HomeMy WebLinkAboutBuilding Permit 99-1104
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1718'-/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
'fil FINAL
o SITE INSPECTI
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: (])u.fl.-
DATE TIME
A;n
19-1/()<f
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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)KJ WORK 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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~1
DATE RECEIVED
CJ /;l'11
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2SITEADDREjS7134- Plte/Js~Afr I'lcAOOvV
3. LEGAL DESCRIPTION
LOT t, BLOCK ~
ADDITION ~ oet.94-Nr M ~,o{ ibW
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No.
tJ9-//04-
1. DATE
LI
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Hejgl)ll {Wiclthl,
~ Ie>
12. NO. OF STORIES
(Depth) I
10
~NP
0:
PID 2-''i -3 tf7- 6 17 - D
APfJ:1'().JV
(Tel. No.)
13. TYPE OF CONSTRUCTION
FA,. A.I"<R P
14. FLOOR AREA APPORTIONMENT USE
J~c> IT'
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS <;;',1>4';; tJ.- t:.A-1'1 II ..."
SEATS ~f""
7. TYPE OF WORK Fireplace 0 Septic LI Dec~ Ae-roofing 0 Porch CJ
New Construction D Alterations 0 Addition a Finish Attic 0 Re-siding 0 Finish Basement LJ 16. PROJECT COJTNALUE
Chimney D Misc. tiex:r>, ~ ~
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. "30'L;... Width ~ DePlh'il;lf- Yes @) <::;;..et:>7'.
1 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 1 am the owner or authorized agent for
the above m ioned pr and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Uil ;ng n r ke ~s ~~rm:f:r ~USf cause. Funhermore, I hereby ag,"e that tha dty Off:; ::::::r;.;a6 eVer upon the property to pe"q.7 iedIPtlons.
Signature License No. t'
4. OWNER (Name)
S:A-H.12...-
(Address)
5. ARCHITECT (Name)
A rl (' Ii 1'T<,C7I14.Jf.J._
6. BUILDER (Name)
(Address)
~_v ,eN' Lu,..sn,V!'I<V
(Address)
, ,
kJ I LOJqH.J r.x/A..Wt'M..e~ L LC
(Tel. No.)
'7~S~""1)J~~/'l.t-
(Tel. No.)
(hI?) l.\-'r1.,"2.~ 1/-,,"
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
KES R /;:L
OFF STREET PARKING PILING LOGS ,., PERCOLATION TESTS ,.,
SPACES REQ. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY ,., COPIES
PERMIT VALUATION 1/')/')1') JJ () PLOT PLAN ,.,
Amount Brought FOlWard ...................'1';
Park Support Fee ............. .............. $
SAC ......................................... $
Collective Street Fee ....................... t
Sewer Tap ................................... t
$
Pressure Reducer .......................... $
Meter Hom ............................ ....... II::
Water Meter ................................. II::
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 67.~ L./
Paid ~7 .. r';l ReceiPt~.ri/}b 2/ l~
Date <f Irr/9 5" By ;fiL/~
in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed 9Irequested. This document when
. t a~rary Ce~;.?!..!iif1comPliance and allows construction to commence. Before occupancy, a Certificatet6f Occupancy must be issued.
Date Spec~1 Conditions if any
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM A S U
<if, 7';
?2.S1
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City:
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
~9
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
Tn.. e~reque
s. ed th. ner
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-rJ ' .C~yf1ranner
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24 hour notice for all inspections 447.9850
9'9-//04-
Thl' ('I'nlll'rof lhl' L.kl' Count!')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WnL-lPrMS DE\!.
q / 7/91
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/34- ?I-IEA'SANT I'1E;ADOW
AccePted~
Accepted With Corrections
Denied /! /11 ()
Reviewed ByG;/ Y pyfi
Comments:
Date: 9- 7-r?
"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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White . Building
Canary - Engineering
Pink . Planning
Th. C.nl.f of lh. L.kfCountry
BUILDING PERMIT APPLICATION DEPARTMENT 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:
'::i"._~
Accepted \,. / Accepted With Corrections
Denied () /JJ ~ .
Reviewed By: L 1<'7>"--~. Date:
Comments: ~(.l!.O .-cJC-
q f C(}9r
"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
SITE ADDRESS I tt I St.( \HwlL'Sw4- rMP~ ~.
TYPE OF WORK f)..o.c lC
USE OF BUILDING :5 ,::::- ~
PERMIT NO. gC; - f{ Dc..j
BUILDER Lu.-dlo-....-c: f':uu)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
II I INSfECTOR
I FOOTING / /I )1 q/ '& I{ q l' I
PLACE NO CONCRETE ~TIL ALBd'V'E HAS BEEN SIGNED
l! I I
l h. I 7//I/trD
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DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED '1-7- 7 f
DATE
I FINAL
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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