HomeMy WebLinkAboutBuilding Permit 99-0024
SCHEDULED
DATE
t.//8
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
3:30
ADDRESS
.--;' :-1-/ b C, O,.c;C-H H /7 AI LA /lib
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99- 0021
o FOOTING
o FRAMING
8-INSULA TION
A~INAL BSnt.
o FOUNDATION
o DEMOLITION
o FIRE PREVo
~
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
CQMMENTS:
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~ORK SATISFAC
o CORRECT ACTIO
o CORRECT WORK,
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.8P f (;. I () I
1
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
.' . TEMPORARY CERTIFICATE OF
. ZONING COMPLIANCE
,
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
....I/f- o (),I 'I
- 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
1. DATE
~ .I-f I t;;
~cJ, 'l"l~
La.. ~ ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT q BLOCK
r' /1A/I-lfJ (\..I
I
4. OWNER (Name)
, (Y)~ '1-. '-a1tU-
~ame)
12. NO. OF STORIES
ADDITION
~
N-Y~
PID
U .A-.
,
'J,S. ,~/l(.~. 0
13. TYPE OF CONSTRUCTION
5. ARCHITECT
(Address)
S cJ1 oe I") h'(fo, t:..f"
v
(Address)
(Tel.N/O~~/-
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER (Name)
7. TYPE OF ~
New Construction 0
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
x
-
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
SEATS
16. ~OJECT COSTNALUE
" ~rO(:) .(TO
17. COMPLETION DATE
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basem~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
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
ruction will conform to all existing state and local laws and will proceed in accordance with submitted p~ans~a ware that the
se. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform e inspections.
/ // 11
License No. '/ / 0lItII
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ 0('\("1 . 00
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
USE OF BUILDING .
~S. It / fZ.
J
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I II III IV Of)
Occupancy Group A B E F HIM --@ S U
Permit Fee ..........~i~~~i~~...1...~~..~... $ 1"14. ~~
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
JI/,;.~j
Plan Check Fee ............................. $
State Surcharge ............................. ~.
1.~O
Penalty ....................................... $
Plumbing Permit Fee e.r::..'lY.~.Q.~1 $
--40,00
Pressure Reducer .......................... $
Meter Horn ................................... $
Water MeIer ................................. $
Sewer & Waler Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
G'~;..................... .
This p' I co~;"u. ~u;;c;;ng Permit When r-rPJed.
By __It) Date J - I !
Certificate of Occupancy
Total Due .............................. $ J I'..l S-
Paid 1/10 .J..J~ Receipt No....1 <<3l1 V
Date /!iJ.i..? By & c -
in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as (~uested. This document when
iWt s a tempqrary Certifiitef}/~omPliance and allows construction to commence. Before occupancy, a Cert~icate of ~ccupancy must be issued.
~ Special Conditions ff any
Issued
24 hour notice for all inspections 447-9850
~- 9f-I)IJ) 'I
CITY OF PRIOR LAKE i: ~~L ~~~licant
PLUMBING PERMIT PPNo. 9?-tJ()L'/ _
Applicant: l fN{\~{, ~ \/ ~ h~)"H/~Q,rtS'hone: tfL/7 -/00[ i
Address: ~ ~~-./
Signature: . /j{)!/...Ilt~::: ~_ ~ ..
Legal De'SCription: Lot /..:-t'( Block 0 Sub ~j'~ ~ Lf~
Site Address: J.f~llD Coo r hrn t?/n LA~
Building Permit # qq-IJIJ 1.'1 . PID # ~ S C! y. O;).,f' I 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
lh. C.nl., 01 Ih. L.k. Counlry
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
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
$
$
$ 391 so
$ .50
$ L/O.c)O
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 a,fl)endments thereof.
f1 ... REC~IPTNO. /111. DATE
'-1I1-.h,i!tl'vJ-.f.,- ~ ATIEST
Call for all inspections 24 h urs in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
.'....~".'..........'..,
' ......-
"~' . .. ..,.............
Canary - Engineering
Pink - Planning
/J;
Th~ C~nlt'r or lh, L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ 'c-}~"'.J
APPLICATION RECEIVED I hI Iff'
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L/~~ci~
Accepted
Accepted With Corrections -X
Denied
Reviewed By: r:2f2I2~~
Comments:
). r<e..c.& + ~e.. b~se-\M~ t,\",\,~ L-- Uc......J...OLl ~
Date:
I - /I ~ i'7
"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
.'
The ('enter of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '
: i,
'.J" j ~./
APPLICATION RECEIVED / / ,'. ;1 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'..; l,i)' /, .
~ f', '. .
_/
// I- .-1',,"
./
Accepted V
Accepted With Corrections
Denied 'I /:Jc: 1
Reviewed ByL A-if J '-.J ~
f
Date:
V II 11
Comments:
"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."
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",,':,~:~Call,betWeeI18:00.and 9:00.A~M.~foraltlnspectlo'hs
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:"::/"':";"''':.,' 'FOR ALL" INSPECtiONS ;'''47~23()'' '., ::,~'~ ':f"