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Home My WebLink AboutBuilding Permit 00-0934 ~~ nATE RECFIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT L 2. 3. Permit No. 9. zl.~O DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS I UEO (Please Print or Type and sign al bottom) '. ,. DATE c~- / \f _ elt..} n ~ C' ~- ",- Ii!./S.D BUILDING I 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION z.. / 12. NO. OF STORIES LOT PID Z.&;-/F;/~(J()2--0 /S., 13. TYPE OF CONSTRUCTION ADDITION ,.5 (Address) . //9~v (Tel. No.) " </,f' .. 'c, I .,'" 101 ~f~ 14. FlOOR AREA APPORTIONMENT USE 5. ARCHITECT (Name) "" . i 6. BUILDER (Name) (Address) ~ll (Address) (Tol. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS ":.,'f/lfi- Fireplace (j Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic LJ Ae-roofing 0 Porch 0 Re-siding CJ Finish Basement 0 SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE 17. COMPLETION DATE YI~S No I hereby c fly that I have furnished infonnatjpn 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 mentioned property and that I nstruction will conform to all existing state and locallaw$ and will proceed in accordance with submitted plans. I am aware that the buildln iciaWcan revoke~permi ~ j t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ..... 'i-{-" t-~-- ;-':--/7'~OC.~ License No. _ FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING /'';5 19j~ OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o TYPE OF CONSTRUCTION: I II III 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 ................................... $ $ Plan Check Fee ............................. $ ~ Surcharge ............................. $ Penalty ..... .............................. .... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ 1f92,2CS- i()s'. K" 'r ~. ()O Pressure Reducer .......................... $ Meter Hom ........... ........................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ ......... $ uilding ~;r:" 7tJ!'8r:-(M Co Issued 24 hour notice for all inspections (952) 447-9850 ~~ 00 ,(f1)tf/ Th~ ("fntrr of Ihr Lakr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED HO 65E: , . j,2/' DIiN (6 L- 00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 154-q/ Beeezy PT 1'20 AccePte~ Accepted With Corrections Denied ..-==; (/ ~ Reviewed Bi ~ D Comments: Date: /(J - t'c!J-~d "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." T"~ C~nl~r or 1"~ L.II~ Counlry White . Building Canary . Engineering Pink - Planning BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED f/OEC;c, Df-I(\J / E L- , ;-2/-00 The Building, Engineering, and Planning Departments have reviewed the building pennit application for construction activity which is proposed at: 1~54-q/ BeEEZY PT /20 / Accepted Accepted With Corrections Denied Reviewed By: Grtlrr1 t'etr(5ertt Comments: 5~e -fire reverse 5-;de ..tr Date: /ofhlm I d/d/-;()/ltt! ;//l1rmQh'rn, . I( <)ee aH-oehr>1fnts: ), fin'll Cade ::LnsfXdtim :;:;,ArP1R.-h~, q? ~rJ~ ,PIa-. 3 FY'/J~i/JJ1 ~dr(}/ !lI"tljllres ~ Er'~5'io~ I!ohlro/ ,IJjuz., "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a pennit 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." ._---~..-,."._-_..~.~..~-_.~-~" {(/) . () f; d/ Th~ (:tmler of Ihe L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED f 1// E 7 I i- /)1/ . I t: L- ..,"",,- 2 I co The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / S 4 Cj / ,. l E c. {.. y I'T- /'-'-~f-' Accepted Accepted With Corrections ~ Denied ~~~~ Date: /c9dl;/<90 Reviewed By: ~ >0c:d Ii ~~~~ ",R d/'5J/- WV'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 code or other ordinances of the jurisdiction shall not be valid." PRIOR LAKE INSPECTION RECORD SITE ADDRESS ISLj.., I ~(J 2.'0 (j:)f. (/ZoP NATURE OF WORK Dpf-d.....a.-(... O-c. ~." (. USE OF BUILDING S~ r PERMIT NO. 00. 0 ~34-- DATE ISSUED Ie -f().. 