HomeMy WebLinkAboutBuilding Permit 99-1247
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
.3 Rlf fa
OWNER
PHONE NO.
o FOOTING
o FOUNOATION
o FRAMING @
o INSULATION
.ll(FINAL /..' ~ .
o SITE INSPECTION
COMMENTS:
.A-U
(
DATE TIME
SCHEDlILED IO'(). cJV. !; 3D
W; /Iotu wood
CONTR.
PERMIT NO.
q1-/~L/'7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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(pL 1 )
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'Ill1WORK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
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CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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INSNOTl
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;0~7;,
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12, SIT3B4Sro
3. LEGAL DESCRIPTION
W /l,..L-O V\l WOOD
ST
SW
I 0 BLOCK
W55T P-,Uf?..v
. ,
"OWNER A-/tfhol'7 U
15,ARCHITECT A>~e) I
6. BUILDER ~ (Name)
I"/t;
LOT
ADDITION
Fireplace 0
Alterations 0
r
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
'12.65 It.! R
2-
POr-J 0-<:
/1), (Add" /r1Jr
~ "J/(''-
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qc;-lz4i7
107 g /qq
/2.1
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PIC ?t:::;-/.CH:::i.O/B-()
qF;{J~fJq7
(Tel. No,)
(Address)
(Address)
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
~'f.l'~"'-:-r~~K
New Construction 0
Chimney 0 Misc.
la. 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 p rty and that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can e thi p: it for just catNf' Furthe~ agre. e that th.e city official or a designee may enter upon the property t~"~~, "_~~",:~~~
:J'. ~1l::7 #17- fJ-it~// -'- License No. '~tetra-
OCCUPANTS
SEATS
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basemen:)<
16, PROJECT COSTNALUE
17, COMPLETION DATE
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS ("l ENERGY DATA ("l
OFF STREET PARKING PILING LOGS ("l PERCOLATION TESTS ("l
SPACES REO, PLANS & SPECS ("l SETS
SPACES ON PLAN SURVEY ("l COPIES
PERMIT VALUATION 5.t">l'lC'> .~.... PLOT PLAN ("l
Division 1 2 3 4
Permit Fee ................................... $
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ............................... ........ $
Plumbing Permit Fee .~.--::4.~7$
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
It/.15""
tl~ .5'''(
1.50
.:.... - -
U/').Ol"\
~
Gas Fireplace Permit ....................... $
This Aaa"mAeoome'" yA'r B"il~it When Apprp~d. 0>
BY~ ._~".~;;~'/(1-II.(-I?
Certificate of Occup"lr:v
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ I' 4. 84/
Paid 1~4. rl Receipt ,..3(P''''!-<tIf-4-
Date /o//?/.pq
This is to certify that the req est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proc requested. This OOcument when
sign e nner nstitutes a temP<Xfry Certificate of oning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
A / Ci'
Special Conditions if any
Issued
v
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ,....,.......,...,................,...... $
Collective Street Fee ....................... $
Sewer Tap ................................... ~
$
Pressure Reducer .......................... 4'
Meter Horn ................................... ,It
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
24 hour notice lor all inspections 447-9850
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Thr Crnlu of lhr Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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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/
Accepted
~
Accepted With Corrections
Denied
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Date:
JDr{3-f9
R~viewed By:
Comments:
"The issuan1::e or granting of a permit or approval of plans, specificati9.ns 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."
q9-12-~7
The ('tnltro' lht Lib Counlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /l/l./77"fOAAj PltVf<::-
APPLICATION RECEIVED /0/1.3/1'1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activlity which is proposed at:
364C7
W/L-vL-OW NOOO Sf S'eJ
Accepted
Acc 3pted With Corrections X
Denied
Reviewed BY\-&~, 0 .
- /~
Comments:
Date: I 0 -I ...[ - 't ~
I. ReaJ. \-W ~~ \i,,~Q:~ ~~
"The issuance or granting o. a permit or approval of plans, specifications and
computations shall not be const"ued to be a permit for, or an approval of, any violation of
any of the provisions of this co je 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 Sh,lll not be valid."
PR.IOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 384lD W;l\O/.I.1L.:loocQ 'S~.
NATURE OF WORK l~-o:;'-U ~",",J,..ucl,=, ~.c_h.l \-~:--J
USE OF BUILDING c::;' FD
PERMIT NO. CJ'1 - rvIr DATE ISSUED 10 -/4- <t 'i
CONTRACTOR ~'~k
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
---
INSPECTOR
DATE
fill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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I .y'/~$/M)
I 41/-:--:>/=
I '1./- ~~-t7D
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DOr NOT
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: iOtffi
OCCUpy
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PJi'
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UNTIL ABOVE HAS
NOTICE
BEEN SIGNED
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This c,ard 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
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