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Home My WebLink AboutBuilding Permit 99-0078 CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED 5-1 A '-10..;30 ADDRESS "\<aD \"o<or-.\-~ OWNER PHONE NO. o FOOTING o FRAMING ^..O INSULATION ..1.. ~)r'FINAL 8~ "'" . o FOUNDATION o DEMOLITION o FIRE PREVo COMMENTS: CONTR. PERMIT NO. 9C1-J8 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 o ',vL ~ ,)IIV-l/M ~ /' 1\ A , I /I I \ // ~ / / I I '\ v XWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO. RK, CALL F,\ REINSPECTION BEFORE COVERING Inspector: :~ J r\, ~ Owner/Contr: CALL 447-423Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! T DATE RECEIVED CITY OF PRIOR LAKE ... BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 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 17180 h r/l,...-to 3. LEGAL DESCRIPTION Av. LOT l BLOCK g ADDITION f.<)r..,-yJl n'&c, 2......A... /J.~. " 4. OWNER /1 (Name) 1 1~ L-ro..\C\ Q~v US 5. ARCHITECT (Nam'e) 1. DATE 2-L( -9CC 2.5- 244. o~-o PI~::>'5 ~8D D47 -c - (Address) 17(~Q Ti>ro......-/o Ai (Address) (Tel. No.) 't'fD-377b (Tel. No.) 1. White 2, Pink 3. Yellow File City Applicant Permit No. i' - COla. BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) g (Width) 7.D (Depth) Z 3 12. NO. OF STORIES Z 13. TYPE O.F CONSTR}J.CTION .fLse-~~ -1 *-..,,$L.. 14. FLOOR AR~A APPORTIONMENT USE r4..-..: (y I<O..f::> c-.. + &ft...... I C<^S -I.,.,., C."5-(-' (Address) fj! iL.. (Tel. No.> . I'"' - ')..~1 . f l/'(1ua;~ ~ t1- 'JiS,,5 //1 tN, /4,'".,.,el..c..1.., Rc~:/(65-VZZCj-Y<X-O Septic 0 Deck 0 RelToofing 0 Porch 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basemen~ 6. BUILDER (Name) 7. TYPE OF WORK Fireplace 0 New Construction 0 Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq,Ft. 9. PROPERTY DIMENSIONS Width Depth 10, CULVERT SIZE Yes ~ 15. NUMBER OF OCCUPANTS OR SEATS 2- OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE '-(-1-77 I hereby certify that I have furnished 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 men.tiOned. property~nd that II construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building ~ial can r!lvoke ~is P_<-!!!'" cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X /A'~~/. ~ z.o05"i32...<lS 2-'-f-79 . ., - /'/ 1,;' Signature ";-.r License No, Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back BUILDING DEPARTMENT VALUATION Side Side USE OF BUlLf'ING ~s.. OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 2,~, or.... City: Amount Brought Forward .................. $ _ ...l Park Support Fee ........................... $ ;;L\ 10 C'a..U (JJ SAC ......................................... $ ~~V' ( CollectiveStreetFee ....................... $ e d,(- Sewer Tap ................................... $ t,.l\.UL'o1 e.. to ra.. $ ~\,A1ltUv . 1 rIJ. J-' Water Meter ................................. $ 00< 0 \l\Se,~J Sewer & Water Connection Fee ........... $ ?\\~). WaterTowerFee ........................... $ ThGBy~lsstair"". ~p~rmi m"e's. /:r B'U"I'I.d.I'.n.g' '~":t$r:it )AItle~I..6P_p~~. ~ Water Tap ................................... $ " c:. tr- ...., Builder's Deposit ............................ ~ Other ......................................... $ , ,//. J~ Total Due .............................. $ In ~ -rl J Certificate of Occupancy r / Issued . Paid Receipt NO~ ~1Cr ?tJ "1 Dat~ - (l ~ 7'''1 By H> Thisfil to ~~e ,~~ in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign by ~~~n;:1~ary Ce~7~rl:jJ7mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. . J City Planner date Special Conditions ~ any 24 hour notice for all inspections 447-9850 AllL I TYPE OF CONSTRUCTION: I II III IV (:j) Occupancy Group A B E F HIM ~ S U Division 1 2 (j) 4 Permit Fee ................................... $ Plan Check Fee ............................. $ L, 1.?') l.