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HomeMy WebLinkAboutBuilding Permit 99-0151 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS l 553 5 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING 11 ~SULATIO INAL o SITE INSPECTION COMMENTS: SCHEDULED o~~ I)... CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ,.-)::'.J TIME ~ to:lO } ({) l( 'jet-ISI o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~~~ ~ r""'in -l ~/ \.JL;~_ -h ,_ - 1 qq --{ S-I I ~q-{0lf \. -------- /' --- / /" - / ( ~KSATI FA --- LL FOR REINSPECTlON BEFORE COVERING Owner/Contr: CALLg7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE QUI 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI Thr Crnfr' of thr Lakr Country Quantity 1. Blue File 2. Gold City 3. Yellow Applicant (fi'-i5/ CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: 1-. 4k.t.. 5 .d ~_ I' /"UYJ A."r11 ;. II<'/i/' 4y Address: ~ ZU\ f'O" /Jp ~ . ~ 1!Jj/~~ Signature~~ _~ Legal Description: Lot / Block J Site Address: l,iP,3S (J/'h e jl" ~ fr~i I Building Permit # CJq-(57 PID #~ -dh 74 tJtJ/-O NOTE: This permit will not be processed without complete information. # Phone:~/.;J- rfYv- ?~d ~ /?1 A/ ..1'7:)" f ?r K I Sub 7hc. Tre~5 FIXTURE UNITS 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 Sinks Bar Sink Water Closet (toilet) I / FEE SCHEDULE Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $ $ $ ---3~O $ .50 $99.50 $39.50 GRAND TOTAL tj{)ot> $ PAID WiTH BUILDING P:=~-1MIT 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~mendm~~hereof. -..- RECEI?19AII-V DATE lr:J.A) ATTEST 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 .r ~'""""\"; ,.; 'ffn~I''''.!;II,~ ':~~~-;;r'~~~i j;\.illo'~!J.".)~~,.,.:t:~1;~~~~'';}I~" ~:;;'~"'l~.':"'" "".~ ...;;,.; . . . I """,,.., , ) ;"!I-~' .-- ..~~_>~ "'.T~~d.l_, "~f'jf~.:!~ "t'f1'~'I{~.~~ "~'..L,~J~~{1f" -~. ~,~~'-~"":':"';~</:";i~~:)..il~1Ji1~~f.. ." :il-:, ~'. CITY OF PRIOR LAKE I. White 2. PiDk . 3. Yellow File City AppIlClDl QCf -/s1 Permit No. 1. DATE .cnONS SPACES NUMBERED-1--l'HRlH7-Mus:LBE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Tyj;;ilnd sign at bottom) 2. SITE ADDRESS /..$S 3_.1)" Orn-Po.e>.... T......I.. Pr;'o.,.- La.ke. 3. LEGAL DESCRIPTION -...) 2,/4,1/99 ~I r I PID .~~ -a.&: 7 -m ( -0 BUILDING INFORMAnON 11. SIZE OF STRUCTURE (Height) (WIdth) (Oeplh) 12. NO. OF STORIES I ~/.1P -rr-fe5 BLOCK LOT ADDITION 4. OWNER De>...1"'I .f 5. ARCHITECT 13. TYPE OF CONSTRUCTION F ; n " 'S }... (i; ttS~ flI <? nt.. 14. FLOOR AREA APPORTIONMENT USE (Tel. No:) J/";o - ~ 0 t/-I-. (Tel. No.) (Name) (Address) /)Y1cl,....Ii:."'- ~ ~....~,.... J95::'~ (J ,..,..,_". 7,.. /. (Name) ~ (Address) '-.J 6. BUILDER (Name)' t 11:'.1. ~'-r u_ r~oJl.r.lq e4'''d~.r.s }-lnc, 7. TYPE OF WORK Fireplace CI New COi'lstructlon CI AlteratIonS CI Chimney CI Misc. 8. PR.OPERTY AREA OR ACRES Sq.Fl I hei'eby thubo bUI' 0 (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS ~y? - ~ 7,jR 7in w /So Si. Deck CI Finish Attie CI Rs-roofil1g CI Porch CI Rs-siding CI Finish Basement ~ Septic CI Addition CI 16. PROJECT COSTNALUE ~ /$. t>c-o . 