HomeMy WebLinkAboutBuilding Permit 00-0459
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DATE RECEIVED
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CITY OF PRIOR LAKE "
BUILDING PERMIT,
.~ - - - TEMPORARY CERTIFICATE op'
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1. White
2, Pink
3, Yellow
File
City
Applicant
Permit No. Ob- ()
/
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3. LEGAL DESCRIPTION
LOT J t? + J 2-
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- -' ~tiinON F//C::$ .,-
15. .NUMBER OF OCC~~ OR SEATS
OCCUPANTS
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Sq.
l~e~bY certi at I have furnished information on this application whictl is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
thwbove mentioned pro and th~an-corrstructio ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
lJui' 'cial Can ra ore, I hereby agr. ee that the city official or a designee may enter upon the property to perform needed in...~e.ectio.' ns.
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License No, Dale
FOR ADMINISTRATIVE USE
Front
Back
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Side~
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. MATERIAL FILED WITH APPLlCA nON
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Side SOIL TES1S 01 ENER~Y OtTA 0
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS 0 SETS
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...... BUlij>ING DEPAR\,M~NT VALUATION /
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U~E OFBUI~ A /R-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
6.000.D~
-
SURVEY
PLOT PLAN
d'" COPIES
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type OF CONSTRUCTION: I II III IV V
~ncy Group A B E F HIM R S U
", Division 1 23 4 j ~ "::l 5"
Permit Fee .........................'.......... $---1 3 · ~
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City:
Amount BrojJght Forward . .. . .. .. . ... .. .... $
Park Support Fee ........................... $
SAC .................................. ....... $
Collective Street Fee . .. .. .. .. .. .. . .. .. ..... $
Sewer Tap. ................................... $
$
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Plan Check Fee ...............T........... $
...
State Surcharge ........... .~':~........ $
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Penalty..... ..................... .!............ $
: \* Plumbing Permit Fee .... .. .. .4.. .. .. .. . .. . $
"Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
e Permit ........ ............. $
our Building P~iTnit ~~p;pprOXi.d.~--
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24 hour notice for aU inspections 447-9850
T~q..I~~llf Ih~ Lakt COtlnlry
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White ....8uI."tnll
earn", -i!ngi,""",ing
Pink ,-:Plannlng
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BUILDING .'PERMI'T"..APp'..ICATfOt{Q&P~RTfAE~T .CHeCK~ST
NAME OFAPPLICANT -Sra.d ~D%lm
APPLlCATION,RECEIVED ----1\~ ~l'Gl) c3< (\~ D
The,BuUding, EngIneering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
65Qn 1ft}(\Od /OfUn CU'(~
Accepted .
V'
Accepted With Corrections
Denied
Reviewed By: ~~ Date: /0' '7-&0
Comments:
.ftrv~ ~ {'Hv~.~.. .~ Ifc '~2?'
liThe issuance or granting of a permit or approval of plans, . specifications and
computationsshaU 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.1I
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T_ (""I~r 0' IIw Lake COIl..lry ,
, ,White' -Building
Canary .;. Engineering
Pink " - Planning
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BUILDING ',PERMI! APPLICATION DEPARTMENT CHECKLIST,
NAME OF APPLICANT &o.a ~()4hrvAY\
APPUCATION,RECEIVED._t1~ 68~J ....cS<{)~D..
. .' : . '.' - . . . , .. . . .
'The, Building, Engineering,and,planning Departments h~ve, r~viewed the building permit
, application for construction' ~ctivitywhichisproposed at: '
. 5,F)Q()tA/(JocJI (l-lA If) ('j>,.lL
Accepted - .' ~ "
, Denied
R~viewed ,By: JYif,"~ , :&UsitC~~~ Date: '(,/~/oo
'". Ac.cepted With Corrections
,Comments: ~EE..' '/~tIA"""'.N' 'o~ 'TitlE.' K.-tJI.4SE.. S/~.
SeE, Am4C.HMfJT :. 1. rIAl..," "'Aot:.1~~CTi4,.J lJJFNtIl4",.r/ftN ~~ '
.~ z. . !lloStOAJ . CON-r'tLoc- ,c..f'.E:ASClItE.r
3. CttoScoAJ C.Alrll..o&... R,.,J
"The issuance or "granting of ,a' permit or approval of plans, specifications and
computations, shall not beconstrtJed 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 ,vioJateor cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid." '
PRIOR LAKE .f)EPARTMENTOF
· BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 5500 WoorQj &2a-~V\. ar.
NATURE OF WORK R:r.~c(f ~~
USE OF BUILDING S~
PERMIT NO. n- ~sy DATE ISSUED >-Z:;;;?c;f
CONTRACTOR ~ PMotJE~ 97,() -A4~1 J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I ~11"lol>
.
I FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL OVE HAS BEEN SIGNED
ROUGH - INS
~.
COVER NO WORK UNTIL 'ABOVE HAS BEEN SIGNED
-- I I
FINALS
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BUILDING
ELECTRICAL
~
-
DO NOT OCCUpy UNTIL AB'QVE 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 availablei card $hall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
ssoc:;
OWNER
DATE TIME
SCHEDULED ~~~
CPJ~~~ Cr
CONTR.
PHONE NO.
PERMIT NO.
(!)cJ - YS-?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.!:!lINAL
/'" SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
D GASLlNE AIR TST
o
~/,
J~/~P-~e-
WORK CTORY PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
SCHEDULED LI~~
Vt/ (/'?( / 10, I,J" c.,'r- C/I e
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
"--;5- (9(
J J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
piNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
6 'I'~J--I? r(,
DATE TIME
(y)-l! s7
~EXI~ILLlNG
o COltPi::AlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~
0\
tJV
X 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!