HomeMy WebLinkAboutBuilding Permit 99-1341
DATE TIME
b/11J1J 3 ><17)
5/7/ HOPe; ~I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING (flJ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
'liifFINAL cSAeAq6 f'([))1J;J PLUMBING FINAL
/[JSITE INSPECTION 0 MECH FINAL
COMMENTS:
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Inspector:
Owner/Contr:
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
PID _25-/55 -1)2.3-0
PONn
;fi9~{i{.! IV/:. (TeL No.)
I (P/Z.),!9.;.- 9~2.
6.1lUQIlA . (Name) (AddressI/8f1'1r,~R{)ef:el. No) 6.f.z,
Uo/&jV flPlllltJrl/66;/I-t. t.~~ ~-~:u..
7. TYPi::OF.WORK Fireplace LI Septic 0 Deck [j Re.roofin~ Porch 0
New Construction 0 J}JterationS)W' AddjtiO~ Finish Attic 0 Re-Sidin~ Finish Basement 0
ChlmneyO Misc. ~ <;::T1IU, ~ J"IOI>I17LJN _
18. 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 10 the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above me ad 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
I revoke th~pe~or just ~~ J hereby agree that the city official or a designee may enter upon the property top~. to,; _~. _ ad In~_ s .ons.
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~ature - License No. --
\_,'-_._-~_...-_.~,--
I DIRECTIONS - - --
SPACES NUMBERED 1 THRU 17 MUST BE FillED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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3. LEGAL DESCRIPTION
2 / BLOCK 2-
/-J/7??HF-LC-
LOT
ADDITION
14~mt i /AM-Ai /3<rIdl:ei/
5. ARCHITECT (Name) r (Add~S)
1. DATE
II///,,/qq
j
E/SD
(Tel. No.)
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq- /341
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
OCCUPANT~
SEAT~
16. PROJECT COSTNALUE
~ o(!)~,An
17. CciM~ETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
USEOFBUILDING _ IZt5.s AlP
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION '20. I!>O"'). 19":>
TYPE OF CONSTRUCTION: [ II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ................................... $
2672.5
/~t>. 7/
I().O~
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
C~~~q~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ........................ $
~;'"f :*....:::;::rr-~
" '7'1.../ \
Certificate of Occ ~ncy I
Issued
,
MATERIAL FilED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA D
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS D
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ............. ........ ...... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
24 hour notice for all inspections 447.9B50
Special Conditions ff any
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. CI:
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... <I:
Water Tap ................................... <I:
Builder's Deposit ............................ $
Other ......................................... !t.
Total Due .............................. $
Paid 9tP
Date q By
est in the above application and accompanying documents is in accordance with the City Zonin 0 rnance and may proceed requested. This document when
f onlng compliance and allows construction to commence. Before occupancy, a Certificat of Occupancy must be issued.
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Thl' ('I'nll'for lhl' LlkI' Counlry
White - Building
Canary . Engineering
Pink - Planning
flUILDING PERMIT APPLICATION nF:PARTMENT CHECKLlSI
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
Reviewed By: IJ"lL.,-t':1l. e....ESMAHJ
Date: JI/I~ /99
Comments: 'n..I~_ E..Jr""..JU&fU(~ .f)E.PAR.1"MEIJ'r .:t:a. Milk Ala /c:,.<:;UEf:> IAJl'rl-f Ti.J''S.
p/?t) JO..,~ Atilli-r/"N.
"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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Thr Crnlrr of lhr L.kr Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKIJSI
..~...,
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
!
Acceoted
Accepted With Corrections
Date:
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"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."
~~
C/Q-134-/
Thr ('''"lu of tht' L.b Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHf:CKLlST
NAME OF APPLICANT
DES/G/\/ A-DV/lI'./T/7Gb
111/& ICJC; 1
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.5/7/ I-!()P6 ~I
Accepted
Accepted With Corrections
5.6.
~
Denied ') ,/ ~
Reviewed By:0c:.j)~.~LJ
Comments:
I. 1'1"," ~-.l..... 0a:...'T."- ~1
Date:
/ (- 2 q -'i?5t
"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 5171 I-Iopo SJ
NATURE OF WORK p.,&~j:~.......1'--1.
USE OF BUILDING ~ f:' f)
PERMIT NO. orCJ - I~ L( ( DATE ISSUED 11-7 "I
CONTRACTOR J~<l.'1t- .A.Q.v,.J- ~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU NT 1
I FOOTING I INSPEC I 1 VI l~i q??
. ,
, FOUNDATION (Prior to Backfill) I (1) I~hd '<l1 I ~ \
PLACE NO CONCRETE UNTIL A'l30VE'HAS BEEN SIGNED
ROUGH - INS
I
FRAMING
fN€UlATIO-.N
ELECTRICAL
.
Qf.
v
3//7/trb
HEATING (if required)
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
.4
O:r,
b / Z z..! ()'t)
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HEATING
DO NOT
N~
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 enlrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850