2dCC CONTRACTOR tie'" Q D Cell /r){ -ta8Cp H. <(c(O. 5:/5'</ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE, I FOOTING f2)j. I 10/41 k.r\ ~I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ I I FINALS DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough..in inspections and maintained until all inspections have.b~en ~pproved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /S- -r'9/ ~~~ c V / OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNOA TlON D FRAMING D INSULATION .....er1=INAL D SITE INSPECTION o PLUMBING RI o MECH RJ o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE TIME /9)~ /Y/// C'ZJ - 9YY o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~;?~ j f~ fJ2:k @ .....-- E .--, / ~. tfj5e ...-----/ ~//e o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL F R REINSPECTION BEFORE COVERING # Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. -'OTl CODE REQU'REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! \ \ \ \ 11 07/22/98 WED 00:14 FAX 612 91&,2270 C REMAX REAL ESTATE GUIDE ~009 ~l WL":': DISCLOSURE STATEMENT This lorm approvod by the Minno~ota Assoclalion 0' REALTORS". whieh di.el.irn, any liability arising out of vse or 1'11isuso or this form. 1. Date 2. Page 1 of _ Pages: THE REQUIRED MAP IS 3. ATTACHED HERETO AND MADE A PART HEREOF ,.. , "]' .,.,.."".'.~I";""'U"H"il::'T;TI'''.. ....) ,~.~ 1-1.1-. 1"" t;\,,:;r , \ . ,. ''< .j -1 )' . _' v ^I t.", _.... r. (' I . _ n >. /;., , ....-"_ ,~_.~..)._ ,.~.)..__ ',. ,.....1 ,..:....,:~ ' . : . ,. .:'!':'T":'I,.-;::r.:-"~'\ " J.... " \".(....!I.~ \'l;.~"':~ ..... . ~ /r----- "'D' ...... ( . lip.! / lite/), ~J4~'~f lJf~~~ 4. Minnesota Satutes Sec. 1031.235 requires that belore signing an agreement 10 sell or transfer real property, the Seller must 5. disclose information in wriling to the Buyer about the status and Jocalion of all known wells on the property. This requirement 6. is satisfied by delivering to the Buyer either a statement by the Seller that the Seller does not know or any wells on the proper1y, 7, or a disclosure statement indicating the legal description and county, and a map showing the location 01 each well. In the 8. disclosure statement the Seller musl indicate, lor each well, whether the well is in use. not in use or sealed. 9. A Seller who fails to disclose the existence of a well at 1he time 01 sale and knew 01, or had reason to know of, the exislenc~ 10. 01 a well is liable to the Buyerforcosts relating to the sealing of the well and reasonable aUo(ney lees forcolleclion 01 COSt! 11. Irom the Seller, if the action is commenced within six years alter the date the Buyer closed the purchase of the real 12. property where the well is located. 13. Instructions for completion of this form are on the rev~rse side. 14. PROPERTY DESCRIPTION 15. Street address: I Stf'i / . 16. LEGAL DESCRIPTION 17. 11,)/ J2~ )-- 011)' -&r::c-z., / s~~ COUnlY Ak -.--- _:....---.~- 18. 19. 20. WELL DISCLOSURE STATEMENT (CHECK TI-lE A,PPAOPRIATE SOX,J 21. 0 The Seller cer1llies that the Seller does not know of any wells on the above described real property. 22. (II this option is cheeked, then skip to the las11ine and sign and date this stalement.) 23. wThe Seller certifies that the following wells are located on the above described real property. 24. MN. Unique Well Year 01 Well IN USE NOT IN SEALED 25. Well No. Depth Const. Type USE 26. Well 1 -5e~ - /19(, 0 0 0 27. Well 2 0 0 0 28. Well 3 0 0 0 29. SEALED WELL INFORMATION 30. For each well designated as sealed above, complete this section. 31. When was the well sealed? 32. Who sealed the well? 33. Was a Sealed Well Report filed with Ihe Minnesota Department of Heallh? Yes_ No_ 34. MAP 35. Complete the att~ched MAP showing the location 01 each well on the real propeny. 36. CERTIFICATION BY SELLER 37. J ertify lhat the informarion provided above is accurate and complete 10 the best of my knowledge. '\ ~ 38. (IMH '...\- -16 f...."u! CKNOWLEDGEMENT ~- 1/ ~::?: II/""'J CUUfllfl 4 t. MN.WOS (7/94) . ORIGINAL COpy TO LISTING BROKER; COPIES TO SELLER, BUYER, SELUNG BROKER. ER 125 (71901) ... ,:....... ....--'.-.- CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED AODRESS tr;-4'i( i3rca. y fl. tL CONTR. OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: DATE Tille h-IJ< tx9 -13 'I ~ILLING "0 COlllUlNT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o G/"~, et: IJ ,pi" tV ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSI<On CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!