HomeMy WebLinkAboutBuilding Permit 99-1414
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/O.~.o /
/\ IS-
ADDRESS
4fJf;9 IIIJIU,AJIA!WOOO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING (@ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~ FINAL t-. 1--. 0 PLUMBING FINAL
o SITE INSPECTION ,r;1"EC: FINAL
COMMENTS: fa-
qq -- / LJ/ ct
- ~
o I!XlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~~F~. ?
~WORK SATISFACTORY, PROCEED
/~ CORRECT ACTION AND PROCEED
o CORRECT WO:5K L FOR REINSPECTION BEFORE COVERING
Inspector: # Owner/Contr:
CALL 447-9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
i':'::-'-r~:;---DA.TE FECEIVED
. \' .
" r., I: " I
I
DEG I 4 1999
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS lSSUED (Please Print or Type and sign al bottom)
2.SITE ADDRESS ~ 0 ?;q
W dlo...OWDJ Sf
Pr-ior
1. DATE
/J./;'l/9'1
Lake /Y/ J/
leI
'J'i372-
New Construction ~
Chimney 0 Misc.
a. PROPERTY AREA OR ACRES 190 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 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
bulldl icialcan ~ke thl permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm n~~ed.lJ:8Pections.
X I L.~ I "t!J/1..
-- Signature License No. Date -
3. LEGAL DESCRIPTION
I
W6STl3U~
LOT
BLOCK
ADDITlON
4. OW}lfR
Uaut'J
5. ARCHITECT
-1Name)
'l-kUc,
(Name)
Du,.lw....
6. BUILDER
(Name)
OWIler-
7. TYPE OF WORK
Fireplace LJ
Alterations 0
Septic 0
Addition 0
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
/c' es ,q /1<-
,
TYPE OF CONSlRUcnoN: I 11 III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
J Permit Fee ................................... $
J Plan Check Fee ............................. $'
J State Surcharge ............................. $
Penalty ....................................... $
"'Plumbing Pennit Fee .qq:./4!..fIJ: 5:
Mechanical Pennit Fee ..................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
2-
POfl/ DS
PID 2~-3Z0-n/5-0
3RLJ
(Address)
'iO~q ill/jJt,..'"oj Sf'
(Address)
(Tel. No.)
&11--'1'f0- 915"1
(Tel. No.)
(Address)
(Tel. No.)
Deck 0
Finish Anic 0
Re-roofing LJ Porch 0
Re-slding 0 Finish Basemen~
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PI.AN
PERMIT VALUATION
cr.o,.,..., .C"""
S U
City:
,tf.75
I. 'SD
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. q q.../ t/-!I-/ _
~" , -
BUILDIN:Z:ATION
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"
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS
Ll ENERGY DATA
Ll
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
Ll
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
L/ () . (')0
Sewer & Water Permit 11~/"'''i:7' $ 40.00
Gas Fireplace Permit ............'f....:t:.. $
This Appj6a~fbcomes Jour Building Permit When Approved.
By ~).. /~c Date 12--/')-'7/
Certificate of Occup~cy
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $--.L5t'... 25
Paid /5(,. 2.~ ReceiP~o. . ~/4 70 +--
Issued --
Date 1'L/2S/ tf &j By
This Is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed Is requested. This document wtlen
s~~~~raryCe12te~0\1n~~p'ian~:,.'n~~~ to~o~=. :~_ ,aCertificate ofOccu 9YmU~beiSSUed.
~-~-;:r Dale ~ Special Conditions
24 hour notice for aU inspections 447-4230
~~
qq-/4-( t
Thr ("tnlu of thr t..kr Counlry
White - Building
Canary - Engineering
Pink - Planning
B.Ull.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DI1V I 0 Qu teHA r1
/7-/ /4-1 qq
, .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
40B9
1
YVIL.LOI/JWOOO ':::>f
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
- ~_..._-_.._...-... .-..... ....-....~-'_.'..
~~
cr;~ /'+( 2-
ThfCnlfr.fthfl.abCountry
White - Building
Canary - Engineering
Pink - Planning
6UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
..1-;\,' /U
.... I.
U 1< /--Ifll'-I
I
i 2-/ I L+ I '/'7
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L.f-
f
I
,
'j / L. I ,..
',.. .~
,
,
\} >"
(I.)
"I
Accepted
v
Accepted With Corrections
Denied
~I~
Reviewed By:
"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 provlsions 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 l\-()Pl9 (..l) i IldWWC)a:Q S\-
NATURE OF WORK lZ,<>-~j. F~,'.J.
USE OF BUILDING SIO\::,
PERMIT NO. '1'1- '41'-1 DATE ISSUED I'd-- 17- <j'Cf
CONTRACTOR [)ll,havYl
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
I I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
tj;J/ 5')~-
(/
I ~
Ifjl' _ :4{<>
~~]/ Yi s-
IV'
I
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
~
/h.
.
jcJ/5/'o/
..,
fiJ
/J/~/
DO NOT 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 ar.d 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 A" INSPECTIONS (612) 447-9850