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HomeMy WebLinkAboutBuilding Permit 99-0951 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 114a.S .$UMSd--r,.. OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~SULATIOll\ FINAL ,., SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL 0jM'ArfV: ~ II tACL...cg _ \= ~ ~--- "^~ / / / ~KSA Jk~:~E o CORR Inspector NEXT INSPECTION 24 HOURS IN ADVANCE.. nLD~idl'j TIME ~ to:~ q9- 95/ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o INSNOTl RE FOR YOUR PERSONAL HEALTH & SAFETY! II ~~ '-lk;I" 99 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATI= RI=r.FIVFO f!;/4-/qq ~ i"i;~';':{ SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PER"".'T I~ 'SSU~~Ple~~ P!!!l! or Type and sign al bottom) 670. /qq i:'~~~ ,-~'j5GT11J.-. f1.lor LAKE M"') 3. LEGAL DESCRIPTION LOT Lo-r 2E> BLOCK -.i- ADDITION wood U iGU Is-r .Acbl AJ 1 ~,i tJ:J:) ~ 141~~.s::-;&rl1u. 5. ARCHITECT (Name)~ (Address) DIRECTIONS ie/SO PID Z5-/~5-0z6-0 (Tel. No.) 447-41013 (Tel. No.) t . 1~' J . 1#Ii!!''''''' , (Name) (Address) V'."VV(Tel. No.) 'Jjl.l\ \::b-~ ~~. 1:: a &1- 22..( 4=I:z.- 3/70 f :JD~ J?1~ 5539 (0) "If1-03 ~~ Septic 0 Dec~ Ae-roofing 0 Porch 0 Addition (] Finish Attic LJ Re-siding 0 Finish Basement 0 ~fiIF_ ~~ Construction 0 Fireplace 0 Alterations 0 1. White 2. Pink 3. Yellow File City Applicant Permit No. Q9-9.5"/ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 1B. PROJECT COSTNALUE 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 fumished 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 all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the f#.t" 1,~oAe this :o:tor~ rX~rthe'Ct' hereb~~aI3~aq~a designee may enter upon the property ~:~:~.1~i~n~'4 ''-1 V ~ SignatureU - - \ license No. l' Dafe Amount Brought Forward .................. It Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ FOR ADMINISTRATIVE USE SETBACKS: Required Actual Side Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USEOFBUILDING ~6.s """'/R LJ./'II'Y\.l!:>G PERMIT VALUATION TYPE OF CONSTRUCTION: I It III IV ('YI.- Occupancy Group A B E F ~ I M~ '61 S U Division 1 2 tJ4 l'? l:) Permit Fee ................................... $ 8:a . 5"(. :ll 2.cx> City: Plan Check Fee ................. ............ $ State Surcharge ............................. $ Penalty ....................................... $ 17. COMPLETION DATE MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS COPIES SURVEY 0 PLOT PLAN o ~; Pressure Reducer .......................... It Meter Horn ................................... It Water Meter ................................. It Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... ~ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ :i:~:~;~~~;,~i~~.;e:i~~Ptfpr~~ BYrJ!c~....~ --' Date 0" ~ Certificate of Occupancy Water Tap ................................... q: Builder's Deposit ............................ $ Other ......................................... ~, Total Due .............................. $ Paid 9!-1 (" -"11 /45. ~- . Receipl No. .. 3'3-8,7.( By ~~~ This is certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign b he ner nstitutes a temporary Certifica e Zonin compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. U Issued Date Special Conditions ff any (f 24 hour notice for all inspections 447.9850 ~- -'-'~-' -- - -J.,.-.,U., ..., , i ! /'". ~ .-; , , / " Tht Ctnltr or Iht Lakt Counlry White ,- Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST 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: / C- Comments: V" Ro_By (19;, lnxv.-J ~euJ(o o,oo,..~ ,. . vv A#79tfU~ u Accepted With Corrections Accepted Denied Date: ~ I, ()./99 , -..... ~ f>C.l - s.ut::t 1i uIL /X.A v '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." ..:.~ ~ ~~ CJtp - 9S7 Tht C,nltr or Ih, Lakl' Counlry White - Building Canary - Engineering Pink - Planning B.UU.DING PEEW\IT APPI.lC.ATION DEP~MENT CHECKUSI NAME OF APPLICANT APPLICATION RECEIVED N/KE /lI0,.eOH6V6~ l13/b /9q The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / '7435 S (./ r-/..5 G T t;e/l / c..- Accepted Accepted With Corrections ~ Denied () Reviewed By: l(.. {J, L Date: ~ -(0 ~ ~<] Comments: {(eM ~ J.eclc. k~ -~ cn.J:- "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 ~""-~_..__.---------~---,.__..._-_...__.._.-_....._-_.-.._---~ ATTACHMENT A TO BUILDING PERMIT NO. '79- 95/ PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at /47..35 stllvse r 71erJ1 (.. 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. 7~~~~A1E CITY OF PI!!O?J1'ifE . () By. l;ItJl/i'N,t;t~::~\ Its &.,{~(JIA.fu aiq4AL.'" e!J:3/qq . . STATE OF MINNESOTA) ) ss. COUNTY OF ;:;q;,,- ) The foregoing instrument was acknowled.ge>Vfor me this /371t' day of /jv6vSr ,199t,by ~-rU~~> . The Building ~~~:~~fthe City ofPnorLake andl;t1lc.h~ I <? yO ,,,. "" i~~~ ~~~;~;"""I' .., ----- \~ /I V NOT. ARY PUBLIC Public ~.. MINNESOTA . fly commiSSion exPIr!S 01.31.2000 . HOLDHARM.DOC I r PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS IlY",<~ C).,,^C () lr I'r- TYPE OF WORK Do,\;;::. USE OF BUILDING Sf:"'D PERMIT NO. Cfi -"'75l DATE ISSUED [5 --10 - L~ BUILDER '&\~S. 2ehY-- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FINAL , FOOTING O}I':Ii1)-I~';\l-I~" ~ I fu.. I g-I 't-9/ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ,. -S I I 70 I . Call between 8:00 and ~:oo A.M. fo;~~nspecti~~ 11 tt"l FOR ALL INSPECTIONS\)47-98Sd ' .------