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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,.'''_..'."'_.-. ._ __, _ _ \