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Home My WebLink AboutBuilding Permit 99-1081 , , II CITY OF PRIOR LAKE INSPECTION NOTICE _ lOAf? _ ~q ~-r q~ TIME SCHEDULED ADDRESS 4DI2- w1t6wwocd OWNER CONTR. PHONE NO. PERMIT NO. qq - log J o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING ${ 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP ')l('FINAL 0 PLUMBING FINAL o SITE INSPE . I 0 MECH FINAL COMMENTS: dJPL~ Ae( ,,"*-- U.b\.AA ~-r . dr' ;V hra-<. o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~:z.~ ~ -- ./ ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO?' CALL FOR REINSPECTION BEFORE COVERING Inspector: er:t I Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI ~1 ~/e;~10t CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicanl Permit No. qq-/Of3/ DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS n. _tIN ~ lAJi/}f)(l)f1lrxYj 8-1-.(:7 n:\"J? in. KP 3. LEGAL DESCRIPTION 1. DATE 8/30/Q<'j BUILDING INFORMATION ". SIZE OF STRUCTURE (Height) (Width) (Depth) rn/IJ 12. NO. OF STORIES LOT / ;r';:;ST1!W IP l/ BLOCK I PoNDS PID .?':::;-3v" - 001- () ..:3 Il2 0 13. TYPE OF CONSTRUCTION ADDITION 4.0WNE~(Nam kM') 5. ARCHITECT (N e) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE L'I(l/? '-uIlln f1{by\ ~'$ ~ (Address) (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New Construction CJ Chimney 0 Misc. Fireplace 0 Alterations Cl Septic 0 Addition [j Dee?,: Finish Attic 0 Re-roofing 0 Porch 0 Re-siding LI Finish Basement 0 SEAT~ 16. PROJECT COST N ALUE 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yas No I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 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 submined plans. I am aware that the bUild~g Jff~ial can revoke this pe r just cause. Furthermore, I hereby agree that the city official or a deSign.ee may enter upon the property to perlJ${~f1fons. x~f 17 ignature license No. Oat 17. COMPLETION 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 USE OF BUILDING PES ~/e. OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION LJ nnt"\. On PLANS & SPECS 0 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 ................................... $ $ Plan Check Fee ............. ................ 4: 8'7. a s- 51. .'11 '2..00 State Surcharge ............................. <I: Penalty ....................................... 4: ~ Pressure Reducer .......................... $ Meter Hom ... .... ............................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WalerTower Fee ........................... $ Plumbing Permit Fee ....................... ,4: Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ T~' to ~tthereq s' eel nner } . CilyPlanner Water Tap ................................... $_ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ /45. q", ~ald /qr.9c. Receipt No. .3~~"2.... In the above application and accompanying documents Is In accordance with the c~:~oni~~t may pr~ed. Th~ doctJmentwhen ary certi~ '1'7mPlianoo and allows construction to commenoo. Before occupancy, a Certificate of Occupancy must be issued. Da Special Condilioos W any Gas Fireplace Permit ....................... $ This ,.t;;;lv6r}iit,mes -4 Buildln" "ermit tJn ~proVed. By tT.n17f> ~ate ,,7-Q i CertifiC:e o~ O:pK Issued 24 hour notice for all inspections 447-9850 ATTACHMENT A TO BUILDING PERMIT NO. 99-/06/ PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at 410/2. W/lA..oWWOOO.sr 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. OWNER(S): '). }rJ)p-'1} 1. If.a/J , 1111 ::~YOF~~~ Its . (t,CI,c...O IN"(:> t!?"'I1 "-the- DATE: e/:30h9 STATE OF MINNESOTA) ) ss. COUNTY OF ~(o1T ) /' J'he foregoing instrument was acknowledged for me this /y!- day of . '?vol. ,199.!, by ~ () ./*-'~/"> . The Building Official of the City of Prior Lake and ;JOmmll~~'" owners. ------- Notary Public ---p the ""''''''-I'r./VII\lVV\^I'II'V'.I'.IV''~ l€t&lf'" KELLY GRAU MEV~I' \,.. NOTARY PUBliC ~.. MINNESOTA My commiSSIOn "P"iS 01.31.2000 W\-''F'FNIi''J'\.y . HOLDHARM.DOC II ~~ 99-/0!3/ Thr ('t'nlt'f of Iht' L.kt' Counlry White - Building Canary - Engineering Pink - Planning B.UlLDING PERMIT APPI.,ICATION DEPARTMENT CHECKIJSI NAME OF APPLICANT APPLICATION RECEIVED -rAhMV P6"I7/'?-SOr-.! B/30/Cf9 J J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4-0/2 W'1L.f..,OWW 000 Sf SE Accepted Denied Accepted With Corrections L Reviewed By: (/P L~ v y Date: 8-'](-" 7 Comments: \. ~~ D.e..Jc ~~ "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." I [ -------_._---_.._._...,..~,_.,-- -.. -- -- '.----,-,--~.. -.-. .---.-..-....--.---.------...--.. --.-.. '-_._--------.._._,--.---~. -~-..._...--..._--"_.._. / / / K,Y..,.,_.\,,. d, -~ --,. ~. .... -:,~..,.~.~._-- II "".. '-'--~.-'- .~..-.,~ ~1 White - Building Canary - Engineering Pink - Planning Thr Crnlu of Ihf' Lalit Country ~ 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: Accepted / Denied j Reviewed By: (J. .t){. ~ Comments: L---~ ~ '1I Accepted With Corrections Date: r</3/ /75 DK- . "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 INSPEC liON RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Lj()I'J \");\\I")'-<"II",.,,,,,J. TYPE OF WORK 1::X>rk___ USE OF BUILDING SFD PERMIT NO. tic, - I D~( DATE ISSUED 8-~/-'7. "1 BUILDER 7~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , FOOTIN~) I ~, I 9.;;-99 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~ I I INSPECTOR DATE I FINAL (Ii) I ,0:1. 19-/}d -91 I I J Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 . . II