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.
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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
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~-=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-
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,
.,
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."