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'\
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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'.'. .,,"""
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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