HomeMy WebLinkAboutBuilding Permit 99-0653
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-15-17 /:30
ADDRESS
5~ 10 ('nJ ssan:f.. ra.-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
91'-&:1..3
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION tT:J\ 0 SEWER HOOKUP
J>> FINAL O€cK. '<.!5..J 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: f[JJ OJ 0_ .~ ;;'..:t;, .vd-
LuA ~ n-;! ~ ~fL ~-::...r ..J!~ , ~
P~. ~ 7Ll Ju::;/-o~ I~- '-~
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7LWwf ~ J7~.M<dI -
. ~) ".~
(/('/~ ~)
o ~K SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRE<; '(\7'1' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
I '
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,1. DArE
I. White
2. Pink
3. Yellow
File
aty
Applicant
Permit No. qq - bE ~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.IlITE ADDRESS
t,Se,cJt;) (' ~~r4.nA-
s. L!GAL DESCRIPTION
b- 1- 99
.Q1l~1L. LAN=-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
9-
~
12. NO. OF STORIES
LOT I,.....,...r- - '!' I -":Z. BLOCK 00:> I
ADDITION _,'''+- (' ~ a,l\:> A.'-- Q,.J~..--
4,'ONNER (Name) /'_ (Address)
, IZ ~t>.\^<.I S-_<-l.A+~ SiS<10
5. ARCHITECT (Name) (Address)
PID ZS- 2'7'1"/3 D
13. TYPE OF CONSTRUCTION
, (Tel. No.)
(J2.0s.~ 44-t-.]$t;L
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
~
, ",8\JILDER
~'f
7. TYPE OF WORK.
New Construction 0
(Name) f'
<r .....~+..u...
Fireplace 0
Alterations 0
(Address) _ I (Tel. No.)
~ERo .('12n.~dL4- ~ 2'iTt, Z-
Septic 0 Dec~ Re-rooflng D Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
ll!>"ROJECT COSTNALUE
,t2.S0642
,ILc'oMPLET,ON DA fE
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS /10, CULVERT SIZE
Sq. Ft. Width Depth Yes No
r 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 pro rtY and that all construction will conform to all existing state and local taws and will proceed in accordance with submitted plans. I am aware that the
building off . this pe~ust cause. Furthermora. r hJrflby agree that the city official or a designee may enter upon the property to perfo... rm needed inspections.
. '2 _ _- ~~./,r ./--- ~- /- '1<7
~ / Sifl'8ture License No. Dale
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
CJ ENERGY DATA
LI
F~l
Back
Side
Side
BUILDING DEPARTMENT VALUATION
PILING LOGS CJ PERCOLATION TESTS CJ
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS CJ
SURVEY CJ
SETS
COPIES
~fS5 A/12..
USE OF BUILDING
~ CXl"-, . Ih
PLOT PLAN
LI
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H IRS U
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. It'
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ C:
Other ......................................... C:
City:
p/l.;;)<:)
C;{ 0 .77
") .()()
Pennit Fee ................................... $
Plan Checking Fee ......................... $
~"'"
LL\~;-~
I
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Subtotal............................... $
Th~ ~m~s Yrf ~d<ng Pennll When Approved
BY~-:::Y! y Oate (,,-2--'1'7
CertiflC8te of Occupancy
Tolel Due .............................. $ JA./S, {17
P.,d 145.97 RecelDINo .~S31"l
Date ~ I ~ /qq Bv d1I!<./ I
request m the above application and accompanymg documents IS In accordance WIth the City ZOOlng Ordmince and may pr~ r~ue:;ed. ThIS document when
n a temporary Certioc.r*;,1 ~or~mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be Issued.
~ Special Conditions iI any
Issued
24 hour notice for all inspections 447.4230
--,
--*--
.._'-.............,.- ~ :~:,,--r.:...r. ~-:-
~~
While . Building
Canary . Engineering
Pink . Planning
The ("tnler of Ihe L.k" Counlry
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:
!
Reviewed By:
/
{J -~, J~
(J SQ;t(oqCkO M~
Ii II
Accepted With Corrections
Accepted
Denied
Date:
tt;lrl9i
Comments:
tJ/L
"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 Qther; 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." .,'
~~
99~653
White . Building
Canary . Engineering
Pink - Planning
Thr ('rnlt, of Ihr L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
RANDI./ 5 (!.,HAF/5t:Z
fLit /q9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5BQO ~OSS~ND€A SI 56
Accepted
Accepted With Corrections
v
Denied , ) {!
Reviewed By: (Iff e ~ /""
Comments:
Date:
&'-2.-"7 '7
I, \4,~ ~ Jpdc hv-~
"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 58'70 (l"",~
TYPE OF WORK The~
USE OF BUILDING SFf)
--'
PERMIT NO. 9<1-/. ')~ . DATE ISSUED (p - 2 -11
BUILDER ((~~ ~.fer
NOTE: THIS IS riOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
/FOOTlNG
PLACE NO CONCRET:
/ FRAMING
41. a"l I
NTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
I /;)- I I-()~qq
Call between 8:00 and 9:00 1i...J~ for all inspections
FOR ALL INSPECTIONS 447-9850
"
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