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