HomeMy WebLinkAboutBuilding Permit 99-0166
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~~~~. <<trtiftcau ~...~~mpancy Jj~
r;~ CITY OF PRIOR LAKF.
i~1 ~- :iDtpartmtnt of .uUlling 3Jn~ptttion
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(~.'.'.1 Owner of Building !h C:j''''Address 15324 SCHROEDER CIRCLE
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(;~~.-_.-' Contractoi'sName&Address STEPHE._tiIELD 10356 DECATUR AVE S. BLMGTN MN
( ~-, L J _ II / _
(~?,;~ RO~ERT p.) HUTCHIN~'----- rity Planner JENNI TOVAR
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~:- Date. 7 q 6t:/ Date: '_".
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(ii: . . _ L...___, __ ., ~OST IN A CONSPICUOUS PLACE .' _ __:r!I
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Occupancy Type R3
Type Construction
VN
Fire Zone
Bldg. Permit No, 99-166
NI A Zoning District PUSD
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Use ClassificatioJ1
SINGLE FAMILY
T -~.,. ""~"'ri. ~ ti'~'n
T .11
Rl nm AnnT'T'HlN
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
4-/q
I
/5324- SC.A+?e..66D6K ell2-.
TIME
SCHEDULED
cr: 30
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C{Q-/fo0
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
A~ATERHOOKUP
EWER HOOKUP
o EPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHORENYETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
o PVG
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II( 7V}/}u- k, ~ - Aid ~...
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COMMENTS:
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ad- tit;
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bd/<"
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aYNU~jao
o WO ATISFACT
ORRECT ACTIO
o CORRECT WOR .
Inspector: Owner/Contr:
CALL ~7~30 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R16.U1REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
REINSPECTION BEFORE COVERING
T
E[ TIME
CITY OF PRIOR LAKE 7 Jt:} w IO~30
INSPECTION NOTICE SCHEDULED
ADDRESS IS3~+ ~~c1^- ~
OWNER CONTR.
PHONE NO. PERMIT NO. 'tq- I<..Ca
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~NSULATE o SEWER HOOKUP o FIREPLACE FINAL
INAL o PLUMBING FINAL o GASLlNE AIR TST
SITE INS ECTION o MECH FINAL 0
C,QMMENTS:
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( V(K,-~ 1. d~s~T )
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.A;K SATISFf!:fRY, PROCEED
o CORRECT AC' '" ,,, PROCEED
o CORRECT 1- ~ ,C LL OR REINSPECTION BEFORE COVERING
Inspector: \ Owner/Contr:
CALL 441-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~lREMEl'/TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
- V INSNOTI
r
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
MAR I 2 1999 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qt(-/~~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITEADDAESS
JS'~1Li ~~\~\~.Q."Rf'\lY('~
3. LEGAL DESCRIPTION
LOT -~ L\. BLOCK jt
ADDITION ana MAi~nY"'\
,\Pts'llJ.o~ (NamA) _ \ (Address) (TEif.No.)~-qll5~
cJS. .r\ ,. Y"'\ L \-\(:ik'1t. \~1J:a;du'('A\leS~O\IV\t"-frV\
~ 5. ,l.Name) (Address) . OJ (Tel. No.) 1m ~c ~
\l\Lro ~ {c\\f>'r\ ~ RZ.etJ Y\\A'\~V1 '<A..:?nor- l.9.Y-.~ .
6. BUILOER (Name) (Address) (Tel. No.)
1. DATE
I \- \~ -q~
fJUStJ
. . 1"'1/&/, rS;} 72
d5:-3/~!.aJL/-o .1 ^.......
PID \lJtwi~O'\~ ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
0>
13. TYPE OF CONSTRUCTION
~\~ 1 *n\e .
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
$.QJ \ con+r~nOl
7. TYPE OF \VPRi( Fireplace LJ Septic 9 Deck LJ Re-roofing LJ Porch LJ
New Construction iJI Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COS'f~lUE
Chimney 0 Misc. 130 t t2P 0 . PO
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE 17. COMPlETION DATE
Sq. Ft. ad.'3<;!) ~ 'If-\- Width Depth Yes No B J qa. - 91q~
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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding official can~rmit ~e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform i7~ed ):;rqtions.
