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
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}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."....--""
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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
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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
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850