HomeMy WebLinkAboutBuilding Permit 99-0894
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
8/Z/ljt, 2 :32)
.4I5EQ Ht/~NIN48/.€D
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
QC;-201 r19-J/9f
o EX/GRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
V.!IISULATION
~INAL .
o SITE IN=ON
O..pLUMBING RI
)li"MECH RI
o WATERHOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
COMMENTS:
~-
(~-;) ~
Ci... tJUA..> ~
I.. 1...
+,JL.,{L
f~)~l~ h
.~ -
(i) r~~ ~v.. ol, .n" dJ... r ~ I
. vk:.e-4W..& ~~ -.. ~ It:::&..J' '\
~"i <'":. rt14 -
rc.JA'&<- ~,..... .:~. ~ '.~~~~-
~ ' Q.;>.= ~'~
~SATlSFACTORY: PROCEED
o CORRECT AND PROCEED
o CORRECT LL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~ENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
/
1 ~Z- !1~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
l..J~ ~rI,4,f.""! f-4 t' ~yr !- .',-/ r;.
3. LEGAL DESCRIPTION
"3
LOT
BLOCK \
~ W At>D
ADDITION
4. OWNER
1;/H
5. ARCHITECT
~05 HILl..
(Name)
#/~ -e--.
(Name)
(Address)
0/<;;' 7'Z l'':~
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 1q-R~
1. DATE
(2.- ,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID
1...5.. ~ ~ oo'!>-o
13. TYPE OF CONSTRUCTION
/.J1r
(Tel. No.)
~/~- A::J/ '7
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
1/~;Y1~ G".J5r. OCCUPANTS
-t;a? .~~ '€- '7~7 T~~/s.//r SIl.c:JJC.t:>r~/1'J,tV SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 -
New Construction cj Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement ~ 16. PROJECT COSTN ALUE
Chimney 0 Misc. '::] .~~ $
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. A. Width Depth Yes No
I 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 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
:uildin~ r~ ~i~or just ~use. Furthermore, I hereby agree that the c~fficial9 :;ignee may enter upon the property to perf? ~'3~;;t
". Signature ~ '.(; . License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
kES
,
A/~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
Co2. 25""
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ..11..:.~1..t... $
1.00
4-0. ro
Mechanical Permit Fee ..................... $
Issued
in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
. utes a temP.9rary Certifi7f,~r~liance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Date Special Conditions ~ any
24 hour notice for all inspections 447-9850
to (~~e requ
by Ol;;}Jflner n
.. '" City Planner
City:
~
1~~
/t'
Side
o
~
PILlNGij)LOGS ~ _
PLANS 0 SETS
RVEY 0 I~
ollectzetFee .. ........n. . $
~ tt<...........::::::::.:-:::::: :
Meter Horn... ........................ $
Water Meter .... .......................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
TESTS 0
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ jJt)oz,. 2~
Paid ReceiP~lk, :Ie;- JjOJ,
Date 7- 4B ~ Of( By 1t15-
\, ~'1
Th. C.nl.r of th. tak. Country
White - Building
Canary - Engineering
Pink - Pla~nlng
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:
/
'.
Accepted\/
Denied .
Reviewed By: (1/J). ~~
'0/ VfJ - -
Comments: f/
Accepted With Corrections
Date:
l/;Y3) 1i
"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."
. i'
..
94 -8,4
Th. C.nlor of th. ".k. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ Q(--(Y\e-5 CO'^-'S',
(/~2--(~cr
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
45 B9 ~UvY\f'l1I;\J ~ G uz.o l (L
Accepted ~
Accepted With Corrections
Denied () /J () rJ
Reviewed BY:~ f ~A
Comments:
~~ +L-L Ku.~ '~lA~
Date: /-2i
~cnJ-
"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 Ll 5 8'1 I-L ""^\~i\A~t VlI't-c-l \~
NATURE OF WORK \3o..~~ ~\.A\~ ~
USE OF BUILDING St: \)
PERMIT NO. '14 - ~ '7"\ DATE ISSUED ~ -J,J- cr q
CONTRACTOR \ oW\ .\-\,." \\~^ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
()f) 7,~' / fIJ
1/
(If;? ~.91f'IJ
If /J.J 7/c,~"/f"9
(/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
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 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