I' SIgn_ LiceneeNo. Date
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION -;;2D1,c:c>e> .~i"l
SURVEY
PLOT PLAN
o COPIES
o
USE OF BUILDING
SFj)
TYPE OF CONSTRUCTION: I II III IV 6J)
Occupancy Group A B E F H I M~ S U
Division 1 2 6' 4 I_~
Permit Fee ................................... $ ~9,.,.1. ~~ ?). . :z S-
Plan Check Fee ............................. $ lX'1
la3.S0 ~. f~
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~~
City:
Amount Brought Forward .................. $
Park Support Fee .................. ......... $
SAC ......................................... $
eSO.06
I 0 So .00
State Surcharge ............................. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
~/ $
Pressure Reducer ....~................... $
Meter Hom .......;;1.'."..................... $
Water Meter ......18........................ $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $~I? .. I'D..-
Other ......................................... $
Paid rtte ...................~~~~i~;~O~ .~~ 7;}.
~~ .'
This is to certify that the request in the above application and accompanying documents is in accordance with the c~:;olg~Jn~e:2ay pr~d as requested. This document when
Sign~the City Pia er constitutes a temporary Certificate of Zonin~.comPliance and allows construction to comme~ce. Be~or~ ~~ncy, a Certificate of Occupancy must be issued.
f'-_. ~ ~ ~e~ ~~~~~
City anner Oate I Special Conditions K any
4 S- .00
Penalty ....................................... $
Plumbing Permit Fee ....................... $
/06 . OQ
I ~C) . Old.
- '35 .~S-O
lj() .. 00
I. ~~. 01)
! 1 ~ CH9 . t:7O
'100 .60
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
24 hour notice for all inspections 447-9850
--.-. T
03/12/99 f'RI 09:56 FAX 612HH24~
CITY OF PRIOR LAKE
~002
.!iw .~
nu.c. . APfIUO..,
caa. . CITy
CITY OF PRIOR LAXE
SEWER AND WATER PERMIT
NOTE: Sewer and Water
fWontractors must
b. t"f;1q1stered
with the C1ty.
APPLICANT; 1J iL'/Y1 L lv.lli"h1t l/-.,if t2..LtlJ'\'\V IMrPHONE : L/ Jg - 4,1,. ~
ADORgSS:/.557CLl)rtllr1.&d..a~ (It V (J A..'r'J-40ATE: :3-/~'f'1 _
SICNATuRlf[/ J4~"f)~H'/; // - . 'D BLOGo. P.ERMIT "
SITE AOORESS:1.!I3;J,.L/. ~br{)edet'" ('. LC) PID1/;(S-3(:;;;-D64-Q
NO. .qq -( (PC!
FILL IN THE BLANI<S.
1. Es'ti!n~tea lenqlh of ,,,;ater ~ervicQ 70
2. Size ot water service j __inch(es).
3. Location of anv eouplinqs from structure ~oAl~ feet.
~ </" -
4. Type of seW$r pipe. ABS PVC;)C~.~€a8t Iron.
feet.
5. Estimated length of sewer line
70
feet.
6. Clean out (if required), located at
struct1,lre.
feet
from
-~=:-..=-~-----~:._-~--~~~..__w_~=~~...&__=~_...c__=~~_..._;~_.__.
This a~plication becomes your permit when approved.
BY.
DATE:
c==--~-=~=--~_~=~m_._c__z~~~a__~4a~~._~=~B_______~:g__-~C=~=___a~=
FEES:
s
S
$
35.00
.50
35.50
S.we~ and water line connection permit.
Surcharge
TOTAL
· Fee for either SCWe~ Qr water individually is $20.00 plus
$ .50 surcharge. --
· Sewer and wat.~ permit5 issueo for new eonstruction must be
~*oorded on the bUilding permit card at the time Of issuance
to insure that no duplicate seWer and water permits are
issued. r PAID WITH
::::1:1: ~Ulqy ::~:B:AIO !;z'JGPERMrr
16200 Eagle Creek Av. S.E., Prior Lake, Mlnnesota 5S372/ Ph. (612) 447-4230 I FAX (612) 447-424.5
An EquIII Opportunity ED'\P)Qyer
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Tilt (" ftll~r of .1It LII"~ C...lry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION OEP,ARTMENT CHECKLIST
I
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NAME OF APPLICANT ,t:_,J (/y.//(rtA.
..,.~ t.. I ..
