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
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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
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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 ..................... $
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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 /' /'"/
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White . Building
Canary . Engineering
Pink - Planning
The ('tnler or the L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ ,1/(" (/ /
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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."
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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
)
-
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1/
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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