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
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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
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Tht Ctnltr or Iht Lakt Counlry
White ,- Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,./" .' / ,/:'
/1 ./,.( (,.... /_ / _._ ;//
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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
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'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 '
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