HomeMy WebLinkAboutBuilding Permit 99-1229
ADDRESS
/7/9t?
DATE TIME
SCHEDULED / h4/0o 4-,' ()7)
I ,-
.-JL' rv-/) .
- ~ f-;&'9J.
tl
CITY DF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq- /22-9
/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: L, L. d~~
c-.S4#~_ Af~~l/.L/
//K
\,..-
r-Lrv ~:/6
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 4Let Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
II
_.0.__.-, '-'~_.~-_.."--~""'_.-------r-
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
':Et /qa
, 'f
IZ~/
PID !2S' Z '11- L)48 ~o
(k-rA'Fcff 2~ ~
14.~ :~l@j ~V\Ut\1R~ fuV\10i.l rfLN04LfD'045t
15. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) (Address) ITeL No.)
~1
nATF ~Fr.I=IVFr'!.
jJGJ I '.
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 _ I ',_~.,
''7/'1(, ~ ~^'" T~/L-.
3. LEGAL DESCRIPTION
LOT It> BLOCK ~
W~ ~//jt..6-<
Fireplace 0 Septic 0 ~ec Re-roofing 0 Porch CI
Alterations 0 Addition 0 Finish I Rs-siding 0 Finish Baseme~
/- FA-;n-t l.-<:t I'Y\.
IS. PROPERlY AREA OR ACRES 19. PROPERTYfOlMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished information on this application which is 10 the best of my knowledge true and correct. I also certify thaI I am the owner or authorized agent for
ttle above mentioned property and that all construction will conform to all existing slate and local laws and will proceed in accordance with submitted plans. I am aware that the
:uildinpff ~ n r oke this pennit r just C/ o:eA7ilV1rebY agree that the city official or a designee may enter upon the property to pert07 tJ~n'1qons.
Signature LK:ense No. Date
ADDITION
SA...-v\c
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING --1<es
J _
AijL
f
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
S U
City:
s~.7~
.5f)
~
~:2~7l'ff~t:.~:;,~i;~.;e:it~hen ~rov~ 7
BY~~ Date i'J- -
Certificate of ~~cy
Issued
Side
f O~)(!>. ~
I. White
2. Pink
3. Yellow
File
Chy
Applicant
Permit No. -!J-.q~ /22-Cf.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DA rEo
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS Ll
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .... .... ...... $
Sewer Tap ................................... '*'
$
Pressure Reducer .......................... $
Meter Ham ............................ ....... t
Water Meter ................................. 4::
Sewer & Water Connection Fee ........... It
Water Tower Fee ........................... $
Water Tap ................................... to
Builder's Deposit ............................ 't
Other ......................................... 't
Total Due .............................. $ .35.Z,5"
Paid 35. 7-~ Receipt No. 3Czcf..13
Date It! "/QC/ By Il-A-
Th~~e est in the above application and accompanying documents is in accordance with the City Zoning Ordi~ance and may proceed ai requested. This document when
sigr by J"" [;!.-f}a~ner nstitutes temporary Certifii)te f Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
'-{ J City pianner Special Conditions if any
, ,
24 hour notice for all inspections 447-9850
Thf('fnlnof Ihf t.kfCounlry
Whi~C; ~ ~~i~l
Canary - Engineering
Pink - Planning
mm..OING PERMIT APPLICATION DEPARTMENT CH~CKLlST
NAME OF APPLICANT
;<.ADOsEVIc-H
/0/11/99
,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'7/ 9 in /-fOf2rz.ON T,.eA I L-
Accepted
Accepted With Corrections /
Denied
Reviewed By: {2fl{1"L Date: /~-(?'-<77
Comments: If n 4
~A1'~ -tW_ ~2.a...._J Q",,-~<vL ~_
"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."
11
----1'-'----'-'--""
.~- -. .-......-. -~-
~.............. -"'- --..,..-----:-.-
I
---~,
"
The Cenler of.the Lake Country
/ '"/'''
White : ~U;:~I~
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
'i
i
I-. I {;I W
I, . 1.._ r f
, "
I ,
; I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I {_~
,/
. ,<-I / (........
/"..'
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
(J;CA ku
(I
Date:
10-1 d- -II
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 III ql. t-I ^",''""L<11A \"t-
NATUREOFWORK J',.Ipu:l ~::J:_._
USE OF BUILDING S~.D
PERMIT NO. 9 '1- Ie 7'1 DATE ISSUED 10 - , s - <=t r
CONTRACTOR R"~t~,, :,L..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
1--- I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I
C;j/ II I /zhc; I
I ~ 1~//2)91 I
.1 I
I I
I ()f) / J / 'i } {If I
~,f,1 017 II)q 1tf'1 I
(~{J5 u /JJfJ I iff) II jq) fc; I
COVER NO WORK UNTIL AUaVE 'HAS BEEN SIGNED
I I
FINALS
J
ng)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
/1~/oo
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
II