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HomeMy WebLinkAboutBuilding Permit 99-0012 CITY OF PRIOR LAKE INSPECTION NOTICE OATE TIME SCHEDULED ~ q~vD C!eJflC!H M frN LN. ADDRESS 44-38 OWNER PHONE NO. D FOOTING D FOUNDATION D FRAMING A- D INSULATION \l( FI NA L L.,.. t... /[j SITE INSPECTION COM IIJENTS: J ( '/ .(..) ~~ "-- .......... Inspector: CALL CONTR. PERMIT NO. qq-oorz... t . D PLUMBING RI D MECH RI D WATER HOOKUP D SEWER HOOKUP D PLUMBING FINAL D MECH FINAL D EX/GRAD/FILLING D COMPLAINT D FIREPLACE RI D FIREPLACE FINAL o GAS LINE AIR TST o ~~ ~-=9 Owner/Contr: NEXT INSPECTION 24 HOURS IN ADVANCE. FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI CITY OF PRIOR lAKE BUilDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATE RECEIVEO _..": A 1999 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SI4J~ (.()!ltt!llJJJJJ LIIKE N E 3. LEGAL DESCRIPTION LOT c:; BLOCK I ADDITION ~t-I(.p.~ -Uu.-C; 4n ADO 4. OWNE~ ~ n' (Name) (Address) rzms..Y A I MA~ <;1JJ?lC 5. ARCHITECT (Name) (Address) 1. White 2. Pink 3. Yellow File City Applicant Permit NO.!/I-'" 0011- 1. DATE I~h/r$ (Z\ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES PID ~~'314-Cbg _0 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) ~/l-tijV - PI?:S (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK ";-"'::?'c New Construction 0 ,~w,,~ Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basem~ SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 17. COMPLETION DATE . /)PEJJ I hereby certify at 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 ioned property and that all cons ction will onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the . I can r 0 is . for just e. F rmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X UcenseNo. J1, - ~~e-f! v FOR ADMINISTRATIVE USE Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid /.lfJ; - 7,..'::; Receipt No. Date 1-7-'i~ By fl~. This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign~b'y'1mCi!Y.Plan~~~te:a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. L- // ~ - I-? .?p&. /.) - 'eIlY - Date Special Conditions K any 24 hour notice for all inspections 447-9850 SETBACKS: Required Actual Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~0Cf'\. t'Jn> USE OF BUILDING 1Ct=5 I A/I<.- I TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 City: Permit Fee ................................... $ 7LI.75" Plan Check Fee ............................. $ State Surcharge............................. $ 1.50 Penalty .................... "PIt); /:tJI" $ Plumbing Permit Fee ......lt~:........~ MeChanical Permit Fee .....-:........... $ Sewer & Water Permit ...................... $ t~/4r1 '/(l. Ing Permit When Agpr~s!. Date / - 4-/0 Certificate of Occupancy Issued Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ 1l~.Z5* "3lI3Jt./ The Cenler or the t.ke Counlry I. Blue File 2. Gold City 3. Yellow Applicant PP No. qq-OCJ/Z- APPlicant:~~. ~ 'i/~ Phone: 'If? -tJ.!!3 . Address: JJ!I~?J C{;~~CJ. C Vl- LlJIVE AlE Signature: ~ ,r/., ~~;;;Z; I,J~ Legal Descriptio Lot ~ BI:X:k / su~;Ia. 'f' Site Address: ~ / Building Permit # fr- 012/2- PID# t~-~tf.-(}d~ -Z) NOTE: This permit will not be processed without complete information. FIXTURE UNITS CITY OF PRIOR LAKE PLUMBING PERMIT Quantity Type of Fixture Quantity Type of Fixture Floor Drain Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Bath Tub with or without shower Dishwasher I Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) I / FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ $ $ $ .50 GRAND TOTAL $ This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Code and the amendments thereof. PAID WIWCEIPTNO. DATE BUILu"\J~ tJERMIT . ATTEST Call for all inspections 24 hours in advance. 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer White - Building Canary - Engineering Pink - Planning The Crnfrr of the Like Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 0IJC.r0 ~,.s k~ APPLICATION RECEIVED 1- L/- 77 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: tqz c6&.cL.. ~ Accepted Accepted With Corrections A. Denied ,./) / Reviewed By: (~~/+-- Date: ) -0--70; Comments: kl {LJ~ r:~-~. ~~ "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 t jurisdiction. Permits presuming to give authority to violate or cancel the provisions 0 this code or other ordinances of the jurisdiction shall not be valid." "~".-""'" -'~~~.'~""""'" ",' '-"':~~"~"-""~~:;<l"~',~;""'~",~~p"'''''''''-----r- ,,,,"~,;'''''~'''-''~'~-'''''''-?''''.-''"T''''iO-'';i'_?'';'-o.''- , ., The Cent~r or the lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT (' \6/ 'J t4, ~~V\ APPLICATION RECEIVED I - L-( - ~ q The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: l(L{'s~ ~~ ~ Accepted ~ Accepted With Corrections Denied L::j~ ~~~ c..-- Date: I -- t,{ - Cf1 Reviewed By: Comments: ~~ ~ ~hlMf.1\eJ &JtJ~~ ~ L~~\~ ~~ tA~ 91(t~~ V~C\JWe..~ ~ ',~~~\! 0 - 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."