HomeMy WebLinkAboutBuilding Permit 99-0888
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5Co /1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION /All
'j;("FINAL L..L > (f:!5:/
o SITE INSPECTION
DATE TIME
SC,HEDULiD '3 -,:;t7~o( f/ :00
Isn +'--'. ~-\
CONTR.
PERMIT NO. -TI - c:> ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
o EXlGRAO/FILLING
o CQtlPLAINT
D.lIlflEPLAcE RI
)'fFIREPLAcE FINAL
;0 GASLlNE AIR TST
o
COMMENTS: .j'
~ ...,--~-
r/ ?;;~',~ ,-.,
'-" ..-/
--...........-...+...................,....._....~~-
~ WORK SATISFACTORY, PROCEEO
o CORRECT ACTION ANO PROCEED
o CORRECT WOR" CALL FOR REINSPEcTION BEFORE COVERING
Inspector: 'f'?:;r ( 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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INSNOTl
&~1
QATF OF('FIVFn CITY OF PRIOR LAKE
7 9i BUILDING PERMIT,
- ~ 1- TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No. "\"'l. AM
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRE~ _
~II M"o..u q. SF
BLOCK C;
.tt;HA-}/bt2-J LA
1. DATE
7 -J /- '17
R/9;>
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
7
12. NO. OF STORIES
LOT
PID
'2...c::;; -/(P';-07Z_-0
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
1?O,u(
5. ARCHITECT
(Name)
<~.~
(Address)
<)"{;/1 Iy?+i.~.
(Address)
5'E
(Tel. No.)
~2if
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
S'"C<H1I2
(Name) "
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
S.qUlP
OCCUPANTS
7. TYPE OF WORK Fireplace LJ Septlc 0 Deck 0 Re-roofing 0 Porch D
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re.siding 0 Finish Basemen?(' 16. PRO~CT COSTNALUE
chlmneyCl Misc. a...A (?e-/>.;sk.11 <u......~"..t~,d :'7N<,.&/L ,lS"2Q:::c7~
la. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS' '110. /tULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No J - /5" -C<:l
I hereby certify that I have fumished 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 at 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 offi~n revokJAhis pe it jar just_cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property 10 perform needed inspections.
X ~"./Id 7/...:i'1.49
r./ Signature license No. Date .
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS Cl ENERGY OATA Cl
PILING LOGS Cl PERCOLATION TESTS 0
PLANS & SPECS Cl SETS
SURVEY 0 COPIES
PLOT PLAN Cl
BUILDING DEPARTMENT VALUATION
USE OF BUIL~G
IK....
AIR
I
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION :2. /ICe> . a:> n
TYPE OF CONSTRUCTION: I II III IV (j;)
Occupancy Group A B E F HIM lif' S U
Pennn Fee ..........~~~..~...~q>.~... $ to2 .2.'<'
City:
Amount Brought Forward .................. $
Pari< Support Fee ..................... ...... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
State Surcharge ..................... ........ $
:::~~~.~~~~.~:.::1~:8..l!6:: :
Mechanical Permit Fee ..................... $
1.00
c.t...?
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
40.~
Sewer & Water Permit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 103. z.tG-
Paid /t> 3. Z < Receipt No. 3 c..R (,4-
Date ~//3/ "7 "l By i:fIl-..
To/S to ~e est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed at requested. This document when
s ad ~an stitutes a temporaty Certifirte of Zjtz: compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
".I" ~ityPJanner -~ 7, J-''tit8 1/ Sp8cialCondiliO/1s~any
................. $
This
By
ilding Permit When [\PPiSv".
Oate '7~22 -& I
~ -
Certificate of Dc pancy
Issued
24 hour notice for all inspections 447.9850
~
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Thl' Cl'nln of thl' I.IKl' Counlry
White . BUilding
Canary - Engineering
Pink . Planning
~UILDING PERMIT APPLICATION DEPARTMENT CHECKLISI
NAME OF APPLICANT
APPLICATION RECEIVED
"
,-{
I
'4 /1
'""),___ ir;:
, ,
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'." ; \ i (~''-'~< -~ :~.~ ',.- r" '- .
J Accepted With Corrections
Denied (j j
Reviewed BY:f /~ :Jc/1.M
Comments:
Accepted
Date:
//J-d-/77
..
"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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.........
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White - Building
Canary - Engineering
Pink - Planning ,.
Tht ('tnltro' ltlt I.lkf Counll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 13A,2-I'1- 1 . S '--'(.. \C'
,/zllcrq
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
See, I \ ( SO T(-1 s'" c;,~c.
Accepted
'-..,L
Accepted With Corrections
Denied ,) 7 )/
Reviewed By: I)r./1,J/~
Comments:
Q-ec,d JL..{ $c/.~, ,3 -t:;".L
Date: 725-]' ')
~~ ,"""j! Oi- 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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS.BaL1 ,,~+-\..-\ Sh~
NATURE OF WORK ...J<..n'~.n\^^.p\^\- H,^I""~
USE OF BUILDING S l="Tl
PERMIT NO. <11. fjet=\ - DATE ISSUED 1"J-&..d..-1'1
CONTRACTOR ~....r) ~~
NOTE: THIS IS NOT 'A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
ckfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
rr ~
fir
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
v
- ~~
:5\~lw "
I 3\~" ~
'31('~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions.
where no service cabinet is available, card shall be placed near main entrance.
4.
&7,
. BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
#:r6/
el, "/~V
'-1(/ -/1(/'
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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