI'1IIVq{3l,eD -;;ee-
Accepted
Accepted With Corrections V
Denied _
Reviewed BY:~/--
Comments:
Date: 7 -I-S -'11
t. Q"oc] -l-ko rl..,r(c
I-k...oe o-.L
"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 ('tnltr of tht I.akt Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION OEPARTMENT 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:
..::..--."
,- ,/
'~" , /
'-'j..".-
<
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
()_?){J~.
fJ
Date:
--;-/3>-97
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."
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Lllo9'd. WI1IMM \'^.5lon...J... ~o.\\
TYPE OF WORK t')pr'R.
USE OF BUILDING '2,J;D
PERMIT NO. 11- 'OSL/ DATE ISSUED f[ -13 - "j <]
BUILDER 1"";:.,,^-lu,,- (\""-" tJ .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING t1fi) iY!l!., I ~, I 7-,;}3' 'n I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I.~ I I I
I FINAL ~ ~ I '1-5v-~ j
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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