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:
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99- 935
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o ~LINE AIR TST
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~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!
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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
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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:
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Date:
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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 '~~''"''''''''''
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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
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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~
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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
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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
-
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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
. ..
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