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Home My WebLink Aboutbuilding Permit 99-0931 DATE RECEIVED 7/30/11 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. 9'1- 93 / 1. DATE 7 -do 9 - 99 / cZ5 - (~7 -()5/ -0 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 4.0 BLOCK . KSV/I/C (N~). S',' /!r/f . 1 /s &:,-/11 (A~eSs /\ l~lY6 '''more HAlt. 12. NO. OF STORIES PID 13. TYPE OF CONSTRUCTION (Tel. No.) 'I?' ja..?B 14. FLOOR AREA APPORTIONMENT USE au- 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 5. ARCHITECT (Name) (Address) 6. BUILDER (Name) BrUCL A ~S; e.. (Address) ,v~m e. C'f S 7. TYPE OF WORK Fireplace 0 New Construction 0 ctlteratiOns 0 . Chimney 0 Misc. 3~ --*' J 8. PROPERTY AREA OR ACRES 9. PROPERTY DIME SIONS Sq. Fl. Width Depth 10. CULVERT SIZE SEATS 16. PROJECT COSTNALUE 3,SOO. D 17. COMPLETION DATE I hereby certify that I have fumished 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 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 perform needed inspections. X Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Yes No Signature License No. Date FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS 0 SETS USE OF B~~G 11 Ie , I SURVEY 0 COPIES PLOT PLAN 0 TYPE OF CONSTRUCTION: I II III IV Occupancy Group A B E F ~I M ~ S U Division 1 2 V 8 h ,....,,-- Permit Fee ................................... $ 'l . (.. s 5&'. ~ l City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ SewerTap ................................... $ Plan Check Fee............................. $ State Surcharge............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ 2. .00 $ Mechanical Permit Fee ..................... $ ~ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ WaterTap ................................... $ Builder's Deposit ............................ $ Sewer & Water Permit ...................... $ :b'i;Fi!:"wg:~~7 Certificate of occupa7 Issued Date o c rtify th t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a equested. This document when by t ~ner 'M/jemporary Certifi te Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Crty Planner Special Conditions rt any 24 hour notice for all inspections 447-9850 ATTACHMENT A TO BUILDING PERMIT NO. 99- 9:3/ PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at /~/~ ,&/~".e.o .;tl V'E. 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. DATE: 'a/;'3/1'1 By: Its STATE OF MINNESOTA) ) ss. COUNTY OF s~or-r ) The foregoing instrument was acknowledged for me this /3;71- day of IfU6u'S't ,1992., by R0/56,e:/ D. ffUi&f/~ ' The Building Official of the City of Prior Lake and ~ \Jw If f. It. I't~ the owners. d 'VVVI.A/VI,IV,,-". . ~i ifl~ 1\ ~'" z~.. ;;e . '\. ~ ~ ,...."''''''^'. ...~-~~~."..'...,...' ~ 'ft'.. 'IAIVI.'VVI./\, J\j',~~. KELL Y GRAU MEYER J NOTARY PUBLIC , MINNESOTA i~l,' comm~ss,on expires 01.31.2000 . . " HOLDHARM.DOC 99- 93 / Th~ Ctnlrr or Ih~ Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /3RU~8 SIC 7/.30/Qcr The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /~/L.jS- F/~c-n()~6 AVE. Accepted Accepted With Corrections ____< Denied ~ /Jr;) ReViewedi _YlL.L~661~Date: 8-3-'7- '7 Comments: /. {JpJaJQ SIAA--cJ6 rdLo*--pr~ ~~t- {9~~ U~G "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." . .~:>.- '~"'.<~ Ji;.:~--t\-";:' "j~~~.:;!",.,.:.-<- '-'-1'.;;,':)'~-',l';~ ...f),-r~, ~,y.,.:....'t,.!:,,\!\,(.. 'l<!' 'k,\-j.r ~ ", ,r'_ . ~'!' . ,'., . 90/- 93 / Th. C..I., or Ih. L.k. Cou.lry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /J,euc E 5/~ 7/3Ci /qq / / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /r/ / L/ 5" ,z::/ t.., c no/c?C )-/ vE . Accepted ./ Accepted With Corrections Denied Reviewed By: !JAt. TEft... fS,,~smANN Date: 8'1'1./'t7 Comments: THE. E 1Jr"r AJEEP./JJ6 D€.Ptltar""E'Jo.J"I Hff~ .v. I~Sv&S WIn( /HI" P(t,o Pose.D 13\JIL..DI,o\1(. AJ':;L},ilolO"J. 5E: [; A rt J4~ I"l/!"V'/ J ~S/~N (!o~rrtD'- RAN Z. !R..o'S/o,.J C-AJf(C.o L.. r1~ ~ IlE-S "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- '-. r7/: /'; -7 / "; '1- (/-' The- C~n.er of Ihe L.k~ Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST I r- NAME OF APPLICANT APPLICATION RECEIVED /;/..--) //c E ~ I C --il:' 7r /C/C7/ .'__{ _' I I / / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: _/;; / J :;- .I f t. C- /../C' /<./ C )--/ /;... E Accepted Accepted With Corrections v Denied Reviewed By: 19i1f.~ Date: .t6J)'I'i~ Comments: ~J . ~ ~lLdG AP.~ - OIL [0+ ~~ ~ 0fI/()). JJ/tJ -D/<-. + ~~( drifew'C! ~ ~ ~ ~ t .,4d~cJ ~. ~~ fD VL,llo~..ed. . ;;- ~ 17) rnaJtzl1 /i4lC;i1nb'- at fV" (2ih~ "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 DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS lkBS- htllMol'-Q.. A~ NATURE OF WORK (' ~ P<!oLl.""<A--. USE OF BUILDING <S~ PERMIT NO. 9 ~ - /5l DATE ISSUED 8 - '$' -7 ~ CONTRACTOR RtITC~ Sf' e NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I ~ -- [ 7 v 91 I FOOTING (N.) FOUNDATION (Prior to Backfill PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I ~, COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED - I I FINALS ;- /7'117 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 been approved. 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