HomeMy WebLinkAboutBuilding Permit 99-0649
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
11-30 -11
ADDRESS 5J.90 L~ ~ s:e
OWNER CONTR.
PHONE NO. PERMIT NO. 79-0'17
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION @ o SEWER HOOKUP o FIREPLACE FINAL
'l!(. FINAL ~ o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
(iJ a-dif/ -~/I ~ ..), ~/'
,.. ~r> J.j/.
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
;1L4.
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
MAY 2 8 1999
Permit No.
qq-? L..Jtj
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
$290 l..friJ.~y rlt-...lp 'PI2~C"',c )nY:,; 1\11"{
3. LEGAL DESCRIPTION "
LOT I () BLOCK
ADDiTION L/.l,,-k:e.s "d~ M-A Un R
1. DATE
5-25-'1'1
Q.\~l)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigllt) (Width) (DePth),
-.i' I l::l
12. NO. OF STORIES
PIO _? !i"'i)}=;-t'11.:5/1
14. OWNER (Name)
CARed RLlS"ELL ~i.:md
5. ARCHITECT (Name)
(Addr.ss)
.5Z90LE..LEV C_~RC.LE
(Address)
(Tel. No,)
'1~IO- 1.3'17
(Tel. No.)
13. TYPE OF CONSTRUCTION
1.</00 J. .f12A1'f\
14, FLOOR AREA APPORTIONMENT USE
.2'1CJ.54 fr
6. BUILDER
(Name)
(Address)
(Tel. No,)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK Fireplace CI Septic 0 Deck. Re-roofing CI Porch CJ
New Construction 0 Alterations 0 Addition 0 Finish Attic CI Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. ..s J ,000
lB. PROPERTY. AR. EA OR ACRE.S. 19. .PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COM'PLETION DATE
Sq.Ft. LfSS1"\' ,11 I p..U?C WIdth Depth Yes No 7- IS '1 q
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 aU construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
building icial can revOk.Vhis ~it for just cause. Furthermore, I hereby agree thaI the city official or a designee may enter upon the property to pertorm needed inspections.
SEATS
x
Signature
License No.
0.10
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
tiC, HI r(
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION '2.000. 0Cl
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
USE OF BUILDiNG
/
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
R S U
City:
Amount Brought Forward .................. cr,
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .............. CI::
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
MeterHom ................................... $
WalerMeter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Plan Check Fee ............................. $
(oL.:J..C:-
QOA7
I.c>o
c.vl)
h(,~/~4
State Surcharge ......"..................... $
Penalty ....................................... $
Plumbing PennitFee ....................... $
Mechanical Permit Fee ......... .... ........ $
Sewer & Water Permit ...................... ~
Issued
ifJ3.71-
Paid /Q~. 7'2.. Re<:eiptNo. 35e>Oe
Dat. t../I~/(j'q By ~
uest in the above application and a..."",., ,......,ying documents is in accordance with the City zoningbrdinan~e and may proceecKas requested. This docwnent when
consmutes: t~porary certi'[;jo} 'fJnPliaoce and allows construction to commence. Betor. occupancy. a Certitkate of Occupancy must be issued.
ann - . Oat Special CondItions if any
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
~:: :~:~:.~~.i7~~;I~i~~.~e~jt When Approve~.
By 77.- k!(I_s... ~ Dat. &r/o .'is
1 \. - f
Certificate of Occupancy
,
24 hour notice for all inspections 447-9850
White . Building
Canary . Engineering
Pink . Planning
Th~ Crnln of lhr L.kr Counlr)'
B.UlJ-D1NG PeBMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!2U55d/ )(r;/s!ac/
5-;]6'-99
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5::{C)o !.etUkL/ {I/rd~
,
Accepted
Accepted With Corrections
y
Denied _ ;:/
Reviewed BY:( ~~ /f //
- I" 2l
Date: & -fO-yo/
Comments:
I. eeo.J. ~ Oee-lc... t\-c _0 ~
"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."
<""';f"'''--'. .~.
.',. "",~,,,,,,",>-,,"""'(.,--"".' ,,~, -"""",~~,.
~\
White - Building
Canary . Engineering
Pink . Planning
Thr Ccontcofof the LlkeCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.ii
/.
/j
.'~/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted _ ~ /
Accepted With Corrections
Reviewed By:
I/lLtJ!.J~
Lft- ~ Cuit1rJta/1
1/ ,
J waii/€.;/ /{L c:,IiVI}eJ,A
- ~U {j
Date:
101/\/77
. ,
Denied
Comments:
/)jL,
- D~ -~ ~{~~o1;^r
"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."
REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
. I PROPERTY OWNER:
I ADDRESS:
I TELEPHONE NUMBERS:
I SIGNATURE:
I
I LEGAL DESCRIPTION:
I PID NUMBER:
I CAI=<DL ~ RUSSE.LL ;::OLS\ Ad
5291') LEMLEY CIRCLE
I PRiOR L1.l.KE Mt\! 55371
Cloi 2) 14L1 0 - io3 fj'l
If? .,,'~ (;;:s::J;
LoT III BlLYl:::
)
LA-I<,; .$,;.],= MAt..l(")R
2.50-'1501.50
A request to waive the survey requirements will be accepted only for the construction of
decks. Prior to the review of this request, the property owner must provide
reasonably reliable evidence in the field of what he/she believes are the property
boundaries. This request must also be accompanied by the following information:
1. The deck must be drawn on a site plan to scale. The site plan must identify
dimensions of both existing and new structures, and the distance from any lot lines.
2. The property owner must sign an agreement, prepared by the City, holding the City
harmless from any damages incurred if the deck is placed inaccurately on the site, or
of it irifringes on any setback requirements or easements.
3. The property owner shall pay a $50.00 fee for the staffreview according to the
adopted fee schedule.
Once a request is reviewed, the staff will schedule a field inspection and review all
available information. The Planning Director and Building Official will then make a
determination of whether the requirements may be waived.
For Office Use Only
ACTION
~APPROVED 0 DENIED
COMMENTS: ~ N-fA~ A-I~ ~ <Q) l t ( ~
~ L.-~' ",-) O~ ~
BY: 'I~ V'^. ~
1:\h.ndppts\'Yai~er.do<;. V
16200 Eagle ueeK Ave. :::>.E., Prior Lake, Minnesota 55372-1714 I Ph (612) 447-4230 I Fay. (612) 447-4245
-~,~
AN EQllAL OPPORTUNITY EMPLOYER
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5:2'10 '~-"l.<AI~,-< Q,.,
TYPE OF WORK ber lc 0
USE OF BUILDING S\=:D
PERMIT NO. C11'-u.'1'1 DATE ISSUED f,,-/rJ - CZ ~
BUILDER _ t^ '::-I-r.,,:P
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
- ~
l FOOTING (.f) I ~lt I (0-01-9'1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
INSPECTOR
OATE
I FINAL
~
~ I 11<30-Cfff
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
..__,,_ "',___'_ . .,_.~_.. .__.u,.'''_..'."'_.-. ._ __, _ _
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