17. COMPLC lIuN DATE {I/;~ J9'l 9. PROPERTY DIMENSIONS _,Width Depth ." """ on is application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for ru n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the __FUrthermore. I hereby agree that the c:;5,y ~y enter upon the property to ~ ~~~~ License No. Date 10. CULVERT SIZE Yes No ba' " ~/ FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPUCAnON SOIL TESTS CI ENERGY DATA,., CI PIUNG LOGS 0 PERCOLATION TESTS CI Side Side Front -BUILDING DEPARTMENT VALUATION Back OFF STREET PARKING SPACES REa. ... - fi/~ r4t /< PlANS & SPECS CI SURVEY CI PLOT PLAN CI SETS COPIES USE OF BUILDING fL~cu~., 1.000. - SPACES ON PLAN PERMIT VALUATION TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ....................... .................. $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: S U ~L.1S Plan Check Fee ............................. $ Slate Surcharge ............................. $ 1,- Penalty .......;.................. ............. $ Plumbing Permit Fee ...e.p.:..j~..J5.1. $ Pressure Reducer .......................... $ Meter Hom ................................... $ _'. ! CL (' Ci\' Water Meter ................................. $ , ,( Sewer & Water Connection Fee ........... $ Sewer & Watn~it.~.:.~........ ." ...... ~ I \.:. '~1 /r Water Tower Fee ........................... $ Gas Fireplace /1";" ...... .. ......... $ , ," Water Tap ................................... $ :-li:1e1J . '~-;"''''#4 ~ =:~.'::'.'.:::::::::::::::::::::::::::: : 5 ltlflcate of Occupancy . ! TOlal DQU~ ;....~.T................. s--1[J33 ,'70( I .Jed' \ . Paid / D, 0( '") Receipt No. L & (Jtl Date2,-//-LfCjBy' ~,U , This is to certify that the request in the above application and accompanying documents is in a~rdance with the City Zoning Ordinance and may .' ,~ ;;', J as . . . This document .J signed by the City Plannet;slitules a temporary Certifi~te of Zon~mplianC13 .and allows construction to co~nce..'&lfore OCCI4l8Ilcy~. a CertIficate of Occupancy must be..~{ ~ ~W-.c...-~":'\,,"\. .. ." I 'Z:J' City p . - - Dale Special Conditions . any", ",,' . 24 hqur-flOtice for an inspections 447-9850 i .1 ,..,....., :j 40. - Mechanical Permit Fee ..................... $ '. , ~...'.."'.. C;C; -/5/ White - Building Canary - Engineering Pink - Planning The Crnlrr of the L.kr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED maJ16JWo.id 6tj'//~rs 3-z;- Jfi The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /S-53s- 6J~ci..- I~L ' J Accepted /' Accepted With Corrections Denied RJi:i- Date: 3h hCJ / ' , ' / 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." r /' /'"/ i / t~ White . Building Canary . Engineering Pink - Planning The ('tnler or the L.kr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / ,1/(" (/ / / ,.....' ( ( t" I. i I r .' / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .I ! . '.~ I ! /.' l'~ .. Accepted ~. Accepted With Corrections Denied ./!.(\' _ . f .~i~ ~ - Date: ~~~-L}~ Reviewed By: Comments: L1uw~ C-'1 <ob tA1t'6r'~~ "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." t ~., ... . l " -""," PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS NATURE OF WORK USE OF BUILDING PERMIT NO. 9q - \ S I CONTRACTOR NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT is s--sS OfY\~ G.A- T (<.... L. L. r fNIS1-4 RES A /R. DATE ISSUED 3/" (q c, . . INSPECTOR DATE I or to Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING 3-17- ., '1 INSULATION ELECTRICAL PLUMBING 1JJ3 - J S -1'7 HEATING (if r~qui~d) If) "3 - /7- 9'9 . f/ \~ 3.-v~ /~r COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ) - ( /1/ 1/ ~~ BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850