APPLICATION RECEIVED 3 - /-:; -d11
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,./: .. ill
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5 3YI "l/(;/c''-(JtcL{~ (i L1 d ('
".
Accepted
./'
. Accepted With Corrections
Denied
Reviewed.By: jJAL~L EUtf..~""I4A1Al
Date: 3/1Z./rn
Comments: ~"^,DF"~ ~,.. BE ~1IE.';t;J) To A1JO Al-OON~ DItA'.u~ ANO
.1J1:u.1 TV E'ASE;\4.ENT"c ,lie:,. McJc.l As -:;::nAt.,TK:AL-.
...sa
\..l'. IF'., Q.. M A-TIO,u of:UJ ~oIER.S. f:. ~ .....
X~ ~IlQt:Hr'I\EAI'1""S'. I. F:'..sAJ.. a~t. l.usPrta-Id-lIAlFoAMftr'Ic:II\l Z. Q.ubIAJ' R"/IJ
'3. E"4.0~1.A.J c.....uTtC.OL. ""'~-c..~'"
4. E'"~oS/O"" COIWT4tD'- K..AIoJ
"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."
1. Blue File
2. Gold City
3. Yellow Applicant
PP No. qtt -{loG
Phone: St17 - 3 ~o/" -9 ,/0
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: 12J1~ '~Yrl*~
Address: I S-o . ~ f ~ /7
, . /'/
Signature: -I
Legal Desc;iption: L?/ Block Su~ Z f'l~
Site Address: JS12-~ ~ct-r-cr.e./." _ - CvJ~ J -
Building Permit #: .!1~ - /?.? PID # :::J-:; -~ I'~ -/~~\Lj -0
NOTE: This permit will not be processed without complete information.
Thr CrOltr of thr Lakr Counlry
Quantity
Z-
I
3
q
'(
I
(
3
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$ qCt..sO
$
$
.50
$ Jeo.tO
r-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 ?mendments thereof.
, ~~~IPTNO. lo-IO,qq DATE
~ UK 1 i..J ATTEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
I r-- -'/1
I
I
Sinks
Bar Sink
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
$99.50
$39.50
GRAND TOTAL
T
if -/~6
Thr Crnler or Ihr l.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
vJ/:epl1ft{
3- /~-1q
ddd
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/s-3Y/ xk!~!z- (!w de
Accepted
Accepted With Corrections _ y
Denied >>
Reviewed B.{~~ ;es
Comments:
Date: 3-u-99
,
I. Scxi ~ ~ "-O.Ps, ~.u- cQ.o/u.~_9_~~ \_ ~__
?, fJ....c..~'^ 0r')S.1~ OQ)~
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."
.-.--.". '-r-'--'-'''--''~--'--'''' -.-'
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f./ _ //../ /~-
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The ('rnter of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;'
. /"
(/{/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1
I
..,,,.'"
/'1
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~t'AN'_~
Date:
~ _ / ~r-L{Cf
- .
Comments:
.~4k ~ (.2, ~ CMJ&JtAj
'D lG"{ 1 M~-! J
~ALk
- ..., -
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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION t
SITE ADDRESS I S3~(,{ 9 C~l'"o.~c&~ 0.h
NATURE OF WORK N~uJ ~kvc-\-\'irYI
USE OF BUILDING Sf'\::)
PERMIT NO. Cf1..../f.p(p DATE ISSUED ~ - is- - 't 9
CONTRACTOR - St-.f>~.lA "t11""t,.i .'
NOTE: THIS IS NOT A. PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC MENT
I \ ~ \l . ~~
CJ<< tI,f, I . Lf~t,..qf1 Cj-aJ - ~11
H{.\S BEEN SIGNED
FOOTING I
FOUNDATION (Prior to Backfill) I
PLACE NO CONCRETE UNTIL ABOV
ROUGH - INS
SEWER I WATER I SEPTIC fP 4- 1-'~
FRAMING ,zj1 &.( -z,(aV1
INSULATION l) \ \
ELECTRICAL
PLUMBING (J) 60/1/1
HEATING (if required) (f,() 7/2l1q
FIREPLACE (J -
....--
GAS LINE AIR TEST / /l ft/3~ 11Cf
.......-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I~E_
un
If
'1- (3 -'1q
-j, 1~,Vo
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 additiG'ns
where no service cabinet is available, card shall be placed near main entrance.
-
\ )J -e/S/11
i./
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850