HomeMy WebLinkAboutBuilding Permit 99-0224
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
./1 J? /c;tJ J. 'I)
ADDRESS
380 2. ji1J/L~OWLU() on
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C;9-2~
o FOOTING
o FOUNDATION 1\
o FRAMING
o INSULATION
;&' FINAL /3S /VJ /
o SITE INSPECTION
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 GASLlNE AIR TST
o
COMMENTS:
-IZJ~~ ~~ tr~.~'.
· b.
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
ffiC{
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
.2e.
Permit No.
Lt1-LLY
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
.. 38~'2
3. LEGAL DESCRIPTION
Cl
1. DATE
lj.. r. \.nY-) \.J 0 DJ. ,\t; S L.J
(R\)
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
lrK~
(o/ULAJ <:;'
4.pWNER (Name) (Address)
'. TholV\Ct S ~ tJo. nO.f Me {~V\a.fw1 5~p
5. ARCHITECT (Name) I (Address)
PID 25 ~'15 - 0 n -()
- '
13. TYPE OF CONSTRUCTION
LOT
ADDITION ~,~.......
(Tel. No.)
" l;)..- #0 -4 V~ ,
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
a.BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
'lVtOMt{S " f\h.'l~ A:le(MQnVl
7!-;JhYPE OF WORK Firet>lace 0
New Construction 0 Alterations 0
5Q~f
G:> r:}- if'("f'O- '--t '?f 4 ,
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basemeny(
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION 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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 . ial can revoke this rmit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed in~lons.
X n . 3 -:;1.1;,-1./
.,,( Signature \~__ License No. '~"L
FOR ADMINISTRATIVE USE
Front
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION L/roC.O 0 PLOT PLAN 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING .l~ kl (L
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Permit Fee ................................... $
t31. '2'5
Penalty ....................................... 'l:_
~l'
PlumbiPlgPermltFee .......................~, LJ.o.b6 \.01' MeterHom................................... $-
Ft). $ ~~ Water Meter ................................. $
Mechanical Permit Fee ...:................. CJ1'f-
~ /":'.(. Sewer & Water Connection Fee ........... $
S~, & W.., P.m' ...................... $ ~ r.: J ~ \'. w..., T_ F" .... ....... ................ $
GaS1!i#ir la e t ...;;:.. ................ $ ff I-lS'id. I tvd"Q(J#=.qq -73L rd. WaterTap ................................... $
This . acome r Building Permit ~e~o~~ Builder's Deposit ............................ $
By , '_;.. Date _ Other ......................................... $ ./
Certificate of Occupk Paid TOI!q~ S~.. ........~~~~;~;~o~-ff~ ~1? ~
Issued
Date 4-14 Cl By (XII J A ,
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 reque~hls document when
sign y the City_Pia r con~porary Certi~e-i ~~2:fomPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
nner - Date . - Special Conditions ~ any
-2.00
Collective Street Fee ....................... $
Sewer Tap ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
$
Pressure Reducer .......................... $
24 hour notice for all inspections 447-9850
CITY OF PRIOR LAKE
PLUMBING PERMIT
I. Blue File
2. Gold City
3. Yellow Applicant
DH-22lf
Tht Ctol.. of Iht L.kt Couolry
#
'f.- APPlicant;ff'~VM~~ 1'-h(l~(Y'f\.~V1 V1 Phone:-':2..I J--'t!1o.-4'~~ I
'f. Address: ~)f ST~(V, {)n'crr-(&;1Ce: ~ ~~-o.
'f- Signature~/~~ /P~
Legal Desc;ipti~n: Lot . -Cf Block:J. Sub1.M:s:thu ~~ fb.ry;Js
Site Address: ,:)(ltl)l\.t Ct ~ o.JxN'f _
Building Permit # qy -2.2 Lf PID # ;J.5'-;)-9 ~ -0/7-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Sinks
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
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
$
$
$
$
.50
GRAND TOTAL $
. PAID WlTH-~
, eUILDING 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.
RECEIPT NO. DATE
ATIEST
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
i r ; f
White - Building
Canary - Engineering
Pink - Planning
The Cenler or the L.ke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ i
,( f \ I ~,', '
.' ( i; t/i ~ r L..
/0/-/
! :
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L, :' i Ii: ',1, . \\)
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
'9~PtA
Date:
:)-~{-cn
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."
crt -l?J{
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nt~r of 'h~ Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHE.CKlIST
NAME OF APPLICANT mCWl/ltA S" ~OytCLj .Au tYV1CU-CtlL..-
APPLICATION RECEIVED 3/21n/qq
l .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~fo2 LVi Ilovu vucoc1 S{. sc0
Accepted
Accepted With Corrections
>L-
Denied /) ()a /
Reviewed By: (~~/ "
. Date:
5'- 5'o~ 7' C;
Comments:
I~ ~e~ ~ 5~ h~t~ -ft~ oJ-
"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."
_'__.._'"'m' ......_._..__....._.__....._.."......__......_.._....__....,------...~__......_--."--_.."-,,.,_...^._,..-
PRlOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ,25(02- LU('U.ohVWe9~
NATURE OF WORK ~~A""""* .J:;~~
USE OF BUILDING SFO
PERMIT NO. Qcr-22'{ . DATE ISSUED S-?1-7(
CONTRACTOR f-1-J e.l ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
__ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION ~
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
'0. \\.
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L.f -,1. ,-'Dt
4- ~)4'1
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~. ij..
\f-).~
~ -~Y\C\
'-(..~~
, ...... - ~
ding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
!l1ft-
ffJA--
/f)r+
UNTIL ABOVE HAS
NOTICE
11-/q-qCj
I J.~-I q-qf
//-,Q-fj7
BEEN SIGNED
.
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 additi,ons
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