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
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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
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"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."