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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~- '-~ ~J;~~I ;::- 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 -,- 6~~ ca,1:' pl::r.ElYEQ (p / / /q 1 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 " \ 1 1 I