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Home My WebLink AboutBuilding Permit 99-1157 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS l1l bs OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING .... 0 IIjSULA TIOL. ~INAL n- O SITE INSPECTIO COMM .~ ~~\, / DATE TIME SCHEDULED {CS-zs-tt<'f II:-~ .p~c.J. ~ CONTR. PERMIT NO. <1t1-1l S7 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 GAS LINE AIR TST o ,,~ - - Coif /pf(1 () - ~ ~-- -~ \ rl~~ HI.{ ~ "'~ ./' Inspector: -9850 FOR TH E NEXT INSPECTION 24 HOURS IN ADVANCE. CODE ,tEQUIREMENjRE FOR YOUR PERSONAL HEALTH & SAFETYI ~ fflSNOT' ----..-._~_.._._---_._~---~. s~~ :;7 ;~JqQCj CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. While 2. Pink 3. Yellow File City Applicant Permit No. 99..//57 DIREcnONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. $lTlt-1~~; Ph of t.!.O. /I t fll e lLd..t.'W L/1. 3. LEGAL DESCRIPTION 1.CATE 9- J..O -'j7 ~I BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES LOT "2- BLOCK 'PHEA,5;1t!JI I I'1FYJOt)W PID 25-347- OOz.-() 2No 13. TYPE OF CONSTRUCTION ADDITION 1*. OWNER bCN I<J?_uye.,e.. ISo ARCHITECT a. BUILDER (Name) same (Address\- t/!. (lb t\iV (Name) (Address) (Tel. No.) Lf4-7- U)...l.iP (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS S~(t: 7. ~OFWORK New'bSfnJctlon CJ Fireplace CJ Alterations CJ Septic CJ Addition CJ Deck ,- Finish Attic CJ Re-roofing CJ Porch CJ Re-siding CJ Finish Basement CJ SEATS 16. PROJECT COSTNALUE Chimney CJ Mis" 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No 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 1 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 buiJdjng offici~n revoke this permit f9t)U~t caus~. F~rthermore, I hereby agree that the city official or a designee may enter upon the property to ~:~ ;..." I .. ~. ". II U (J),1 ~ . ..9'-J..1J--9f' . Signalure''/ - license No. Date 17. COMPLETION DATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual Fronl Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS LI PERCOLATION TESTS LI BUILDING DEPARTMENT VALUATION USE OF BUILDING /2eS A-Ie OFF STREET PARKING SPACES REO. SPACES ON PLAN PLANS & SPECS 0 SURVEY 0 SETS COPIES PERMIT VALUATION I S()(') . (") (') PLOT PLAN LI TYPE OF CONSTRUCTION: I II III IV V OccupancyGroup A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ S U City: Amount Brought Forward .................. it Par1< Support Fee ........................... it SAC ......................................... $ Collective Street Fee ....................... <t Sewer Tap ................................... $ Plan Check Fee ............................. ,. State Surcharge ............................. ~ Penalty ....................................... $ Plumbing Permit Fee ....................... $ 48.9'\ ~1.53 .1'5' $ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... it Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ...........................4' Sewer & Water Permit ...................... $ :s~/12F' ~~~... .....:..~~.;.~;tYi~9l'~PPff~ BY~~: Date 't Ltt.- 1 Certificate of Occu ncy Issued Water Tap ................................... $ Builder's Deposit ............................ it Other ......................................... <t Total Du. .............................. $_p.,t'),p, Pa;d 9;6., e.> Rece;pn ~3"Z.~" Date 9k+;lP9 By '1A(} ,.e req in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may prC>CeeCJ4:s requested. This document when ne ",te. a temporary Certi'i1Y1;ng compUance and allows construction to commence. Belore occupancy. a Certmcate of Occupency must be Issued. ~/1~ 1; 77 City anner Ie Special Conditions ~ any 24 hour notice for aU inspections 447-9850 . --~-~~~-~- ATTACHMENT A TO BUILDING PERMIT NO. 9t?-//S7 PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at /'7/07 PH~AIT He9D6W tN. 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): v{)d~e ~ DATE: 9'- ;l1'- '1'1 CIT~PRIOR~ By: tv\.~ Its I \ STATEOFMINNE~A )- ) ss. COUNTY OF ) The foregoing instrument was acknowledged for me this :2..# day of :5eP71ii/"USfj,e, .1992., by 'J"".4V SMejl!..CK- Building Official of the City of Prior Lake and v' D olU Ii l.f) C.. ~,I(, y (f the owners. . if/; j ~ N#y Public I II' /',/" ":""'./V'VV\lV""'N Afj'/\/VVVvVV\IVVV\/VV\.. ~< ~H'" KELL'{ GRAU MEYER , \ ~ NOTARY PUBLIC MINNESOTA ~.. MYCllmm'SSion"p,resOI.31.2000 .Wlh....VVV^~vvvVV"V"\.....VNJ"~.. HOLDHARM.DOC -_.---_._..~--- ~'''':'.7''~,'',''''''''' "."':"'"","-',,::-- -r:-'"'~,.r~~,...,-.-,- I.... ,--- .~ ; , ! The C.nln of Ih. L.ke eounlry White . Building Canary - Engineering Pink - Planning ~11l' n1NG PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED . ,/ v ; ./ '/l_e/~ ,-' " --::,. " ,/'~ '/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,/" /' / / - / ;-/ -' ,t: ,,/ f;' '. " .~- r/ / ; Denied ~ nar.Jw;u1 3/;/tJad0 Accepted With Corrections Accepted Reviewed By: Comments: Date: q/ffSlti'i , -j, ~ olcC- "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." ~) 99-/157 Thf Crnlrr of Ihf Lab Counll'l White - Building Canary - Engineering Pink - Planning BU.l\..DING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT DON K/COVGK:- q/ZI/qq APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /~/07 ?H&/lS/l/VT N6711?OvV L-AJ. Accepted Accepted With Corrections K Denied ? Reviewed By: l_w rfJ~~ Comments: -;- , {(pr. r~ ~ De.c.k Date: 7'-7."2"&'9 n l-+Jc.-.J',,", "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 1/111/ <:?v.P...~1- K"o.rlLm., ~ 1/'-. TYPE OF WORK D"C" k 11\' x\'2..' USE OF BUILDING Sf:"A PERMIT NO. Ql-lIS'7 DATE ISSUED '1-22-'7 ( BUILDER k'r"qar- NOTE: THIS IS~OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT n I? INSPECTOR DATE 'FOOTING lfP<J I ~ I <J-~7-'79 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED , FRAMING "R-tor \.0 1:"S~4I\i",,\ ,D..c":~:.> I r2o"j I )0 -LJ ~ '7' , FINAL Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850