HomeMy WebLinkAboutBuilding Permit 99-1066
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9-?- 99 :s > 3-0
ADDRESS
/1/'-//
NATALI C ;J.E.
OWNER
CDNTR.
PHONE NO.
PERMIT NO.
99- lor,,,
o FOOTING
o FOUNDA TIO@)N
o FRAMING
o INSULATIO
)I!l. FINAL
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: .<::J.tJ
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L SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: b, Owner/Contr:
-j
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCIg,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
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DA "(1= Rl=r.l=IV';Q
8/2-fo/11
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
c;c;- /~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2 SITE ADDRES~ \. \ \ \ '\;> 1\
\'lj~t..\\ "-Y'1~ Ie.. hJl(... t-j,t..
3. LEGAL DESCRIPTION
LOT ::J.... BLOCK ;;t PID 4.S-/Z.4--(J2-I- 0
AODITION ~.\V<.~,{, M/,u/)i'- f=.t>IA~\'" ~\-\-l,o,^-
14 \<ltdr\.Jttk \ \~ ~~ I ~EL NO!J ;}b -~ Sl
7. TYPE OF WORK Fireplace 0 Septic D Deck 0 Re-roofing 0 Porch 0
New Construction 0 Alterations 0 Additio'pP Finish Attic 0 Re-siding 0 Finish Basement 0 16. ~OJECT COSTNALUE
ChimnayO Misc. U+~ \ :-hl <'^-r AL 10' X"I?' IV (:50(). tpCJ
lB. PROPERTY AREA OR ACRES f ....19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. FI \ (.0 4"3 5~ 'f-ttWldth Oapth Yes No q ~ :;;? 6" ctcq
I hereby certify tnat I have fumishedinformation 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 abov men .oned property an ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding e this p it fm \!,!st ca se. ermore, I hereby agree that the city official or a designee may enter upon the property to perf~~~~.
-~ LICense No. Date
4;c;11- (_/lr:\!~ w"Ik
15. ARCHITECT (Name) -
6. BUILDER (Name)
\
C ~ ~>,,4;-
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILOING
f2e S ff/R
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
1. DATE
~'-Jb-19
.ej
BUILDING INFORMATION
11, SIZE OF STRUCTURE
~Height) " (Width \
7 ;l.'AI ,,..,t
12. NO. OF STORIES
\
(DePth)!
1;:;1:
13. TYPE OF COMlTRUCTlON
~~~
14. FLOOR AREA APfORTIONMENT USE
10'),,1.:,)
(Address)
(Tel. No.)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS ~
,----
;"J,k I CD3
SEATS
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY OATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
I OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PERMIT VALUATION
fL 5CJO~--
o
PLOT PLAN
S U
i<./.7,,)
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
/."2S
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Pennit ...................... $
;;:7l::~.~~i~~~ed
Certificate of Occupan7
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ !~_
Paid 1 ~ . () 0 Receipt No. .3 (ptJ & 7
Issued
Date 1f/2-/, <f By /I#{
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed'-s requested. This document when
sig~e. . nner constitutes a temporary Certifjpiteof ZO!J.inQ;ompliance ~ allows con~ction to commenfe. Befi.rl repcc~.r. nCY:fcertificate of Occupancy must be issued.
. #--",-",,",.c.-... t1-L~ ~.:..cAP Vk~/'~"'Jh"Wri _ eL/"""I""'--o'~~~DA-.A_~
~ ity Planner Date . SpeCial Conditions ~ an
24 hour notice for aU inspections 447.9850
A IT ACHMENT A TO BUILDING PERMIT NO. CJ9.. / ()r;~
PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION
The Owner of property at /~/ ~/ /Vrl771i.J6 ,eo 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): rv------
7.~/ >:L
By:
Its 6,-,(~o{JV= C{C,.::-(G,~
DATE: q ~ J. ~ crcr
STATE OF MINNESOTA)
---A-i.. ) ss.
COUNTY OF ~./(J{' )
~ I The foregoing instrument was acknowledgecJ for me this 2 rJ day of
,olt ,199.1, by 12o{'~~T p. (-f~r-...ft-^'C , The Building
o una! of the City of Prior Lake and Srdf r;'ludrlCJfAi-y/l
owners. / ;;it/ (
.~WVWlf'oJVoJVvvw",w'^" ~liC lj '~
I ~ K[" Y GRAU MEYER i
~..!!1Ii ,'P"V PUBLIC
nv N'liESOTA
My roc' "resOl.31-2000
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the
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White - Building
Canary - Engineering
Pink - Planning
eUILDING PERMIT APPLICATION DEPARTMENT CHECKLlS-'::
NAME OF APPLICANT
APPLICATION RECEIVED
scc. T/ Gccu/VOu6H
6/27/9C;
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t./14(
(V~l7AL (E: IdO /1./, E: .
Accepted
/
Accepted With Corrections
Denied
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!
Date:
Reviewed By:
Comments:
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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 olfi@r. -
ordinances of the jurisdiction shall not be valid,"
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ThrCrnluofthrl.lhCounlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
Denied ,
Reviewed By: ~.... ~ ...:--'AL"_ Date:.q - 2- ~q'0
Comments:
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Accepted With Corrections
t,Au% ~.Q?L( ~<:rd o-YL ~4
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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."
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Thf (:f'nlt'f of Ihl! Lab Counlry
White . Building
Canary . Engineering
Pink - Planning
~UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _
APPLICATION RECEIVED _
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(/ Li l ,L/
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~-
JJrp.-/ A-/AA
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Date:
t1 - 2-~q0
Comments:
~. A lANUA.~ L'S~_.~~bl'l/f..,-,-
[?;; VeLLr ~M~ ~_~~ to ~<~
~ Md. SP~t~.k <:7'.0 <. '; r.f20_ {~<:"..
tA9w-t ~.Q 4A
~i)SIM-l~j) Cv~~
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A,111~", , s:;"vv4
"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
presumil19 to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.
PRIOR LAKE
INSPEC liON
RECORD
(2,JJ
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS j <...{ ( 4/ 1\) cJ ~ I.'T'
TYPE OF WORK Sk",d
USE OF BUILDING
PERMIT NO. q9- I()(o G DATE ISSUED B->o-? 7-
BUILDER ~ 1!. LA. _" .0.)
NOTE: THIS IS NOT A ptRMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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I FINAL Loc",,'(JV\ ~ MQ.~-e~ O~V I!f;-. I 9 - 7 - 95
Call betw'Eien lJ:OO and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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