HomeMy WebLinkAboutBuilding Permit 99-0884
vF PRIOR LAKE
.SPECTION NOTICE
ADDRESS ~~ Po ~ q
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
DATE TIME
'7-'1".-9'1 A.l.
I K[)/I4-N P, IJ('.,~ ~/ IlL
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
W""~OF
S u.uJey
To
OF
COMMENTS:
<;; I -n::: -PC-A N Ar::>ftEA (2.. S
1")"" 'RepR.~5eN ,A-True
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~ORKSATISFACTOJy. ROCEED
o CORRECTr; AT ~D ROCEED
o CORRECT W . C ILL R REINSPECTlON BEFORE COVERING
Inspector: I Owner/Contr:
'II
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANC~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Ii
INSNOTl
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5~ 75.LJ
SCHEDULED "71~I!cfV 4:(J[)
10ctiC\J\ ~ ~e J (' J' ('
CONTR.
PERMIT NO. ~q - (\)<><4
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~NSULATION ~ SEWER HOOKUP
FINAL D EC' PLUMBING FINAL
o ITE INSPECTIO 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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----
-
-
~ 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 ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
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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
5884 Tnni~n Rin~p rir~l~ ~~
3. LEGAL DESCRIPTION
I
ADDITION t.:?A1L-
I 9-l9OC
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
ApplicBnI
QA TF ~:U::r:I=:WFD.
.JlJi
Permit No.
ff-~f
1. DATE
7/16/99
/2/5J?
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
BLOCK
t'?,I7Cs:>e
Z- PID 1..5'ot1J/o~1,~O
cm/l..r' #Z. / ~ MP
13. TYPE OF CONSTRUCTION
4. OWNER (Name) (Address) (Tel. No.)
Dennis P. Christp-nsp..n ((:P:qTl~) 441=.h~ ~q
5. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck~
Finish Attic 0
Re-roofing 0 Porch 0
Rs-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
18. 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. ] also certify that I am the owner or authorized agent for
the a tioned pror hat all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
build! o' can ravo .. ause. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X _ ~ 7/H,/Qa
license No. Date
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS tJ ENERGY DATA tJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUI\.pING
~r...
AlE
I
TYPE OF CONSTRUCTION: I II III IV lY.:L
Occupancy Group A B E F HIM <W S U
Division 1 26> 4
Permit Fee ................................... $ s--q.0f"\
OFF STREET PARKING
SPACES RED.
SPACES ON PLAN
PERMIT VALUATION
I. '1 /'In. fl/'i
SURVEY
PLOT PLAN
tJ COPIES
tJ
City:
Amount Brought Forward .................. ~
Park Support Fee ........................... ~
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... <t
Plan Check Fee ............................. $
35.16
. Be{
$
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
G~~~\q1
Pressure Reducer .......................... 4'.
Meter Horn ................................... 4'
Water Meter ................................. $
Sewer & Water Connection Fee ........... <t
Water Tower Fee ........................... <t
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
m~i' ~-leSYOUrBUildingpermltWhenApprove~
By .A' Date '1_')t..<J,.
"-(.i ..
Certificate of Oclupancy
Water Tap ................................... $
Issued
Builder's Deposit ............................ ~
Other ......................................... $
Total Due .............................. $ RCf.Q5
Paid 11- '1'\ Receipt No. '3 5(" 7'1
Date i/-z..z...m By rzol.f
Tr9iS ice~' , at the r uest in the above application and accompanying documents is in accordance with the City Zoning O.rdinance. . ~nd. may proceed as requested. This document when
si ad b t Plan r const' tes a temporary Certifica Zoni c pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
;/;._.:u\......J .
L-?" - . citY pianner Oat SpecJ9.1 Condrtlons ~ any
24 hour notice for all inspections 447-9850
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Tht ('tnltrof lht Llllt Counlry
White - Building
Canary . Engineering
Pink . Planning
~UILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
'-"t.:.~_ i'-.." /~ \ ~?
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S~3 4' (NOIN'" (LPc;ff- Cr
Accepted
~
Accepted With Corrections
Denied J
Reviewed By: " (15' - t/) ~/('C(/J
Comments:W1t-cr<..J0 ~. ~.tPG
If)
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Date: " - ~ J.-JI'j
,1kA ~ ~/7.~c;/J{/h
"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.
PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION
The Owner of property at 58 54 {,.JPI..-.Ngoc....c~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.
.(S): --/Z d.. DATE: 7//j/f'/'
(f?J~
-
By:
Its
STATE OF MINNESOTA)
) S5.
COUNTY OF Scor1 )
I The foregoing instrument was acknowledgeq for me this /rlJ., day of
v",/" ,199.1, by fZ.ol:B..r j)i~lN$ ,The Building
Official of the City of Prior Lake and )J// d v," JifV1 r~ V",' s le "se Y1 the
owners. .' / ~
A:::/C/
, .
~'.",j.o.. KELLY GRAU MEYER I
NOTARY PUBLIC
MINNE50T A
I/!tlllmmlsslon e!plres 01.31.2110O
.,,~~..V^++V^'A.."" ~.
Notary Public
HOLDHARM.DOC
" ,
..PRIOR LAKE
INSPECTION
RECORD
((,'&:;.p Q.n-c..J-p
o
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS SP,~<.JLlArl...l.I'l/\
TYPE OF WORK l\M L~
USE OF BUILDING S~ D
PERMIT NO. '7'7 .. ~R L(
BUILDER (l~At l~t...A.A ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
-THE PERMIT IS BY SEPARATE DOCUMENT
DATE ISSUED 7-2 { - 9 (
,
INSPECTOR
DATE
'FOOTING W-~ I ~ 18-1-9.1
PLACE NO CONCRETE UNTIL ABO~E HAS BEEN SIC-NED
l FRAMING &\oo~ T"'~h..IlI",:D?ck,'~ I I 1 ! 1"1 '1'1
,.. ..-
j F!NAL I~. I 1/3//~v
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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I PROPERTY OWNER: Upnn;" P "nd Marl1 yn r.hri "FQnSQn
I ADDRESS: ~~~~T I;~~:n :d"" ~~:::p ~E
I TELEPHONE NUMBERS: I ~~::~55~tn_"naa\
I SIGNATURE: I .. R _ j /J_
I 1~~..-1' (' f- ~ -...,
I LEGAL DESCRIPTION: 10ak Rt.1"" r.n1tT~ ls~ ,a,ililiHM
I Lot -007 Block - 002
I PID NUMBER: I R ?'inR'W~?n
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:
I. 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 staff review 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
~ APPROVED
COMMENTS:
BY:
/I 11 ! I
U I I. ~. /,-/1.L
I'\...... tv - I!vv:::r!,!Vj
,
I: Ih.ndw IsI \ya; ,er .do"
16200 Eagle LreeK Ave. ~.E.,Prior Lake. Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQllAL OPPORTt lNITY EMPL.OYER
II I