&e- \..~ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ~l~.~~~~..L..... $ t(O .00 Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ 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 Pressure Reducer .......................... $ Meter Horn ................................... $ White - Building Canary - Engineering Pink - Planning Tht ('tnlrr of the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED C,,~b1 Offi1~~J. ~/c..J /7/ I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I t-r 166 \;;r-o\f\6 Av~ Accepted Accepted With Corrections -x: Denied /) Reviewed By:~~k Comments: Date: 2--8-7/ t. QJ ~~/L-1I"\..1r; r-~,\,,~l ~_~,rJ crzJ- "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." The eeRier of Ihe L.ke Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED '../' I /i The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,. 1'-', \ ' , ; . I r,_.' I. . ,i' Accepted ,/ Accepted With Corrections Denied /1 / Reviewed By: Va ~ Date: Comments: c9/7/7'9 . - .. "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." CITY OF PRIOR LAKE i ;~L ~:licant PLUMBING PERMIT # t1J!l-7fj Applicant: /J.. c.c. r JL~ "I~~ '\ \ 11\ ~\; N J P~ne: ~ 2..- 'g ,'12:- ~ ~ I~ Address: ,+:::? 1... 'i 0 ~~ } ~ ':J\ () f) J" I (,~ C:CJ ~ 6 yJ q 11\ \ ,/tv ~ Signature: .~" ~ <!. '" kLv', IJ "- Legal Description: Lot Block Sub h-, N Site Address: I 7 ) ~ () I () ...." Nl', It V....Q.. Building Permit # , ~=?~ PID # NOTE: This permit will not be processed without complete information. FIXTURE UNITS The Cente, of the Lake Counlry Quantity Type of Fixture Quantity Type of Fixture ( Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall , Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other 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 $ $ $ $ .50 GRAND TOTAL $ PAID WITH BUILDING PERMIT This permit is granted upon the express condition that said contractor, shall comply in all respec~s. "'( ~ ~e rdinances of the State Plumbing Code and the ame me s thereof. RECEIPT NO. DATE I-fJ /4 A ITEST . .. 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 T PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS I~\eo T~r' \.... Ave. NATURE OFWORK fue.\M&I^\- ~,^,,~ ~ . USEOFBUILDING SF\') PERMIT NO. Q'1- o("j7A DATE ISSUED ~-8 - '79' CONTRACTOR, . .n~ ~. ,.NOTE:THIS IS NOTA PERMIT FOR ANY OF THE INSPECTIONS BELOW . ','""" THE PERMIT IS BY SEPARATE DOCUMENT e"'" , . INSPECTOR DATE ;,:.-';,~:...; FOOTING ..,.1 ,," I I , FOUNDATION (Prior to Backfill) I ' I , PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED7; .".:,: ' "" -;l;}~~~f:~:. ,'"I, ROUGH - INS I SEWER I WATER I SEPTIC FRAMING' ~ 'INSULATION !/ t/ ELECTRICAL ;\ 'I::U...UMBING"II~ zlq.. 9?) f1EATING (if .tequired) ., FIREPLACE GAS;'I~INE":AIR TEST ..,...j'(-CJ9 '-. G.-- 1/ .,.J COVER NO WORK UNTIL ABOVE HAS BEEN S,IGNE ~WALLBOARD ' I I FINALS GRADING:(Prior.toSodding) BUILDING :iELECTRICAL 'PLUMBING; ;1,%" ~;a\~.~~t,~,';'j~":(~,,~:, . HEATING \\'L.~, 6 ~"f~;~~hW~:.: ,._'. ' ~.- _!'~":.: ,~",; ...,,,~;,,~,,;;r";,~~'~\?\,\ ': '; .' <J;t-~>,,~:~,,~ ' , : _' ,;'C,>)00 N OTO Cc U PY, U N TI~ O:I~~V E HAS BEE N,>StS,~~P'"~~~ii;~ 'This. card ,must ,be' posted near an electrical service c.abinet prior. to rough-in . inspectio"~",,. .t.,",,"''' ,,, . and maintained 'until all inspections have been' approved. On buildings and additio'ns'Y""",;:" ' ',,::where no service cabinet is available, card shall be placed near main entrance. i ..<~"'\,;".,. ' c' Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-4230 '""'::',_:Ti-')-:::-'-'.