HomeMy WebLinkAboutBuilding Permit 99-0077
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
cn-77
o FOOTING
o FRAMING
'" ~SULATIO~
~ ~~NAL
o FOUNDA TI
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 LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
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COMMENTS:
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Inspector:
CAL, 447130 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~JJ/REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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White - Building
Canary - Engineering
Pink - Planning
Thr ('rnttr of the Lake Country
j3UILDING PI;RMIT APPI".ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'1q-17
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
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Accepted With Corrections
Denied
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Date:
~/3)17
Reviewed By:
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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P'g(QR LAKE
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I~JSPECTION RECORD
DEPARTMENT OF .
BUILDING AND INSPECTION
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SIT.EADDRESS J{o~{X) Q~eksr~ Av-e...
. NATURE OFWORK' ~c.,,~~!- \j:,o. ~l'-o~
USE OF BUILDING SFD
. PERMIT NO. 9''1 - O() 11 DATE ISSUED :a - L/ - 1 c;
CONTRACTOR,PQ.ul ~a..pp . .."; "'i. ....
NOTE: THIS IS NOTA PERMIT FOR ANY OF THE INSPECTIONS BELOW'
. ,THE PERMIT IS BY SEPARATE DOCUMENT . ,,>T.;"" ,
'BUI LDINGit:;{..j..
ELECTRICAL
PLUMBING' ,
HEATING
0,9 NOT
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INSPECTOR
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WIllING"
FRAMING;('.'.'?',":1.'r.
INSULATION'.,. .
.ELECTRICAl'fj:::.-.,...."~""..,. .
PLUMBING
, HEATING (if required) .
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?;~!;,:i-,.,;PLA'CENO.~CONCRETE UNTILABOVE'~HAS BEE
.,~i;~;?i~;!f.r!:..?Tji>)~;~.!fy:.:'~~:;:t~..i:~;'.. . R 0 UGH -IN'S ..'..:
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:...:',Ysf;':/COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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OCCUpy UNTIL ABOVE HAS
NOTICE
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This'cardmust be posted near an electrical service cabinet prior to rough-in inspections,
and maintained until all inspections have been approved. On buildings and additions
where no'service cabinet is available, card shall be placed near main entrance.
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
...
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
/{,700 Creer-side. C"~Lle ;17. PrIor Lu.ke
3. LEGAL DESCRIPTION
LOT In ree.... ( .5)
1. DATE
Fe 11 3. ja,91
CRY
BLOCK
PID :<S-IO'I-003 - 0
I~ " - LJ I <" LU -n l'rd.. 4cid I .-f /)>>".
13. TYPE OF CONSTRUCTION
Re.I'l-CJvc",i,ln-. / r;hl54
(Address) (Tel. No.) lV .n -Z'1'- -"",~4. FLOOR AREA APPORTIONMENT USE
~rl'" 1(,,7111) t:rf'el;.h'd~ e. r,-/e, Pr,.xL.te. '1'11-7lft5 i~f ,cia:>,. /tJO.' I"Y/~
(Address) (Tel. No.) {y.. Sc'.n'1t!i!'" -r fd~ rl!c,..~/"....
's-"~7r,~8VS-'
(Tel. No.)
ADDITION
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D - ,.., I"W, '''/ I elL! /-L't s
4. OWNER (Name)
,) A...t-I ~,S,^ 2A. Y\ '" e..
5. ARCHITECT (Name)
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6. BUILDER
(Name)
(Address)
;VIA
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations If
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish BasemenY'f
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. , 3 4e-
9. PROPERTY DIMENSIONS
, I
Width I)' 0 Depth I aD
1 O. CULVERT SIZE l-t,,, ft:no,,,ul
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 11 -007,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
I
15. NUMBER OF OCCUPANTS OR SEATS
L/
A,/J,i'J
OCCUPANTS
SEATS
16. PROJE9" COSTNALUE
1 2...t? ~ 0
17. COMPLETION DATE
J lNI1e 30, /f9?
I hereby certify that I have furnished information on this application which is 10 the best of my knowledge lrue 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 rev99this p~it ~u~e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm ne~~ )nspections.
X r~ /rl_/~ J/.I/99
Signature' ,,;9/ License No. . Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
~c,. A /R
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TYPE OF CONSTRUCTION: I II III IV UP
Occupancy Group A B E F HIM <R> S U
Division 1 2 & 4
Permit Fee ................................... $ 3'Q .1S
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ti:-.OQJ.1....... $
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Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Side
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MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. . .. .. . .. .. .. .. . .. ... $
Sewer Tap ................................... $
$
24 hour notice for all inspections 447-9850
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Gas Fireplace Permit ....................... $ Water Tap ................................... $
ThiS~' ~t~ Beco1:S Your Building Permit When Approved. Builder's Deposit ............................ $
By 'h__ Date a- '-1- '1<<'J Other ......................................... $
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Certificate of Occupancy paa.1635~....~~~~i~;~0~ lln1fi 1-
Issued .
Date~-\~-qq By MIA
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zo~ing Ordinance and may proceed ~~uested. This document when
signed ~.J"~lann~es a AAA:ary Ce-.2; of Z~dPliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
~~ V ~e Special Conditions ~any
:
CITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue
2. Gold
3. Yellow
File
City
Applicant
# '1'1 -ooT7
Tht Ctnlt, of lht Lokt Counlry
Applicant: P[H~ I J;-.up.o Phone: '1'/7- tlj 2. 5
Address: /1P7CO t.1' ee K-s/Je. CIrG.-k.?r (~f Lr. k e
Signature: AJ~ I .
P"~ .)" .;q........,~ ~+.-/'KJ:.. H, -1/"-<"...... TI-Ilrd Cldd,+-ri:-.......
Legal Description: Lot ._.., Block SUD
Site Address: It- 100 ere e. ks,d '<- C, n.. } '<- rr IC.:- r 6A. J;:.. t:::...
,
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
Dishwasher
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
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Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
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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
contractor1 shall comply in all respects with the ordinances
of iii< StatllAlQwrra on. tho 'm~f"''''''f.
~UllDIN~i). 2-(~ DATE
KI JfI:r ATTEST
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Call for all inspections 24 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
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White - Building
Canary - Engineering
Pink - Planning
Thf ('tnlrr or the l.kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~U I - I ,Q~p
APPLICATION RECEIVED 8- - s - 9 J
ql- 11
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I fu/7 00 Cte~k sl\de. ('.\'-.
Accepted
Accepted With Corrections X
Denied
;2f iL ~
/'
Date:
~-4~ J]7
Reviewed By:
Comments:
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z, U r M_ ekffi\\Y\.0 .)\\) (I"".\.O ,'~ +0
5. S"f~ cl-€rJ,..;c:~ ~\-
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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."