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Home My WebLink AboutBuilding Permit 99-0242 CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED 5-S-'iCf , ,.. 00 ADDRESS .1Y 715 IiorrBl5;,. Ii OWNER PHONE NO. o FOOTING o FRAMING 4.. 0 INSULATI~ _ , ~ ~ FINAL 9SlV\. T /0 FOUNDATION o DEMOLITION .. ( l / / / ~' ORK SA TI CORRECT A = o CORRECT.... Inspector: CONTR. PERMIT NO. qct - It.fz. o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL ~LUMBING FINAL SITE INSPECTION o EXC/GRAD/FILLlNG o LKSHOREIWETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o r I) . _L. A \J) >>V 1):/ M w ) ..--:' rr ,,---/ ~ ... ~ ('~/ -- ,. --.... (~) ------- ..-/' Owner/Contr: THE NEXT INSPECTION 24 HOURS IN ADVANCE.. TS ARE FOR YOUR PERSONAL HEALTH & SAFETYl CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT MAR 3 I 1999 , 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 l'-tl2.S 1. DATE ;-30 -q9 ~I PiD~-J~4 - o3lo-0 1~T'Tb~~ -r~A \L 1'16" 3. LEGAL DESCRIPTION LOT I ADDITION( (am 0'-9< - 4. OWNER (Name) TOm ~ MA(L(,A~6r BLOCK th Us I~ A-&U1. (Address) P/c()efL (Address) (Tel, No.) f/40-IS'f.,O ) 1I7l S T(ot.\.cc.s I(i\ I tJf (Tel. No.) 5. ARCHITECT (Name) ~UILDER . (Na1e) _ (Address) . (Tel. No.) f-I- 5~"-77Y5 (~~1\')4~ b..-Urf,.ju {,oq c Lt\.(,it.A 5t 6ellt P)AIIII {'"t"olt KH-~'S7 7. TYPE OF WORK Fireplace 0 Septic 0 Heating 0 Plumbing 0 Reroofing 0 Porch 0 New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Residing 0 Finish Basementf. Chimneyo Misc. FI#IJ 1+ /JI}$ 1'II'r BkrHfl,oOM ._ 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE Sq. Ft. Width Depth Yes No 1. While 2. Pink 3. Yellow File City Applicant Permit No. qq - 2 Lf :L BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. ES~ATED VALUE ~OOO - 17. COt'o'Jr-L.l:i10N DATE M ~ 7 I 1'1'1<<1 I hereby certify that I have furnished 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 official if JevJlke~~rmit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ~(\ &d;;- ~ ~ l\ f?'1~seNO. 3 - 3~a:9 CJ FOR ADMINISTRATIVE USE Amount Brought Forward .. . ...... . .. .. .... $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ Ucense Check Fee ........ ................. $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ ,SETBACKS: Required Actual Side Side Front Back PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET USE OF BUILDING OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION K05__ A-I~ d.(JOhJ .~ TYPE OF CONSTRUCTION: I II III IV V City: Occupancy Group A BEl H R M DMsion1234 Permit Fee ................................... $ {g2.2s ., \ ~I , Plan Checking Fee ......................... $ State Surcharge...... ............ ........... $ Penalty ....................................... $ \ '.. / , (JD . '. Septic System ............................... $ Other F.lg~b~.%~~.... $ :iPli{:;..:';;'.::i2~ Certificate o~ OccupanJ' MATERIAL FILED WITH APPUCATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PLANS & SPECS 0 SURVEY 0 PERCOLATION TESTS 0 SETS COPIES PLOT PLAN o Check if Deferred o Sewer & Water Connection Fee ........... $ o Water Tower Fee ........................... $ lto .aO Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ .-- Total Due .............................. $ 10.5 .ollj Paid / () 3. zS' Receipt No. . 3 +r 1 t/. Date L//e/", By ~ 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~uested. This document when signed By the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Issued City Planner Date Special Conditions if any 24 Hour notice for all inspections 447-42309:00 a.m. .10:00 a.m. qq -:}l{;)- Tht ('rnteor of Iht Lakt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -'<il/l ~) (OC~ [t~ie wrf"SeS 31~\qq , APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: t L{l d- S- I ru ffprs lie ~ fOL Accepted Denied Accepted With Corrections Reviewed By: ( 1J!L-/~ ~~ / Date: t.( -'2:-Qc; Comments: (, ~ ~., ~~ r;(A~~w-~J "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,1 I ' { ( / The Ceonler or the L.ke Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT " APPLICATION RECEIVED .;; t I I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ( ~ /1 ,. J' ;." ,. Accepted ~ Accepted With Corrections Denied Reviewed By: ~ e..v...e..- ~~ Date: L{ - ?--,..C;~ Comm~nts: /*- ~~ l~ v~u ~e.PQ I:.~.r lAI~ C9L.U:J~reAs.. 1 U1Ale-<<:.. ("9~\'Ue. IN\<\.....Q c91A. \R\\tvIA~ l~ ~ ~.M9Y1~ U~('\ 0 "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." " CITY OF PRIOR LAKE ~LI)MBING ~ERMIT ___ Applicant: 4.JdA' If- ~ 1Jt~7hone: Address: .'?d,.S ~~ .~, Signature: ):;;r)1.~4t:/ /}t/. /k~ .->€:r(- . I- Legal Description: Lot t / . Block .h). ,~u I 1."MeM/1s /~ . I J I ') C () - 77: U-r.~ ~: v ~ f ' Site Address: rr 7 0<0 .IA :tI-A~,J.."...1./lJt _ . - Building Permit # ~ - 2. '{ L PID # 015- Ji(f -03fo ~ 0 NOTE: This permit will not be processed without complete information. 1. Blue File 2. Gold City 3. Yellow Applicant # 91- ;;JL.ja. ij 7-5-v/-r~ Th. C.nler or Ih. Llk. Counlry 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 I Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall ! I 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 $ (kl'Bt:J;p.vcwd 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. K. L R}C~O. t{-5'-7''7 DATE ~ y~ 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 " ._......'_ ,.,_,_,,_~:__.~".~M' ..__' ....- _ _.__'- ".. .', '. .~ ~ _- .. _.._~._. -......_ _.~_' __:.........-___.._~ ....~ .,,_...1...__;._ .,_._'_ ,.;. _ PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS /4tz';;2S- I r~1\ers \l""G'\ \ NATURE OF WORK 7o.r\;-.J... ~~ +;"', ~~ USE OF BUILDING SF D PERMIT NO. .11 - 242- DATE ISSUED 4 - 2-1)' CONTRACTOR r Pi pIIL!}r- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I----~e I I I FOO'U)ATI"'t~p'''I&r tL,.-.Jtll!ll. ulIl) I I J PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS .-e.... ,_.-'-.~'t,;'l~ . r- - l)"~ FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) .Em .... ... J-A..C" E ItD l} UJ iI v t/r-4" 94 it "f r 4q e.;(~,r~~:i'k-'k... ,- .r:...~7 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I 1 I I FINALS l~-". .-.-_-.s, ..Q~'~Jdi,-,-.:iJ) BUILDING ELECTRICAL PLUMBING HEATING DO NOT m t"J 0A OCCUpy UNTIL ABOVE HAS NOTICE ~/C; /~4 ~~r~ 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 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