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Home My WebLink AboutBuilding Permit 99-1158 \o-2..S4"l U:11t. rhD45o.J\'..:t- MM.doLJ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS __ OWNER QlO"1 CONTR. DATE TIME PERMIT NO. ~ - "58 PHONE NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING It 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP V"FINAL 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: Jec.L o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~ CTION BEFORE COVERING Inspector: Owner/Contr: THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQU INSNOTl TS ARE FOR YOUR PERSONAL HEALTH & SAFETY! - --.--^-_._-~.,-._._._-_._~-~_.._--~ ~~ DATE RECEIVED 9/z//91 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 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 3. LEGAL DESCRIPTION I ?#e:ASri#T LOT BLOCK ADDITION / l'1e/i.OOW I. While 2. Pink 3. Yellow File City Applicant Permit No. c;q - /ISPJ 1. DATE 9/~( q q Jet BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES PID 7.&:;-3t..FJ- 001- 0 2ND 13. TYPE OF CONSTRUCTION (Address) Septic 0 Addition LI D~ Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Yes No 6. BUILDER (Name) u.n...V'- 7. 1YPE OF WORK New Construction 0 Fireplace 0 Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 14. FLOOR AREA APPORTIONMENT USE ':I (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 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 :Uildi 'ciar an revoke this pe . for just Ss;. Fu harmere, I hereby agree that the city official or a designee may enter upon the property to ~?on8. s~~ ~~ ~r SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING k!.6S ,,/,e ,. TYPE OF CONSTRUcnoN: I II III IV V OccupancyGroup A B E F HIM R Division 1 2 3 4 Pennit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sawer & Water Pennlt ...................... $ This By FOR ADMINISTRATIVE USE Back Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALVA TION Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS LJ SURVEY 0 SETS COPIES S U City: 48.'5'6 3/ .5'5 . '7S- ~ our Building ;:t:"if~~2~" Issued PLOT PLAN o Amount Brought FOlW8rd .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Date By in the above application and accompanying documents is in accordance with the City Zoni Ordinance and may proceed requested. This document when raty certifirJ3:Llf't complience and allows construction to commence. Before oc'"pancy, a Certificate of Occupancy must be issued. 1 S 'Ie d" . ale pecla on Illons any 24 hour notice for all inspections 447-9850 .-- _._~--'----r---_._------_.._- ATTACHMENT A TO BUILDING PERMIT NO. 99-1/56 PROPERTY OWNER ACKNOWLEDGMENT FOR NEW CONSTRUCTION The Owner of property at /?/tJ$ ~N'T N8i4QCwtN. 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 0;7. sitehl OWNER(S): DATE: tL 1 1 ~'t{l~AA ~0~l7t- 1 By: Its STATE OF MINNESOTA) (' ) ss. COUNTY OF J (.{)11 ) The foregoing instrument was acknowledgegjor me this '21 day of $€P, ,199...1, by ~(?'6Lr D./iv(7::..HIN$ , The Building Official of the City of Prior Lake and rJ f\.. c ~ ~ ( I the owners. ~. :'~~LY GRAIJ MEYER \ t':,.'"i''' ft01ARY PUBliC i"'~ ~ ' MINNESOTA ~~.~ :IVr.ilmm'SSlon"PillSQ1.,\.2001l . ...- HOLDHARM.DOC CJ9-//58 Thl' ('I'rllt'rof lhl' LlkfCollnlry White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT {;,4p-/,e..yAl eot3t3/ / I q/z/h~ / ' APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7/CJ3 ?#'6-4S/J;/l/-r /VJ6#DOW L-~ Accepted With Corrections ~ Accepted Denied u?4A Date: 9-~d..-'1f Reviewed By: Comments: ~eA.d ~ ~k u--J c-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." -- '-"'~"'-' -"---r--~..'_~_'_m'_" .._-...... "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." L 0";00 =q' j Reviewed By: If; - " ~ Date: Comments: .~J(o~ OiL Accepted With Corrections Accepted g..'d-3-1i ~,--- / '" (.' I / //:, "-'~" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .-...- .-~ , ,. c / :-;/ /. c NAME OF APPLICANT APPLICATION RECEIVED , . /',' / -'; BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST Thr Crnlrr of thr Lab Counlr)' White - Building Canary - Engineering Pink - Planning , , .C 11"IIII ~ -~~". <.~'.~ ""~'?'1'~:"""'O:"'''''_~''''''f~''l''''i~~'...,--.,o,,,;;.....~..,.,=,,,~~-~,..~~~~~ ~)