HomeMy WebLinkAboutBuilding Permit 99-0497
DATE TIME
CITY OF PRIOR LAKE (/ hlJfJ
INSPECTION NOTICE SCHEDULED ~ S {/} J
ADDRESS 3~'7 / G () d')~ c31-re..eA--
OWNER CONTR.
PHONE NO.
PERMIT NO. 99-L/CJ 7
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
,E}NSULATION ~D SEWER HOOKUP
~ ~INAL () 8CJ<:,. ~D 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:
rJ-,-
[&~ .~~
bo1 WORK SATISFACTORY, PROCEED
;; CORRECT ACTION AND PROCEED
o CORRECT<.~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: '. ~ ( Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
[NSNOTl
-_.~~.-...~.~ I
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QAIE...ffi;CEIVED
5 /tp /qc;
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
-317/ &n~ <; sf-
3. LEGAL DESCRIPTION
LOT
tJ
2-
PO",," S'
PID 215- 2.95-0/i.{....O
13. TYPE OF CONSTRUCTION
BLOCK
ADDITION
4'a~R
b
5. ARCHITECT
Wt~t-~h'}f
(Name)
6 rIA ~~fc.2 ~~11
(Name)
(Address)
Drat \ sI-
(Address)
6. BUILDER
(Name)
(Address)
'7L~ .~~)W ~r
7. T'fPE OF WORK' Fireplace 0
New Construction 0 Alterations 0
j 797 Wfi~,J ~<J-
Deck ~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
V~7 ~717
SEATS
16. PROJECT COSTNALUE
'0fJ0
17. COMPLETION DATE
Ct --10 .- yr
Septic 0
Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-Ljq7
1. DATE
$ :S-1Q
/21
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
(Tel. No.)
L/<tO.5Yf2,.,
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
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
:Uild~ ~hiS permi~or just cause. Furthermore, I hereby agree that 2 ~b0351)~ ~ignee may enter upon the property to perfO~3~~ions.
, Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 't)() . ~N
Paid <r 0 . .., i Receipt No. -g S1 " ,
Date <It" /~" By ~
This is certify that the r~~~he above application and accompanying documents is in accordance with the City Zoning Ordinan~e and may proceed (J, requested. This document when
sign by he n;,"er~td!~ Certi~ f'IZ:q 1mPliance and allo s constructipn ~ ,co~mence. fore occu ncy, a Certificate of Occupancy must be issued.
;;... .?/~~nner Da e Special Conditio . any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
lees A/e..
,
PERMIT VALUATION
1.5CYJ,OO
TYPE OF CONSTRUCTION: I II III IV Ut>
Occupancy Group A B E F A I M fR) S U
Division 1 2 ~
Permit Fee ................................... $ ((E!;. SO
51.5""3
.7S-
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
t~t
~"
'J
Sewer & Water Permit ...................... $
Issued
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS", SETS
SURVEY )(' COPIES
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
24 hour notice for all inspections 447-9850
TO"
~-,;,^-,......-.~-- :_',"--:--',~f-O'"Wf:"'~'-~~~' -~ ~~;:':::~-^:.:"~ - ..r:....... -'~:~.:~~:..t:'C'- "'--:-';l~---'-'
Th. C.;".r of th. L.k. Country
White - Building
Canary - Engineering
Pink - Planning
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 - J
Reviewed By: ()t?f.;J/'1J(;f4 Dat~: c: -(1-'14
Comments: ~ ,~ ~)l:{c/L...
Accepted With Corrections
"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."
",
>
. .
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ATTACHMENT A TO BUILDING PERMIT NO. Cf1-L/Q7
PROPERTY OWNER ACKNOWLEDGMENT FOR NEW DECK
CONSTRUCTION
The Owner of property at :3Z 71 (! (?J5:5 Sf in the City of Prior
Lake has applied to the City for a Building Permit to construct a new deck. Prior Lake
City Code Section 4-1-7 (A) requires a Certificate of Survey, prepared by a registered
land surveyor, as part of the Building Permit application for all new construction. The
Owner has requested an exemption from the Certificate of Survey requirements as
provided for in Section 4-1-7 (D) and (E). In consideration of the City accepting a
marked site plan or survey in lieu of a new Certificate of Survey, the Owner hereby
agrees to waive any claims against the City and to hold the City hannless from any
claims or damages incurred if the structure is inaccurately placed on the site.
DATE: 5-b j?9
-
r
CITY OF PRIOR LAKE
By: Q ()~ .~
I~~:rl."(l~~
STATE OF MINNESOTA)
tf ) ss.
COUNTY OF yo )
,'I
!
The foregoing instrument was acknowledged :D r me this
!l1LlU ,199 q, by'"7) }
Official df the City of Prior Lake.and
owners.
bc.;i1 day of
, The Building
the
.~
Ie JIU.IC. 'NEHMAN .
-~~~~l
Cdt ;(lud~~
Notary~ublic .
HOLDHARM.DOC
99- '-197
Thr Crnter of thr lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
7HOI'1AS IHOMP50N
S/fP/qCJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3871 ~ROSS 5/~661
Accepted
Accepted With Corrections
y
Denied ) /7
Reviewed Bld~A
Comments:
Date: ';""-10 - f T
I, RQcd \-k OQCk.. l~oJ-
"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 3P}11 Qt-osc:. S\~~.\-
TYPE OF WORK C2q_rr~
USE OF BUILDING ~~ f\
PERMIT NO. '1 q - t{ 97 DATE ISSUED 5"- /0 - { 7'
BUILDER \ 1 ~a..~ 'lI/\~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I INSPE~ I {,..-l( .:;y;
PLACE NO CONCRETE UNTIL ABOVt 'HAS BEEN SIGNED
I \; I
I hi I i!8d/~
. I / f
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
r
FINAL
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