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HomeMy WebLinkAboutBuilding Permit 99-0019 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 555~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING (R; o INSULATION 'K. FINAL 10. SITE INSPECTION COMMENTS: L, L J DATE TIME SCHEDULED WtJI 9:Sd 6U~OO/L.- CleCL e CONTR. PERMIT NO. Cj 1- 00 I 9 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 FI . ),""CE FINAL stiNE AIR TST ---~""- -~~-- ~/-~ .' (IJ~ ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~, , Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE RECEIVED 'CITY OF PRIOR LAKE BUILDING PERMIT, ... TEM,PORARV CERTIFICATE OF : ZONING COMPLIANCE l ... ---.--~TILlTV CONNECTION PERMIT L White 2, Pink 3, Yellow File aly Applicant Permit No. BP t:tq~ Wlf 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 " . "G r'l~)~ll O\W I \~ l'"L( ~ ,~. 3. LEGAL DESCRIPTION '7 I BLOCK rc;...... ~ '.v:.... \. t:- ~ ~~~ /..- J::J... 4. OWNER \JOW\ (NaC}] {f::j) N 5S~t(}~ti( IGV L ti.,(S 6 (Te1441 SS5lR (S - ~ 14. FLOOR AREA APPORTIONMENT USE 5. ARCHITECT )(Name) (Address) (Tel. No,) j ~ e" \-~ '"' )Uh.v', .),<'1] -'15-'1 " 6. BUILDER (Name) \ <: _ l (' (Address) . (Tel. No,) t; 15. NUMBER OF OCCUPANTS OR SEATS .()f\~. ,~)~- ...~J.t- JU:+P.' ?...~~ OCCUPANTS 7, TYPE OF WORK ' r j Septic CJ Deck CJ Re-roofing CJ Porch CJ SEATS New Construction CJ Alterations if Addition CJ Finish Attic CJ Re-siding CJ Finish Basement.J. 16. PROJECT COSTNALUE r- sCtV~ 17, COMPLETION DATE . 1.DATEMa ZON! 'f"'UI7 BUILDING INFORMATION 11, SIZE OF STRUCTURE (Height) (Width) (Depth) LOT PID q 5-~35-0')"""C} 12. NO, OF STORIES L-/ 13, TYPE OF CONSTRUCTION ADDITION Chimney CJ Mise, 8. PROPERTY AREA OR ACRES Sq,Ft. 9. PROPERTY DIMENSIONS Width Depth 10, CULVERT SIZE 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 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 building official can~evo is permit fo rjust cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. --? ~ " - " ../Y"1 X ':':_~., __ .k:., 'rT I ~c,-I{ Signature License No, Date FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS CJ ENERGY DATA CJ PILING LOGS CJ PERCOLATION TESTS CJ SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUILDING ~s , AIr<.. OFF STREET PARKING SPACES REO, SPACES ON PLAN PERMIT VALUATION Ll.o l'c) "Oa PLANS & SPECS CJ SETS COPIES SURVEY CJ PLOT PLAN CJ TYPE OF CONSTRUCTION: I II III IV @ Occupancy Group A B E F HIM (fV s U Division 1 2 C) 4 Permit Fee ................................... $ 87 , ~ C) City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collector Street Fee ......... .... .... ...... $ Sewer Tap ................................... $ License Check Fee ......................... $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ I 'J.l.d~ Plan Checking Fee ......................... $ State Surcharge..................... ........ $ Penally ....................................... $ Septic System .Y.:s~:..1t?P~1..... $ Other ......................................... $ 2.~oo l>\~ \,,"\~ ~J.. ()>- 40, GIO Subtotal ............................... $ This ~rfJe~Your Building Permit When Approved, By ~ Date /-&-~~ y CertWicate of Occupancy Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ , TotaVDue I............................. $. 1 A Lj . ~,C:;--. Paid ~f t 1lq q Receipt No, ,W 3 t/.3 Issued ' l :1:sIL Date /-/9.. "t '7 B J-!.- This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr as requested, This document when sig~ ~ f78qner constitutes a temporary Certi.'fiC8te of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued. )J!CA.-Li.-,.- ~ C--7-~ City ~ner Date Special Conditions ff any 24 hour notice for all inspections 447-4230 CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: DOl " ;, 6' L I It(SO (l Address: r;~ . ~"f.f JOD~IC r "Lr. '-,,2. L Blue 2, Gold 3, Yellow File City Applicant # 1r"40('/ Phone: 4 41-850~ ' Tht Ctnltr of lht Lib Counlry Signature: Legal Description: Lot 7 Block I Sub u,/'"' t' ..'-K..... \ (l ,,~~ <II ~!i. Site Address:HF-/1 D'L~I\ 10 fJ ~ tur, Sf::' Building Permit # PID # NOTE: This permit will not be processed without complete information. FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Dishwasher , Floor Drain 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 GRAND TOTAL $ $ $ J.p\ .51") $ .50 $ AD ,00 $99.50 ~ f/A-lO 1 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. RECEIPT t{o. DATE t/( c....- 'C..- L..P \.)J/ p~ L<I" ATIEST " Call for all inspectioni ~4 hours in advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer Th. ('.nl.r of tho Lok. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED - . \ q (.: ./' ,_./ C_'::; l I /~, . , I I ". ..,. J L.--/~=-\)",-'<:"~ t.-,r-- I ! , (11 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~~ (~~ Accepted V Accepted With Corrections Denied Reviewed By: r:2~.tk.:&~ Date: 1-7~q'6 Comments: I ~::fY'rI~ CM ~~~J.. ~ ~~e...rtCW' (fiU/J-V f.J.,.J.dJ I '~-iO\M;1 Y"mlA, ~ \ !JC~lA .,.J.- L~J ViP~. i I i I I I I I I I i I 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." Thr ('rntrr of thr L.kr Country White - Building Canary - Engineering Pink - Planning NAME OF APPLICANT BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST I~::')U0 ,LA() S ~ f /~ /qcf , I ( APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~<)~9 ()uerlook (1-_ Accepted Accepted With Corrections ~ Denied Reviewed By: ~ D(). rA Date: j-fp-1''/ Comments: I. ~ ~ \oo..se.-VV\.eJA.\- ~~\A.\s.~ \I\/NVl&.oJ- "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."