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Home My WebLink AboutBuilding Permit 99-1059 , , CATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED g o-1l1 H.,::;; \\ ADDRESS /t2'il'7 f~ IA. OWNER CONTR. PHONE NO. PERMIT NO. 9 'i _./OS~ o FOOTING o FOUNDATION o FRAMING o INSULATION /1. /1 ,)(FINAL """0 o SITE INSPECTION ~ 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 GASLlNE AIR TST o COMMENTS: ~n n u ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: M" Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ lNSNOTl II s~~ 12ATI= RI=~I=IV';,Q CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I gj;G9/ q q 1. White 2. Pink 3. Yellow File City Applicant 8/zte/9<J I DIRECTIONS SPACES NUMBEREO 1 THRU 17 MUST BE FILLEO IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE AJDD5'E~ 8 ..... fPd / Pd.l/kV"~LV Olr. 3. LEGAL DESCRIPTION c;? Permit No. qt:7-/t?~ , r S. /::.-. puo BUILDING INFORMATION 11, SIZE OF STRUCTURE (He~hl) IW""h) (Depth' 'SiI" ~d I Jo I 12, NO, OF STORIES LOT ADDITION c'A-,.. () ,'1"1 4.- / 14. OWNER (Nam.) :J;VAN lVahn oR-_ 15. ARCHITECT (Nam.) :7~{11 p 6. BUILDER BLOCK I R " () a.. fi 'TJ. .''r 0 PID 71";-3/&'- ()OP,.o A DO,' r-,'on (T.1. No,) tN '7- t. /.I '7 I. 13. TYPE OF CONSTRUCTION Wc..." D~Dk. 14. FLOOR AREA APPORTIONMENT USE '&" 10 'X 1'7 0 (Address) dB'! 0 519 (Address) 5 J1..,,..,, J) h (T.1. No,) (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTP S frill e.. 7. TYPE OF WORK Fireplace 0 Septic 0 )t@ck 0 Re-rooflng 0 Porch 0 New Construction 0 Alterations 0 Addition ["] Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE Chlmn.y Ll Misc. / t9tPtl, ....e- 18. PROPERTY AREA OR ACRES /9, PROPERTY DIMENSIO~,'1 0'/1'0, CULVERT SIZE 17. COMPLETION DATE Sq.Ft./~"'JI-/#r WldlhXtlbDepth!JlO:"J Ya, No rntJ..y J-&t:1tJ 1 hereby certify that I have furnished 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 aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building off~l can revoke thiH8'XSt cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo..RY neede,9 i~ons. X lf~ ~/. vL/ J.t1.5:./ 8/~t:1/ 'f '1 Signature License No. . , Date SEA TF. FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Be'" Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS LJ ENERGY DATA LJ PILING LOGS Ll PERCOLATION TESTS Ll BUILDING DEPARTMENT VALUATION USE OF BUILDING ,eG:5 A/I<!.. OFF STREET PARKING SPACES REa. SPACES ON PLAN PERMIT VALUATION I. Q')0.00 PLANS & SPECS Ll SURVEY 0 SETS COPIES PLOT PLAN Ll TYPE OF CONSTRUCTION: I II 111 IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ S U City: Amount Brought Forward .................. (- Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ...................................11I: $ Plan Check Fee ............................. $ Lie, .so 3\ .c;< .f')' State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... $ Meter Hom ....... .... ........................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Sewer & Water Permit ...................... $ WaterTowerFee ........................... $ Gas Fireplace Permit ....................... $ Water Tap ................................... $ This acaJl6il..i.2~ing P.rmlt Wh.n A(>P~Ved. Build." D.po,it ............................ $ By ~~/--... Dat. ~-'2 -9<;' Oth.r.........................................$ C 'I' fOccu TotalDu. .............................. $-p,...-,.7(:1, ert! lcate 0 pancy . Paid BO.78 R.c.iptNo, .:3l#O~ Issued Dat. t? ~ #1 By rIUL.- T~~ ,I ce~.= the ~~~~:~ al=Plication and accompanying documents is in accordance with the City Zoning O,rdinance, , and may .... ~~......~~#uested. This document when sig b t~.P)_I~~temporary ~e/J toni~comPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. , City Planner ~f Special Conditions if any 24 hour notice for all inspections 447-9850 " '"'. if1 . ~ ...- --"....'".~'. -... ~,._.'c.,~~....._~........... =: ~ White . Building Canary . Engineering Pink - Pianning Thl' ('I'nll'ror lhl' 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: I , Accepted Denied / Accepted With Corrections Reviewed By: Q (j{. jt1lCu-J Date: 5Jfnou/<,o C:<1W'A/J o/L. V v g ~3o ~11 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." ~1 9CJ-/OS7 White - Building Canary - Engineering Pink - Planning Tht ('tnlrr of lht L.kt Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!U NAME OF APPLICANT APPLICATION RECEIVED / VAN tVtJHN6R- 6/2- (0/ 9C; The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /fbZ87 ?AIZ~V/6W Dr<. S 5' AccePt~ Accepted With Corrections Denied () 1;{) Reviewed By: (t' {fir Comments: I. W 4 ~ ~J Date: @-2/~<Z-~ "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-/osq PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at /62.F37 PAt<'.Ki/r6W DiC.. 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 hannless from any claims or damages incurred if the structure is inaccurately placed on the site. OWNER(S): X cf!'1'dA1" r; uIl\A / DATE: '1--1- 1r CITY OUfm By:~1/ Its ~ ,,~J).(/r~ STATE OF MINNESOTA) ) ss. COUNTY OF 5 (0'11 ) The foregoing instrument was acknowledg1l4 for me this Swl'tmbev ,1991., by fZc,6t9r {).~/-'U<;' Official of the City of Prior Lake and ~v A N IV CJ ff If? i' owners. I / 'if day of . The Building .. ",I'IV<MJ\IVV'.M./'j'..!'./'/VVV\/vv\ll/vv\lvvv.... I<~lJ'" KELLY GRAU MEYER J \ ~ NOTARY PUBLIC . MINNESOTA ~, My commiSSion e!JIlles 01.31.2110O .~ ' .V^;Vy,.~V, 1<!dtary Pub1lc /!~ 7 the HOLDHARM.DOC I I PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Ilodr-3Tl \:>ds:,\h'eW Or. TYPE OF WORK \)ork- USE OF BUILDING '3,~D PERMIT NO. CJ<7 -IOS~ DATE ISSUED @-21-'7'} BUILDER ~r'> \AIN..- NOTE: THIS 15 NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING ~ c1v I rfn-, I 9-?~ ~/ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I r"..J ru""G I I , FINAL (jj /'fl.tA I J -';30-q 'f Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447.9850 , I r