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HomeMy WebLinkAboutBuilding Permit 99-0158 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~NSULATIONj _ FINAL j- o SITE INSPECT ON ~OMMENTS: (0 Rij~ AU. ~ / / DATE TIME SCHEDULED j I ho/99 Q:6O , I L/-Z70 LOeos CONTR. PERMIT NO. q9-/5B o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FilliNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS liNE AIR TST o -€A'\.d.c.. ~&. V-~ \ 01'\ C)t..-/ Inspector: Owner/Contr: CALL 4 ~7-~E NEXT INSPECTION 24 HOURS IN ADVANCE. CODE ~ARE FOR YDUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 'frr"f9' ~ G; krS6 PID d5-o5/-CXJI-{) DATE RECEIVED iI~! 1(';0 1900 . 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 '-1270 3, LEGAL DESCRIPTION LOT J ..{.. J BLOCK ADDITION J(oo()5 ~ MJ V1 " 4. OWNER (Name) ~-l~ i/t'/ ~~t'/"!~'" 5. ARCHITECT (Name) Ad/',/c; ~~ 1, DATE (~d~e~sy '-I~ 7/1 ~~ (Address) 6. BUILDER (Name) (Address) 7. TYPE OF WORK New Construction 0 FirePla~ AlterationV\. Septic 0 Addition 0 Deck 0 Finish Attic 0 (Tel. No.) '1~7-~/~f7 (Tel. No.) W"~VI"1.~1 f- (Tel. No,) ~l.k:.k Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No L White 2. Pink 3. Yellow File City Applicant Permit No. vo/-/s?' BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Wid1h) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. P~ COSTNALUE --rE(~('J(!;t:? 17. COMI-'\,l:TION DATE I hereby certify that I have fumished 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 mentioned property and that all co struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building 0 'c' ~ P. ' lor j cau JJrthermore, I hereby agree that the city official or a designee may enter upon the property to per/orm needed inspections. ;/( " Signat ~~ License No, Dete FOR ADMINISTRATIVE USE SETBACKS: Required Actual Back Front BUILDING DEPARTMENT VALUATION Side USE OF BUILDING fllls, /ILl< OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ffi. em. Or) J .-- TYPE OF CONSTRUCTION: I "jjW1 III I Occupancy Group A B E F S U , Division 1 2 3 ?~ Permit Fee ................................... $ \ tn'l. 0 't 6 ~ .41 h .("){) Plan Check Fee ............................. $ State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ L{D.(9f) Mechanical Permit Fee ...,................. $ Sewer & Water Permit ...................... $ Ga~sre ace ~e it .....~................ $ Thi 1i.J.L mes uilding Permit W;':'I~~1Sb By /.\oJ[ Date '-J l' l Certificate of OccupancY City: J\ r Vi ~ Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS COPIES SURVEY PLOT PLAN o o Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Hom ............................. ...... $ Water Meter ................................. $ Sewer & Water Connection Fee .........., $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ !t. Other................. ........................ $ Total Due .............................. $ ~? 12. 1Z. Paid ~ \7_0{'2- Receipt No. '3+ -'~3 ~ 'L~ '"'.. _...... "",... ,"... __ ."..",,,," '"" '''''''''''"''''' """"""". '" _"""'"...... c::,'; "",,,.;,.1;1_,':: ~ ~ '"' ""'"- ""~ signed -"r.e City Pia constRutes a temporary Ce~~olz~omPliance and allows construction to commence. Before occ~p~t, a Certificate of Occupancy must be issued. d C' la ner Date Special Conditions n any 24 hour notice for all inspections 447-9850 Thr Crnlrr of Ihr L.kr Counlry Quantity I 5 I .2 1. Blue File 2. Gold City 3, Yellow Applicant # C;C; '/5;;{ 'tlf7-Lf/~:::" (( (S(J CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: S kV~I1- I-itr~puP'hP1 Phone: /A~dress: ~1f7 Z"'. A~/f, . ~..,( .IJ l Slgnature:~"",.--~~~~~ Legal Description: Lot 1'V-:;J Block Sub kj/J/5 /:o.tj /fdt.1(I~, :::;> Site Address: / Building Permit # (fq ~ I set PID # J(5 - Q S-/ - 00 I -() NOTE: This permit will not be processed without complete information. FIXTURE UNITS Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain Rough-ins Water Heater Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $ $ $ "3 / . .-:;;n $ .50 $99.50 $39.50 GRAND TOTAL /{O .CO $ PAID WITH . BUILDING PERMIT' 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 amendments thereof. R~E~.~~'j A~~ 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' c;c;-/% White . Building Canary . Engineering Pink . Planning Thr ('rntrr of thr Lakr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST. NAME OF APPLICANT APPLICATION RECEIVED ~ ct6-4frvlaUPt-/ 3- (t) -t(9 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~d 70 jj}~oI s 51-. /US Accepted Accepted With Corrections A' Denied /) Reviewed sf _t/tlcZ ,~, Comments: Date: 3-1:2 - (7 ( Lll ~OT" t""t;19Pr!-r(1Vl~ ~ ~"" e. Ch.,-&l"lA- 1 "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." ,- White - Building Canary - Engineering Pink - Planning Th, ("_Ire of Ih, t.k, Coo_lry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / ./ / / ,<".... ~/./' : {J("-','; {' " tl ( _ ,( { i. J . . I '.' '--"'- ; 1'.'. .,,""" ',/'/' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / / ,. / , ' / Accepted v Accepted With Corrections Denied Reviewed By: ?)\.p~~ Date: ~-l'2--CjS Comments: ' COY...~ ~ ~~ ~~ ~0J'fe.r--/~~ t~ ," .... ~ ,.' ~~\~ ~V\rl ~ .f !()! {)80 ~ 'rS ~l9W ~ \<('6 'ro ~Yv("~ ,vVv,tv~ '\/d1w_ ~ V2-x ~LJduY~p V - . "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 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS '-I ~ '10 f. "r-rO.~ St-. NATURE OF WORK USE OF BUILDING PERMIT NO. ~ - LSA DATE ISSUED s-/:;t _Cj~ CONTRACTOR .9t-~ve. tku+W\tWo.tA NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~ I I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS INSPECTOR DATE FRAMING / INSULATIO ELECTRICAL PLUMBINGLt.J,q!fJ 1-2,...9, fLf-(P- q'j HEATING (if required) f/j /' '1 r ~ r q 9 I _- tJ . I 4-'-79 f1;} ~/-to - 9~ iI C" _ _ _ ~_ __ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS . f(f y)/ojr 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