HomeMy WebLinkAboutBuilding Permit 99-0159
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7-/c.; -q~
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ADDRESS 3376
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OWNER
CONTR.
PERMIT NO. C/9-+31ir-- / s q
PHONE NO.
o FOOTING
o FRAMING
~SULATION ^
INAL ~
FOUNDATION
o DEMOLITION
o FIRE PREVo
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 LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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o CORRECT WOIde,
ECTION BEFORE COVERING
Inspector:
Owner/Contr:
"IE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQU EME TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
440.... Cf'l(l(}
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
MAR I J !qqa
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
337 ~ BaJ ~afl"\- Sf.
1. White
2, Pink
3, Yellow
File
City
Applicant
Permit No.
99-/5-9
1, DATE
3-9-9~
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
;ej
PloeJ~ 17c1-{Y3--()
3, LEGAL DEjCRIPTION
LOT ~ , ~LOCK
ADDITION 5uv15 eT I+i J 1.5
4. OWNER TJ (Name)
~ CO DtW'-J:.O 3~76
(Name)
2-
flddn.
5, ARCHITECT
(Address)
Ba Is- Co fl'\ )J ,
(Address)
RfiJrtll k
6, BUILDER
(Name)
(Address)
S'~
7, TYPE OF WORK
New Construction a
Chimney a Misc,
8, PROPERTY AREA OR ACRES
Sq, Ft.
Fireplace a
Alterations a
Septic a
Addition a
Deck a
Finish Attic a
Re-roofing a Porch a
Re~siding a Finish Basemen~
16, PROJECT COSTNALUE
9, PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
Yes No
12, NO, OF STORIES
13, TYPE OF CONSTRUCTION
(Tel. No,)
&.{L(7-7!" >'
(Tel. No,)
14, FLOOR AREA APPORTIONMENT USE
(Tel. No,)
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
17, COMPLETION DATE
x
I hereby certify that I have furnished infonnation 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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
buil ' , I can r voke this it for just use, Furthermore, I hereby agree that the city official or a desigl1ll8 may enter upon the property to perfonn needed inspections,
3 - '-99
License No.
Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING ..
f<es;. / A- I~
I I
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS a SETS
SURVEY a COPIES
PLOT PLAN a
? f'JfY'>J . rJa
TYPE OF CONSTRUCTION: I II III IV (y)
Occupancy Group A B E F ~ I M~ S U
Division 1 V 4 _
Pennit Fee ................................... $ en L :~ 5
City:
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
/ .00
Plumbing Pennit Fee ....................... $
Mechanical Pennit Fee ..................... $
~ l~\f"
C)1 }f1
;-1
Sewer & Water Pennit ...................... $
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 ........................... $
OM ~~ace Pe it ....... ....:~......... $ Water Tap ................................... $
This I i eco ur Building Permit When App!.QvRd, Builder's Deposit ............................ $
By _~ ~ Date :3 -12 ~ 7 Other ......................................... $ I ~ lJ"-/
f Occ t9 TOl: D. ue "'s-" ..................... $ \,0 . S
Certificate 0 upancy 2 ' 3 a ..,
Paid )"J ,'d Receipt No" V7 j' c::r
Issued Date, 3-/1 -17 By (;/~J
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as reql?e~ed, This document when
sign he City I ner constitu~::::porary ce~ca~t&.~n~omPliance and allows construction to commence, Before occupancy, a Certnicate of Occupancy must be issued,
C' Planner Date Special Conditions ff any
24 hour notice for all inspections 447~9850
/ /, '/
Th. C.nl., of tho L.k. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.' / ,/
, '
,
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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
~~~
Date:
'S - (f:)-- C)~
Reviewed By:
Comments:
liThe 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
CITY OF PRIOR LAKE i: ~~L ~~licant
PLUMBING PERMIT # 'f~ -ts1 ~ ~2$Z
Applicant: A-c.. kA-<.. PI 1Jy~":a--~ Phone: 0717 - :)"3 '1-&J 1{ CJ
A~dress: ~~// ~~~ ~. ~ ~/~?41t/
Signature: . ~~- ......", ._.,..,__
Legal Description: Lot Block Sub
Site Address: ~-:>I t. !34J.,\"J<-. <;+.
Building Permit # ql, - ('5 ~ PID # 2S- - L 72.- () (? -0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
The Center of the L.ke Country
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
/
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
I
/
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
GRAND TOTAL
$
$
$ 3'1.50
$ .50
$ tro
$99.50
$39.50
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.
'"J4A<C:;;- R1CEIPTNO,5-71-1) DATE
fii:J! ! L: /'-, A TIEST
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
1
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .?</r( 0 "Ra.\ <:::,Q..NV\. ST.
NATURE OF WORK 'Ro..<;OW1"~~ ~v...~~~
USE OF BUILDING S~D
PERMIT NO. CJ9 - /51 DATE ISSUED .3 -I'd,. -II
CONTRACTOR ::5c.oHD-PVlAk0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I
FOUNDATION (Prior to Backfill) I I
',PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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U+J5-Q'j
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
If();
1/
V
GRADING (Prior to Sodding)
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.
/-Itf ,.'11
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850