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Home My WebLink AboutBuilding Permit 99-0885 ADDRESS 553/ DATE TIME SCHEDULED ~ 2,,1 aD j'1c;qt:XJwV I BW c;r- . , f OF PRIOR LAKE ,IoISPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. qq ~ 86b o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION R\ 0 SEWER HOOKUP ~FINAL J>E~ 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: A1Al Q~ ~ ~ ~C_..i'!l" I ~' 'c~g) ~ ' LK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT "l>O~K. CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I . OWner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANC~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl -.-+-.-..- II ----..-----.---------- &~~ 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 JUL , 81999 Permit No. 9?-~ DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 1. DATE 12. SITE ADQRISlIS 55!. \ Y'l\'l<:>'~~--'> 3. LEGAL DESCRIPTION "I~ c~. 'S. t. '7 -/~ - q~ PVp BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) t;" ADDITION ~O(/'JA-c.. LOT BLOCK '1-- PIC (L, 0f;4' Sf!! MtO 15- 33$"-0"2.0-0 12. NO. OF STORIES I~~~ 15. ARCHITECT S. BUILDER (Name) (l.'OCWf:'/ 5"53 \ (Address) M~u~()"" (Address) \ (Tel. No.) \1,,,,, L'. 4'\-<>-\'0/3 (Tel. No.) 13. TYPE OF CONSTRUCTION "- 14. FLOOR AREA APPORTIONMENT USE (Name) (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS -SV~a\o(t. <:.ot-l~\' ~>\\ooC' S'1~ ~ a ,1,.1 7. TVPE OF WORK Fireplace 0 Alterations 0 Septic 0 Deck~ Addition LJ Finish Attic 0 Re-roofing LJ Porch LJ Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNAI.UE New Construction 0 Chimney 0 Mise 18. PROPERTY AREA OR ACRES Sq. Ft. 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Width Depth Yes No fy that I have fumished infonnation 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 ntioned property and that nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the al ke if perI]lltt1or u ermore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections. V. B..oo33Sa\ '7-IQ-q<t 0810 17. COMPI.ETION DATE x Signatuf License No. Front FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION aa" Side Side SOIl. TESTS Ll ENERGY DATA Ll OFF STREET PARKING PILING LOGS Ll PERCOLATION TESTS Ll SPACES REO. PLANS & SPECS Ll SETS SPACES ON PLAN SURVEY Ll COPIES PERMIT VALUATION -4!1fY") .CJ(} PLOT PLAN Ll SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUII.DII'f ~c;.. ~/K- I TYPE OF CONSTRUCTION: I II III IV ~ OccupancyGroup A B E F HIM ~ S U Division 1 04 -t./ Permit Fee ................................... $ 5.00 ~C;;. I 0 .A~ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Plan Check Fee ............................. $ State Surcharge ............................. $ ~\ttl\q~ Pressure Reducer .......................... $ MeterHom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ $1. 1':; Paid Receipt No. ~'3S'I'.1'l~ Date 7 - 2"1 - U By If'tflJ penany ....................................... $ Plumbing Pennit Fee ...........:........... $ Mechanical Permit Fee ..................... $ Sewer & water~ennit :J"~.'" ............. $ ~:s nhf;..... U.;~~;I~I~~.~.e~. ~en ~1V~9c, BY~: Date /-/~ CMiticate of Occu1' - . Issued request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. ....J-,:;) \ - 9.:t Date Special Conditions if any 24 hour notice for all inspections 447-9850 ATTACHMENT A TO BUILDING PERMIT NO. if..g~t:5 PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at 5'S3.{ ~ ~ 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 hann1ess from any claims or damages incurred if the structure is inaccurately placed on the site. DATE: 7/1'1 h"l STATE OF MINNESOTA) ) ss. COUNTY OF StOTt ) J The foregoing instrument was acknowledged for me this /,/~ day of IA/Y .199.1, by (Zof,u-r D. ~//'-'> ..^", The Building ~:: of tire City of Prim Lok, "'" C""~h, the . 3~ f~.. ,~ KELLY GRAU MEYER NOTARY PUBLIC MINNESOTA My commission ex~res 01.31-2110O . I "^v.,-"V't.-".".,,,. Notary Public / HOLDHARM,DOC II I 't1.~'S' Tht'("l'nlt'rof Ihl' L.bC"ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DePARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ PtJIZ-L<:~a-G"-'5'" 7lrq(qq \ (,' ( The Building, Engineering, and Planning Departments have reviewed the building permit application for constructi~n activity which is prof~sed at: S-<;> ~ I MGNJ<Jo-v f/;&v G. Accepted Accepted With Corrections ~ Denied ~ Reviewed By ( . )(Jr;) . -.L--. ~l- Comments: Date: 7-21-i ~ , I. 12..J ~ 'Dec.'.:. I-I-J... cur "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." I, ~:,.~:J,_.,.."",^.~~~ ~"'1-:<><.",~~~,-?"""""1 ""'""" ~",-,...-.._." ~."....-~ ~ " __fl IMiIII!" l,i, Thr ('rnlrr of Ihr lIkr ("ounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI / j -~ f ! '_4' / , ,__ --4'''- _....__ I I. t.:/_j, ~. ,...." NAME OF APPLICANT APPLICATION RECEIVED '- "1. ~. , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~,,'l,1 fY/&AtJo..J c/ (~ ~ Denied X Accepted With Corrections -Q,tl,~ Date: ~~ ~ 01<- 'v Accepted Reviewed By: Comments: "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." . .. -----,-_..-/~..._-_.__._..__..._.--~ ., .0 AIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 5~'31 M",~) LI/\ TYPE OF WORK .J::);,r{~. USE OF BUILDING SF D PERMIT NO. ~7 -(3,A S- DATE ISSUED 7 -21-7'7 BUILDER ~\JO-i,tLor- ~ NOTE: THIS IS NOT A PERMIT FOR ANYOF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTINGrAJ I U, II']~H$-9-9 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED *"" -" ,",. I I P _..._1iIilI , FINAL (1M ~ I~ I B-':j' '7/ Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 . . II I