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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 ll'--~'( t~,,~ A..., C;'---/o" ~ .{Juc -t;r p-f~ ~ J ~ - ~1"'7" L5' tf'7 ~.P~ m- /I ____A'T. e~.. ~.. uf!/t..<,~." ! /~('J!~ ::h;~ -,~ ' \. - / ~ ~ / 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 -~----------_.__._._- -'~--~"---'-'-'------- ~~ 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 ., "^^^'V,, \"V'''\~. the HOLDHARM.DOC I r ~~-- r 1.; . ,. .' j.....J .. .;. "'""" '~ ~~ Tht Ct'nll'rof lh.. Lib Counlry w q9-/{)(; rc White - Building Canary - Engineering Pink - Planning eUILDING PERMIT APPLICATION DEPARTMENT CHECKLlS-':: NAME OF APPLICANT APPLICATION RECEIVED scc. T/ Gccu/VOu6H 6/27/9C; . , 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 "lJcl '/ Ie '~ ! Date: Reviewed By: 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 olfi@r. - ordinances of the jurisdiction shall not be valid," ~~ " ' / " (' '1- /(1(< / ThrCrnluofthrl.lhCounlry White . Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT (" I ( '(' ,,/'( '~/.I ,'; r '.j, v r,' () , APPLICATION RECEIVED / 1/ I , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / (I / 1/ ( ;,t/..-: j"./ /i(, ,/ {~- ",'I.., j,1 C. ~ ,.I c.-. Accepted Denied , Reviewed By: ~.... ~ ...:--'AL"_ Date:.q - 2- ~q'0 Comments: ~. R lAA.Pt'\AWiuA 2....~ ~~ ~~~ ~ VeE..LY- ~f.VC~ ~ rt"""O .to ~<~_ ~ wd <-p~.k Cf/J <::. J,/fLo_ {/~ <" .. / Accepted With Corrections t,Au% ~.Q?L( ~<:rd o-YL ~4 ~I )~IM-l~j) Cv~'~ A(}1(~ I "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." II - ~ ~..-:- '--"'-r .,.""..".....,~-~"'1!:._-._-_~.- ~-~, , ~~ ", " I. f ,,' Thf (:f'nlt'f of Ihl! Lab Counlry White . Building Canary . Engineering Pink - Planning ~UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT _ APPLICATION RECEIVED _ !...., -/ r: : ,f.:' i (,- I 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 v~ - - 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~~ ~\['d ~ 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 ~ I I 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 , . , ,