HomeMy WebLinkAboutBuilding Permit 99-1130
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SCHEDULED ~
5(~3 Ii....,:;- S;
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~
INAL
~ITE INS CTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~.
IN5p.
~~ =.56-
nt...6-
/
/'
TIME
i9'.~/ 3n
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
A~
Inspector: Owner/Contr:
CALL 447-98~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~\
DA TF RFr.FIVe.Q
q//3/t19
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 ADDRESS
5/53 ;fO/,& 57,e&e;-/
3. LEGAL DESCRIPTION
t. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
QQ-//30
1. DATE
9/13/qq
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
,e I'SD
12. NO. OF STORIES
LOT
20
PID
2.5-155- 022.-0
13. TYPE OF CONSTRUCTION
Fireplace 0 Septic 0 Deck 0 Ae-roofing 0 Porch 0
Alterations 0 Addition (] Finish Attic 0 Re.sid;n~ 0 Finish Basement 0 16. PROJECT COSTNALUE
Gcl.bl<<... e...d 'd. - :l-.\IO A-<a-"",,~r """'"', a.' ~~ (' -A
ISo PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMP1L7E~A~ /
Sq. Ft. Width Depth Yes No <.....-"LJ
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 property 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
bOl1'ldi officia~n rev~ this rfrmit for just cause. Furthermore, I hereby agree that the city official or a de~ee may enter upon the property to perform needed insp~tions.
X ~ u::.. \.. c::>t J:::...~. . l{C?'\') ( 'i - ('3-,'r
Signature License No. Date
2-
ADDITION /'? / Tt'!H~/_L. Pt)AlD
14. OWNER (Name) (Address)
PI<?ANK- 'BoVt..-6S
15. ARCHITECT (Name)
6. BUILDER (Name)
BLOCK
(Address)
(Address)
:Toft/'! ('!AS'/] NO V/T 42515 q,erJ/NWOOO
7. TYPE OF WORK
New Construction Ll
Chimney LJ Misc.
V
SETBACKS: Required
Actual
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT"
~.5Ig8
SEATS
FOR ADMINISTRATIVE USE
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Doe .............................. $ Pf1. ~
Paid fZJ9. t? ~ Receipt No. 3~ ~ 12..-
Issued Date ",!Jr;/9'q BY4/'/"'---
ThrjlS i ~ that the request in the above application and accompanying documents is in accordance with the City Zoning O.rdinanCe and may pr~~ ~uested. This document when
sig b Plan r constitutes a temporary Certificate!2!. Z~i compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
_ /j "I 'II -:II-
, 'l "',. Planner Dale SpeCial Conditions K any
24 hour notice for all inspections 447-9850
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT V ALUA TION I. I Otj. 0("')
USE OF BUILDING
k..." A Ii?
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
R S U
City:
'i4.(')()
~db
.9,<-;"'
Plan Check Fee ............. ................ ~
State Surcharge ............................. $:
Penalty ....................................... $:
Plumbing Permit Fee ....................... $:
~Ijqq
qJf
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
s Your Building Pennit When Approved.
Date
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS [] ENERGY DATA []
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
[] COPIES
PLOT PLAN
[]
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer ........................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
.......~.~b,.,""F:".
--'-- -
~;:'t~-
~1
/,1 / ," /
Tht Ctnlrr of lht Lakt Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED /
.t;
-'// i
,
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i
--:0.---
Accepted
Denied
/'"
Accepted With Corrections
Reviewed By:
().~ ~
Date:
q-/~-7'7
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. Permi~s
presuming to give authorily to violate or cancel the provisions of this code or otft~r'
ordinances of the jurisdiction shall not be valid."
qq-//3o
Thr Ct'nlt'r of thl! Lakt Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING P~MIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JOHN CAS"rtN'oVA
q/13//qq
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5153
Hops s (
Accepted 7-
Accepted With Corrections
Denied _______
Reviewed B(. I~ /dV ~
-~~
Comments:
I S<<iD.u~ 9~:k feu -to" Z(ec!t"cJ 6t- H~ .
Date: <=;' - { s - ? "7
"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 .. t) I 5 .3 J..I t'JtI)Q St .
TYPE OF WORK ""P.t;D ~_. '
USE OF BUILDING S F ~
PERMIT NO. Cf1 _ 1/1'6 DATE ISSUED i-l~- "l-'
BUILDER . ~~IA o~et <l~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I ~WTIJJl I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,___ #-eJ...- ~ 1"/-#9'7' I
I FINAL t~OO:;-~~M. ,."" inspectJ~ns
FOR ALL INSPECTIONS 447-9850