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HomeMy WebLinkAboutBuilding Permit 99-0822 SCHEDULED e{;T~ C&- TIME CITY OF PRIOR LAKE INSPECTION NOTICE AT ADDRESS J Co 'B 50 w ~ lAol.1M1fIN{ OWNER CONTR. ______~ PERMITNO.( 99 -J~"C- o PLUMBING RI 0 EX/GRADI LING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLlNE AIR TST o MECH FINAL 0 h-\ PHONE NO. o FOOTING o FOUNDATION o FRAMING W I~ INSULATIO . .-,:t-t'INAL o SITE INSPECTION COMMENTS: J.u.k ----.. ~ ~ -- . (/~/~ ~ ~ ' J --..-/ }if WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ' Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI ii~1o CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT QATF j:U:("':~'Y.EQ I. White 2. Pink 3. Yellow File City Applicant - I lOCO J,"/S~J QCJ-82-2- Permit No. 1. DATE 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 /~e5"O fc lz p, /qq lei BUILDING INFORMATION 11. SIZE OF STRUCTURE ('t/'~t) 'f!i"' 12/" 12. NO. OF STORIES I 13. TYPE OF CONSTRUCTION ded< 14. FLOOR AREA APPORTIONMENT USE /~P; ~.~ t'I/("/""OW NOOO (!./tC... 3. LEGAL DESCRIPTION 3 lYesT/5UR"! /' If:n;e) ~t" ~ame) { rlA~~' (Na"'e) I PnNn 3/UJ AODN. (Addresll) ~'IJ w"lowwood(i'rc~ (Address) , I b/J50 1.v1J/I>/IIJ~ {irc.[, PID 2S-3'2fP- OO::!rt"J BLOCK LOT ADDITION (Tel. No.) t.j"l/-57~<j (Tal. No.) q{.J;I- ~21~ (Tel. No.) 4. OWNE(?",r' I 15. ARCHfrT vI 6. BUILDER 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS (Address) (/peso /;vi//Ml'Jol)J ClrJp q,t/ -f7.2 '7 &.r 1J1-1i"#I" SEATS 7. TYPE OF WORK . Fireplace 0 Septic 0 Deckg,o- Re-roofing 0 Porch 0 New Construction 0 Alterations 0 Addition 0 Finish Anic 0 Re-siding 0 Finish Basement 0 16. !;;OJECT COSTNALUE Chimney 0 Misc. 'lce - //00 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT~E 17. COMPLETION DATE Sq. Ft Width Depth Yes (..I II"'? I J /q:j9 I hereby certify that I have furnished 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 ~bo~e ~ 'oned propefo/ and ~t a.1I construction will conform to aU existing state an~ 10~1 !aws and ~II proceed in accordance with submitted plans. I am aware .that the building 0 I ~ rnokf~ permIt for JUs~ cause. Furthermore, I hereby agree that the City offiCial or a deSignee may enter upon the property to perform ~eded Inspections. X :.J tI //4-f _ ---' ~ . l..--"""" ....ptgnature License No. I Ie FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o Side Side Front "ok PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REa. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS 0 SURVEY 0 SETS COPIES ~tS5 A/R USE OF BUILDING I. ';;"00. Or) PLOT PLAN o TYPE OF CONSTRUCTION, I II III IV (it-! Occupancy Group A B E F HIM Ui) Division 1 2@4 Permit Fee ................................... $ Amount Brought FOlWard ,...............,. It Park Support Fee ........................... It SAC ......................................... $ Collective Street Fee ....................... It Sewer Tap ................................... ~ $ City: S U '-18.50 31.5s .l"JS Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing PermIt Fee ....................... $ Mechanical Permit Fee ......... .... ........ $ ~lq~ 1~;P Pressure Reducer .......................... $ Meter Horn ................................... ~ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $_ j)( . Total Due .............................. LjfU. O:S.-- Paid Receipt N~ 3~ ( .'16 Date -, -~, -CZ '7 By ('ff~. rtify that the requ t in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when ner nstitutes a temporary Certifica of onin compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Sewer & Water Pennit ...................... :t :: ~Q.:a~~~.~..~~;,~i~~.~.e~" w~~pro__ By ~rt!5:..~ ~l Date 7 . I. "7 / )/ Certificate of Occupancy Issued Special Conditions if any a. 24 hour notice for all inspections 447-9850 ".\00 ~ .....:;."'-~~~.~tJ"._._-i.'p.. .M."....--"" ~ ~; _:.',I,;"~,,,," _,r White - Building Canary - Engineering Pink - Planning Tht ('tnltro' lht Llkr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T 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: \/ !]t}{ J~ L-fS(;;tb&( JcL; ~/AA./ 1/1/ Accepted With Corrections Accepted Denied Comments: Date: -; - 7-9} nIL.. "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." ~~ 99 - 5'2-2-- Thr C..nlff of Ihr Lab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT AefJ,.ICATION DEPARTM~NT CHECKIJSI NAME OF APPLICANT APPLICATION RECEIVED C/t~ c-- U /\I q 612- 7/I/ctCJ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / t,. 85D W/~ uO W W 000 (!,I.e.... Accepted Y Accepted With Corrections Denied _ / Reviewed By: (r:!.{J $,,;JG Comments: j, ~~ +lo Aed" ~~ Date: )-) -1'( "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." ATTACHMENT A TO BUILDING PERMIT NO. 99- t32,2- PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at,&s:!!50 NIU-OWWt)()D t:;1IC. _ in the City of Prior Lake has applied to the City for a Building Permit to construct new addition or 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. O~)'(~---/ CITY OF PRIOR LAKE By:Qj) It~;vi........... " t STATE OF MINNESOTA) ) ss. COUNTY OF SClJ1"T ) )"he foregoing instrumeqtjvas 'l.4mowledged fpr me this 1'1(-).., day of Jv.ly J99i, by 'f cu.J1 ~V}..,..c,.t./V-. ., The Building Official of the City of Prior Lake and {~ yo'! U"'1 L'/ /1 the owners. f~ DATE: 7-l'i-'i't . KELLY GRAU MEYER j NOTARY PUBLIC MINNESOTA My commiSSion ex~res 01.31-2000 ......~v.tV\.. ~. . ~~ I\\S! HOLDHARM.DOC /",.. PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS kP-.'.J() t,0;tlowwC)CJoY' TYPE OF WORK DQr fe USE OF BUILDING ~ t:'\\ PERMIT NO. q'7-?"2_~ _ DATE ISSUED 7:"';-7 '( . BUILDER U~Pr- . NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW . THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING .~ID/Ih'},flR~~ 1-;fJ,Q~ I ~-;;.CJ -9;3 PLACE' NO C6NCRETE UNTIL ABOVE HAS BEEN SIGNED I P ......JG I I I FINAL ~ en, 18h'/t?3 J J I , , Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850