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Home My WebLink AboutBuilding Permit 99-1309 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED j.<t.'/)o DATE TIME ,).30 ADDRESS / -6 ~ g 7 PwoJJA/4',. iA OWNER PHONE NO. o FOOTING o FOUNDATION ~FRAMING ~ INSULATION o FINAL o SITE INSPECTION COMMENTS: ()Jr ~. ,-?/r CONTR. PERMIT NO. 19 - /309 )( PLUMBING RI ~ MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~ ~ v ~~~ , ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: /lv;, , Owner/Contr: CALL ....7-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNon ----------,~--- 1:'$0 1. White 2. Pink 3. Yellow File City Applicant Permit No. QCJ-/3C/j DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE ADDRESS /"/1' jJrtY"K-VI~..u 3. LEGAL DESCRIPTION LOT .<;/ [)h S.1=-, 1. DATE 11//3/11 puo BUILDING INFORMATION 11 . SIZE OF STRUCTURE (Height) (Width) (Depth) 12, NO, OF STORIES ADDITION CA...O:..........) 14. OWNER (Name) IYAN Nt!1lm e,...y- 15. ARCHITECT 6. BUILDER BLOCK / AJ.'nf!D 't"J. :V' t') PID )"'1 - 3/" - () 0;;;0 AAiJ: '7 /,,"" (Name) (Address) ~S'7"c; u.IJ.... rE.. Dr. (Address) (Tel. No.) Po 1... ",,,,?-I,tf7 ", (Tel. No.) 13. TYPE OF CONSTRUCTION r-,'" :"n 4tP'"!f1 a.~ I 14, FLOOR AREA APPORTIONMENT USE (Name) (5AI11 e-) (Address) (Tel. No,) 15, NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK Fireplace/< Septic 0 Deck 0 Ae-roofing 0 Porch 0 New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement~ 16. PROJECT COSTNALUE Chimney 0 Mise, J tJ, "t!J tJ 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMP[ETION DATE Sq.Ft. N. 2?t.I I::h Widthr~!!DePth !!~. ~ Yes No fYlt1Af ~ :JtfJ(7CJ I hereby certify that I have fum~ed infonnation on this application wflict JS 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 stale and local laws and will proceed in accordance with submitted plans. I am aware that the building Offi~ ;ke this ~~ cause. Furthermore, I hereby agree thaI the city official or a designee may enler upon the property to perform neede i~ections. X "~7,'- /J/ Ut:/t;/ y" - ~ .~e~ # SEATS FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION Front Back Side Side SOIL TESTS o ENERGY DATA o FF~C; AIR OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~o .00 PIUNG LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Division 1 2 3 4 Pennit Fee .................. ......... .... .... $ ~'7.~'\ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ............................... ........ $ 1''1 _/"::ucq Plumbing Pennit Fee ......... .~.f... $ Mechanical Permit Fee ..................... $ 2..00 Sewer&WaterPennit ...................... $ Gas F'reptaea Permit ..9.cz.:.!.~~1... $ 40 .0 C) This ~Ii~,@ecomes YoI/} Building Pennit When ~p~~esi, Ii" By ~ _,.,~ Date JI ~ 7 L r Certificate of Occupancy Pressure Reducer .......................... $ Meter Horn .................... .... .... ....... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WalerTower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ '+0 . 00 Issued Total Due .............................. $ /C; 9.2S Paid I c,., ~ 'Z-<; RecaiptNo, 3,(,..50 I Date \ \ I '" }q., By(Z.ill-\ Iln the above application and accompanYing documents IS In accordance With the City ZOning Ordlnance and may proceed as requested. ThiS document when nstitutes a temporary Ce~~of r~i~ compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. CRy P anner [Jatl f Special Conditions if any 24 hour notice for aU inspections 447-9850 ,--. "'Y!'#!'~:~,: .~-;;_:.; r-'".',>,~,"':u' ..,.-:._',.... ".., ~;'~, ";~;tt.. ~~ '.-""l/;r>. _ /'~" (;- ,~;, i "...... . / White - Building Canary - Engineering Pink - Planning Tht ('tnttrof lht Like Counlry 6.11iL.DING PERMiT APPLICATION DEPARTMENT CHECKLI~T NAME OF APPLICANT '/.J ,,' ; :" n 1\../ l' /f'.' C/.,. /<' , -, '-- APPLICATION RECEIVED I ',' , .. / L.y- i '.. ,r, I / '; The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .' ""/ .,-;... -~! ' ) -) . i / ,)".,_. ,I I') J ' ,--- ,_. It, .:..--1:.. l I /. f:.., f..-. v' It:;... I \.J ":..J~_. ,~.:~> t... Accepted / Accepted With Corrections Denied t/;-a ~ Date: .v/) ~ -d~ l~v It Ifl'l <1 . . Reviewed By: 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\/iolation 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 C9de or other ordinances of the jurisdiction shall not be valid." ~~ QQ-J3C1 Tht ('tnltr of lht L.kt COllnlry White - Building Canary - Engineering Pink - Piannlng BUILDING PERMIT APPLICATION DEEARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / VAN j\/OHNER- j / / L/ /qq , , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /h2B7 Pl1iCKVlbVJ _O~. s. 6:. Accepted ~ Accepted With Corrections Denied Reviewed BY~-- h y Comments: Date: /(- <(-9 '7 ~ ~. "1:;;""'D"'. A- ~"-~ k~. "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." __..._____--------..n -~---,.--.-..- _ .-.,.,..~.-._-,,--. ._-_....._.__._-_._..~-- ....------.-......-.-- ---"-"--'-"-'_.~----"'--~-"--------r-'~-- PRIOR LAKE INSPECTION RECORD SITE ADDRESS . II~R8tt ~\I1f'lJ..) J1-. NATURE OF WORK 13-n,,",., ~ t\A 4 USE OF BUILDING 'SFD PERMIT NO. 9'1 - I ~a 9 CONTRACTOR ~l",^ ,^g.-- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION DATE ISSUED /J- tf-? '7 INSPECTOR DATE I j II) I I i PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST - (()) / / <If (JV ffdJftpv I / 1r2V J / </Iym 'P/J) )/ <f/rRJ IV IltA I .if".- I I I /.;l-.J.~5fi I/h),l .1'1 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT ( /))a,6~/oo 1/ <:. 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