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HomeMy WebLinkAboutBuilding Permit 99-0935 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME /0-2Z-9' /a:(Jo ADDRESS I '7, '5 G.~ S2uJser I.e.. OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMINGw o INSULATIO . '>;I{FINAL /f:J SITE INSP o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~ -L.-., r-1~ 99- 935 o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o ~LINE AIR TST ~~,/t!:- ~~ ~.I -.. ,,,,,,,,, .....~ ~-j~~i ..~ ..-- !l /' ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK~LL FOR REINSPECTION BEFORE COVERING Inspector: ~ { Owner/Contr: I CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! II ____..m. or- CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. DA;/'2:!, I qq Z?:(/.JJr PID --<S-J Is "tA3,1-b 6. BUILDER (Name) C?Whe~ 7. TYPE OF WORK New Construction Cl Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 10. CULVERT SIZE Sq. Ft. 1"1-04'2. Width Depth Yes No I hereby certify that I have furnished in;~.,..""..~., 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 all construction will conform to aU existing state and local laws and will proceed in accordance with submined plans. I am aware that the 00["(-- . ~ J I ~~~n revo'(S"ltis ~ for just cause. Fufj1ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed l'fSfections. X_ 1c....\L.- Y ~ ~!.o" ~ ..21.~() 19"-- Signature License No. Date OA TF RFr.FIVFn 8/2!-jQc; DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bonom) 2. SITE ADDRESS /1..36.3 .-JU~D~ ~ '- JJu . ,IrE/SO 3. LEGAL DESCRIPTION lOT ,3 'i B2K J ADDITION 'iktJA"<~ j ~ I/LI ~ 4.pt'NER (Name) (Address) 1<. ~\'V'\.,^-eJ !i.C"- 17J"35o.u-ue't'Trcu" I SW. 5. ARCHITECT (Name) (Address) (Address) Fireplace (} Alterations (} DecO( Finish Anic 0 Ae-roofing (} Porch 0 Re-siding 0 Finish Basement (} Septic 0 Addition 0 (Tel. No.) ~4 7-f?!J"b2 (Tel. No.) (Tel. No.) I. White 2. Pink 3. Yellow File City Applicant Permit No. BP qq-tl35 BUILDING INFORMATION 1,. SIZE OF STRUCTURE (Heiltlt) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTavE 000- '7. (;0813/ Dr~ q SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front "ok Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING I k!eS 7A2- PERMIT VALUATION ?Ii'll"). ,.,~ TYPE OF CONSTRUCllON: I II JII IV V OccupancyGroup A B E F HIM R S U Division 1 2 3 4 City: Permit Fee ................................... $ 'J'j .?S /9 .-:<;4 .50 Plan Checking Fee ......................... $ State Surcharge ............................. $ Penalty ....................................... $ Septic System ............................... $ Other ......................................... $ ~ Subtotal............................... $ this ~!P'Yjlf:om.,1our Building Pem1i1 When ~roved. By ~:'-71!---- Date .f'; -::; -7 7' Certificate of ~ncy Issued Side MATERIAL FILED WITH APPLICATION SOIL TESTS LI ENERGY DATA LI PILING LOGS LI PERCOlATION TESTS LI PlANS & SPECS LI SURVEY (} SETS COPIES PLOT PLAN LI Amount Brought Forward .................. $- Park Support Fee ........................... <t SAC ......................................... It Collector Street Fee ....................... $ Sewer Tap ................................... <t License Check Fee ......................... (:' Pressure Reducer .......................... It Meter Hom... ................................ $ Water Meter ................................. <t Sewer & Water Connection Fee ........... " Water Tower Fee ........................... $ Water Tap ................................... " Builder's Deposit ............................It Other .........................................It Paid Toml Due ...................~~~..... $ ?S~~~i Date 8 -C..,.q (' By (~ - T~is is ~~~%= ~ application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed ~_'~~ temporary Certificate i 0..~;mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be Issued. City Planner ~ Date Special Conditions if any 24 hour notice for all inspections 447-4230 ---~_.--r.^'".- ..,. 'J r- ~ ~ ~" I . -, .'_7"", 1.'0 t:.;~ 0'; .~ ''>.'''''''' -. r;Cj.935 The! Cmltr of Ih~ I.akt ('ounll') White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMI;NT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ;';"'. 5~1//c/EL50tJ 6/2-/<;'1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 7~C:c3 :5u/J::;E T ~. , > Accepted Denied Accepted With Corrections Reviewed By: ,foe Comments: I,!', r ~. \.~ )-p( ( II \ ' J ) (. )}; ~---- ,.','1'--- ~"-- "/" . / "'- Date: ~--:,' r __r r ) / / 9 ~ C" T,. ~ "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 Iilresuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid.". ,r>~.~,~...~II'~tr<""';""'~7'-~(";,~"I',~;<<--;'.""_ "'_-",I'h,,,,7I""" ~"'I'll ::"-.:~.oq-c...~<>'Ilt"!'-\"-"-",~::,,,-v'-~-"-~~~J~~~,...h.:.r~': ",,,I '~~''"'''''''''' ~\ /~.., ,,---- ThC' ('C'nlC'for lht L.kt COllnlry White . Building Canary . Engineering Pink . Planning BUILDING PER~IT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted v Accepted With Corrections Denied Reviewed By: (] - t1{. Juau Date: g - ~-17 ~~J0 -Ofc:-, 11.0 c/1,(yn~ -m - v~ A~ ~4a {),O A:md.. _~:" ~~ . v. V -'vuUI,J I" -:.~. dtcIC w v<I1 S11 nJ-' 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." ATTACHMENT A TO BUILDING PERMIT NO. qq, tf':J-5 PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at /'7.3"3 ,stlllltSer TR.. 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. OV'N'ER(S): DATE: 6/& I'T '7 G2.4-D~ ~ ~~ ~ ---.J d 0 ~t)-r~ ;;; r# '''' ~tL- rJ;t . /f~' The foregoing instrument was acknowledged for me this day of ,199-, by . The Building Official of the City of Prior Lake and owners. STATE OF MINNESOTA) ) S5. ) COUNTY OF the Notary Public HOLDHARM.DOC II I .~-- " , J;A LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 1l"J:\(n~ S\jV"lsQ~ -t,.-o..,\ TYPE OF WORK 1\.\",.1 ~"J~"c~ ,'ch/' USE OF BUILDING St='fJ PERMIT NO. Q'7 - 73<; DATE ISSUED 8 - S -'7 '; BUILDER ~~\j.f>lc ..,~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT - ,~ z.<{"€X\~-~c_ r:~ - I _ . PLACE NO CONCRE'i9E UNTIL ABOVE HAS BEEN SIGNED IFRAMING'6~fC)N' 1'",l1l..V Ckr(.,:J.1(1) 10-- I 1-ltJ-9J I FINAL (fJ I ~. I /6 - d?r- -?7 Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 INSPECTOR DATE . .. II I il