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Home My WebLink AboutBuilding Permit 99-0851 , " ~DA"iD TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED I ; GO ADDRESS \ 41 ~ CI~'1 C:T. N. E. OWNER CONTR. PERMIT NO. ~8S' o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o PHONE NO. COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~~ {S o FOOTING o FOUNDATION o FRAMING o INSULATION.. ~ FINALV~~ ~ITE INSPECTION (' lLJ~ FII F I=i A.JALB:) )( WORK SATISFACTORY. ROCEED ;6~RRECT~ AN NO ROCEEO o CORRECT W R . CALL OR REINSPECTION BEFORE COVERING Inspector: \ - OWner/Contr: I CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl I II -r- I I ~1 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT D4T~ ClCr;Cl"C,Q 7 / 6/19 DIRECTIONS SPACES NUMBEREO 1 THRU 17 MUST BE FILLEO IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADORESS /~7 Vh 3. LEGAL DESCRIPTION / ;) LOT ADDITION 4. OWNER -r-('h/V\ 5. ARCHITECT 6. BUILDER 5d/7?~ 7. TYPE OF WORK New Construction 0 &6r/?( (d~ I BLOCK I'!ARR/.Rq6 ~me) / J I }lewe-t~L, (Name) #/1-1_<: (Address) CS~ (Address) /'JC 1. White 2. Pink 3. Yellow File City Applicant Permit No. 99~~51 (Name) (Address) ?7f';ff elsD BUILOING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) r;at . - .i.' 12. NO. OF STORIES PID .2,S-ZfJJl.J.-(){)2-0 F/R.<:;I ADOAJ. 13. TYPE OF CONSTRUCTION (Tel. No.) Ca- W7- 7~/9 (Tel. No.) Back Side Fireplace a Alterations a Septic a Addition a Deck;l{ Finish Attic a 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE Re-roofing a Porch a Re-siding 0 Finish Basement 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No 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 above mentioned property and that construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildi . ia n revoke this p it f st cause. ~ermore, I hereby agree that the city official or a designee may enter upon the property to perform need~d i pections. X ~:/O~ 7/ff C; 9 Signature license No. '/' ate SETBACKS: ReqUired Actual USE OF BUILDING BUILDING DEPARTMENT VALUATION Front 17. COMPLETION DATE FOR ADMINISTRATIVE USE OFF STREET PARKING MATERIAL FILEO WITH APPLICATION Side SOIL TESTS i:l ENERGY DATA i:l PILING LOGS i:l PERCOLA nON TESTS i:l PLANS & SPECS i:l SETS SURVEY i:l COPIES PLOT PLAN i:l /i!?6S ;q/~ SPACES REO. , SPACES ON PLAN PERMIT VALUATION L 9 DO.CO TYPE OF CONSlRUCTlON: I II III IV &2 Occupancy Group A B E F HIM -@ S U Division 1 2~4 . Permi'Fee ................................... $ 59 . ":>0 Plan Check Fee ............................. $ 58.t&>~ ."lS- State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Water Tap ................................... 'l: Builder's Deposit ............................ $ Other ......................................... It Total Due .............................. ~ Paid 9q. /3 Receipt No. Date 71/r/f1 BY~ t e r est in the above application and accompanying documents is in accordance with the City Zoning Ordi~ance and may pr~s requested. This document when anne co itutes mporary Certifi te of onin compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Issued ~~~'a~~'r' ~~;I~i~~ '~'e:it When Approved. ~ Date /- t2.-"1'7 Date City: ~ ~ C\ ~ l\ V~ ~^ '0 Amount Brought Forward .................. $ ParkSupportFee ........................... $ SAC ......................................... 'l: Collective Street Fee ....................... t Sewer Tap ...................................0;:: $ Pressure Reducer .......................... of: Meter Horn .................... .... ........... ~ Water Meter ................................. t Sewer & Water Connection Fee ........... ~ WaterTowerFee ........................... ~ '-1'1. I~ .36T,(, f Special Conditions ~ any 24 hour notice for all inspections 447.9850 '-r f-"'~ ~ .....~ - ~.. -'.- .... , -- ._- --- ...-. ~~~~~ , , rf,l-I. ,f' ,r ;---/' , /.,,, . .' ( -- ~.-- , Thr ("rnlrr of Ihr I,akr ('Ollnlry White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST i NAME OF APPLICANT APPLICATION RECEIVED / [, ! c- <.,.< ,. / , .. / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , .,} ".',', - /.L~f i '-,.. I/' ....,-'. v, / c~~-, Reviewed By: / . ----r- {J _C)f. ~ivav "t Sri'buf?J(c'J ~ 11<1 Ar.r."nted With Corrections Accepted Denied Date: 7 --/3-91 Comments: /J/L "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." . ~1 99- 65/ Tht C'C'nlrrof lhe' L.kr Counlry White . Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEfARTMENT CHECKLJ.SI NAME OF APPLICANT APPLICATION RECEIVED -ron D,f2l;,W6/.-0W '7/6/QQ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /L./74fh ~H'GfieR Y 6T-: /\/6 A Accepted With Corrections Accepted Denied _ Reviewed By: rg ~ ~ . / Date: I - r2.-7) Comments: I . Re",.,.t +L-... Deck ~ c-., 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." --- --'---'-~--r---"------'--- "-"0"--" ---- ... T"'- ".--.- '--~--'._----._--r-r--'-_.- ATTACHMENT A TO BUILDING PERMIT NO. qq~~5/ PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at /#7~ t!N5ie/l?v' l!:r. 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 harmless from any claims or damages incurred if the structure is inaccurately placed on the site. OWNER(S)/ 7~1)~ DATE: l -tS .qcl CITQY O. F PRIOR ~KE By: OIL A Its ~,2'I"Q<-'"'6'" 'P.... "r Q r t.. I- STATE OF MINNESOTA) tf ) ss. COUNTY OF ,XU ) J The foregoing instrume~as acknowledged for me this /StJ:-t day of ,IAIII ,1999,by'.y'o.u\ ~'-'"1.c,.-., A,-,--,>-- ,The Building Official offue City of Prior Lake and -r;;.~ .', )f'p we.AGtJ the owners. ,"- '/\MM. JIlL It WIHI.I1NEN e...~'!.U..~IU I - ",IOOIl{ , (\jJj .1f ' URkllVtO~w ~ N;;W;: Public HOWHARM.DOC I I J I I I '. -".,- .'.-.. PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS I~ry~ L ("\'-'oJrj QA... TYPE OF WORK ~(~ USE OF BUILDING St:'D PERMIT NO. cr9 -8") J DATE ISSUED ,-/2 -1'7 BUILDER ~ I,~ D-€.w \ o~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE IFOOTING(~) IDq:f\ 1'7-11-"J'7 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I FRAMING B.-fa,... r"d-,,I\;'J j)Qc!...'~~\Pk.I~, . I ~ - z (-9'7 oJ . - , I FINAL I 1ft ;!di}1fV Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 \ , I II I I I