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HomeMy WebLinkAboutBuilding Permit 99-0976 , , DATE TIME ADDRESS ~ SCHEDULED ~~?~ P/1JeKWOOD 3:00 CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. Cf9- 97(P o FOOTING o FOUNDATION o FRAMING o INSULATlO~ FINAL .P~ ~ SITE INSPECTIO o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ~ Ad -. (;;~ "'-- ~ /I~- ~"Z '\ --' - / ~RK SATISFACTORY. PROCEEO o CORRECT ACTION AND PROCEED o CORRECT W,K. CALL FOR REINSPECTlON BEFORE COVERING Inspector: ffl, Owner/Contr: - I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSHOTl II --~--"-----~---_._-_.._- II CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~\ DATE RECEIVED AUG - 9 1999 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE ADDRESS 4689 Parkwood Drive 3. LEGAL DESCRIPTION 12 1. White 2. Pink 3. Yellow File City Applicant Permit No. qCj- Q1fp I ~A;E\qq R1 BUILDING INFORMATION 11. SIZE OF STRUCTURE (H.~ht) 13i":~("} (D.pth) 12. NO. OF SrJt'tf. 13. TYPE OF CONSTRUCTION ~t.- 14. FLOOR AREA APPORTIONMENT USE /~)( 2'0 LOT BLOCK Woodridge Estates 3rd Addition PID 25-317-021-0 3 ADDITION 14. OWNE}\ (Name) l ~IM. I .L Ant'" 15. ARCHITE~ p;me) 6. BUILDER \Name) ~A:L. YrJ'J .Dr rrel~l)1~1df-" (Address) (Tel. No.) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTs--M ~ SEATS <0 \..P 7. TYPE OF WOA"K Fireplace LJ Septic 0 Dec2\ New Construction LJ Alterations 0 Addition 0 Finish Attic 0 Chimney 0 Misc. 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE 17. COMPLETION DATE Sq. FI. Width Depth Yes No Q\ ~I q~ I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify th~ \ am thJ own-er 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe~o.7' ne~d inspections. X ~.-(._~~ _ _ - /'/P/?<J- Signature License No. Dale Re.roofing LJ Porch CJ Re.sidlng 0 Finish Basement LJ 16. PROJECT COSTNALUE SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPliCATION Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... ~ Water Tower Fee ........................... ~ Water Tap ................................... ~ Builder's Deposit ............................ 0;: other .........................................0;: Total Due .............................. $ /03. -, f Paid /0..5. 7 I Receipt N1f. 4589 ~ ' Date e//q /qq By ~ in the above application and accompanying documents is in accordance with the City Zoning Ordin;nce and may proceed ,#equested. This document when . a temporary Certi of Zo ing compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Froo' Side Back BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REQ. SPACES ON PLAN PERMIT VALUATION ~.r?f") USEOFBUILDING ~6S A./R , TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Division 1 2 3 4 Permit Fee .................. ................. $ Plan Check Fee ............................. $ (" 9.2 "" ql'>. tC'.. /. no State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ ~11qq ~i f' /~ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Pe ~~A~~:,~,~~:t;~W~~~ Issued 24 hour notice for all inspections 447-9850 Special Conditions ff any Side SOIL TESTS o LJ ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS LJ SURVEY 0 PLOT PLAN LJ SETS COPIES Amount Brought Forward .................. $ Parl<: Support Fee ........................... $ SAC .........................................$ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ ... ...... - ""~' ~" .~"J ,..'",.p ,," ," '..~._'" " '~ ~~ CJC;-'/7(P White - Building Canary - Engineerihg Pink - Planning \ Th~ Ct'nfl!'f or lbt L.kf Counlry 6UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,i 1(.. L C ;v (! Ct/ C. CI< ;-I rJ 8/ c; / C/e; . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4&Bq ;;')/-1/<:/<. tV Co V OK -\;'" Accepted Accepted With Corrections .~., Denied ) ~ /.... .~. '1../<. .' \. .- Date: 1", / (~ ., Reviewed By: / Comments: I (, ( 1/1 ~ "'. ire If < L> ,,-x---- -... "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 <i1 .- 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." ~,..._,.__... - '.- ~-"""',.ir':'i-' -.- - ~, ,..,"", ....~ .~- ..... -- '" ~~, White . Building Canary . Engineering Pink . Planning Thr Crnlrr of lhr L.kr Counlry BUILDING PERMIT 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 Denied / Accepted With Corrections Reviewed By: Comments: (l!1(~ ~ ~adCa Date: ~-11-1'i '7't'-UJvt- ()L "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 c.ode or other ordinances of the jurisdiction shall not be valid." . ATTACHMENT A TO BUILDING PERMIT NO. qq ~ q 70 PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at t.f(,,8C( f!lk~ Q~. 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. OWNER(S): ~~~ DATE: 8-~- t5t By: Its STATE OF MINNESOTA) ) ss. COUNTY OF _ ~ cu.i) The foregoing instrument was acknowled~ed for me this F . I 99-.i, by JLI i5"'..,.,....~..J~~ Official fthe City of Prior Lake and Alleu C","c", I ~ N~~~ day of . The Building the owners. '. e ANGElAJASPERS , NOTAl!\' PUBlJ c-t.IINNESOTA SCOTT COUNTY My.. ,. E>qlilIIJoIN31.2lllll I HOLDHARM.DOC I! ~ --..............,..--------------- P.RIOR LAKE INSPECTION RECORD SITE ADDRESS ~",,..,..,,.o 0-. TYPE OF WORK Neu:;) (fIlA s.4.1-u c. .(',........,...... USE OF BUILDING _ SF...L"'J PERMIT NO. qj - 97~ BUILDER C,-;, r_, ~ .. - NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION DATE ISSUED e -/C,-?7 INSPECTOR DATE 'FOOTING(~ I ~, I /{-d-3-H PLAC'E NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ,~*~,')ANw/n I ~ I r/~-9/ 'FINAL fi) I h I 1-J/-99 I,-- / Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 .... ]1 I