HomeMy WebLinkAboutBuilding Permit 99-1039
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
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DATE TIME
'79 -/D3'J
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT War:' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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QATF RFr.F1Vel
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
. DIRECTIONS I" r;E A
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN 0: It;1q
BEFORE PERMIT IS ISSUED (Ple~se Print or Type and~ sign at bottom) d J ~ (, 7 I
2. SITE ADDRESS /' .// ../L( W f1 d s: iJ I
1'7/J.2/' (T11R~}T 7I'~Aa-u ,R/" .e./
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3. LEGAL DESCRIPTION
5 BLOCK 2..
'lWEAsA/V/ l"?eADOW....S
6/2& /c:;<J
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
ejq-/03j
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
PID 25 ~32El- 0/4-- 0
13. TYPE OF CONSTRUCTION
ADDITION
'.OWNER / (Nam)'> &!r; ~ress)~ / V"
AtreJ/<>f etlt/Q'1"t/1 ~PI
5. ARCHITECT (Name) (Address)
6. BUILDER (Name)
s: e (.{'
7. TYPE OF WORK
(Address)
New Construction 0
Fireplace 0
Alterations LJ
SepticLJ
Addition LJ
Deck 0
Finish Attic LJ
Re-rooflng 0 Porch LJ
Re-siding 0 Finish Basement)(
SEATS
16. PROJECT COSTNALUE
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTP
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
ati 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
truction witt conform to all existing state and Jocallaws and witt proceed in accordance with submitted Plan~"1t am ~:zre that the
cause. ~hermore, I hereby agree that the city official or a designee may enter upon the property to perfrhii/~"
License No. ,f Oaf I
x
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS LI ENERGY DATA LI
OFF STREET PARKING PILING LOGS LI PERCOLATION TESTS LI
SPACES REa. PLANS & SPECS LI SETS
SPACES ON PLAN SURVEY LI COPIES
PERMIT V ALUA TION ~.8~'O PLOT PLAN LI
Water Tap ................................... $
Builder's Deposit ............................ It:
Other ......................................... It:
Total Due .............................. $ /'L ~. L<'
Paid /2"1. zS- Receipt No. .s.c.o7'Z-
Date 9'/3/~ By IlIA-
in the above applicatiOl1 and accompanying documents is in accordance with the City Zoning Ordinance and may proceed.ls requested. This document when
utes a temporary Certirte of Zpning compliance and attows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
1 8) ~(~t'j 7" Special Conditions it any
F"'"
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
teG;s /9//2
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
~FI.zC;
Plan Check Fee ......................... .... $
State Surcharge ............................. $
Penalty .......................'i1~..O....... $
Plumbing Permit Fee ....~.I.J..2tt.. $
Mechanical Permit Fee ..................... $
'2 ,0 ()
LI()
oO~
,
Sewer & WaterPermjt ...................... $
Gas Fireplace Permit ....................... $
This atila ~mes vAr Building Permit W)len Approved. cZ. c:;
By ~::-. -.: Date fR--':;O-T f'
Certificate of Occu~
Issued
24 hour notice for aU inspections 447-9850
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Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Pressure Reducer .......................... $
Meter Horn ................ ................... $-
Water Meter ................................. <t
Sewer & Water Connection Fee ........... <f::
Water Tower Fee ........................... It
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Thf Cfnlff o{ihf Lltf Counlry
White . Building
Canary. Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!ll
NAME OF APPLICANT
APPLICATION RECEIVED
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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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t/; .r..' ( > >
Accepted
,/
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Accepted With Corrections
Denied
Qakw
Date:
91:m19'7
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, ;'lny 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,"
99-/039
White - Building
Canary - Engineering
Pink - Planning
Thr Crnltf of lhl!' L.kr Country
WILDING PERMIT APPLICATION DEPARTMENT CI:I.ECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
L () /2 6/V ;<:.. 6H H 672-
g/Z to/qV;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7020 P/lel1S/lNT I"1871DOW5
Accepted
Accepted With Corrections K
Denied / ? l/.l Q
Reviewed By~flO~ Date: 8 - ~O - '1: i
Comments:
~ ~ ~ ~'---),. ~'-'^.'~L \~c.......t ""fr
"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 no 2..1" Dkr, c,,",- -A- VJv,c.. ~ I ~ A .
NATURE OF WORK 7..-;.",,,-_.A- r.:.~-.J-..
USE OF BUILDING SF'P\
PERMIT NO. Cr 9 - /0 ~7 DATE ISSUED ~ -'JO~ <7:-9
CONTRACTOR R~~~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS I
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspectiQns
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.
.//;'/ /.-
7/10/{//
BEEN' SIG'NED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
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