HomeMy WebLinkAboutBuilding Permit 99-0256
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
I..t,.~ Lo::'30
ADDRESS LiL\o 24
~~G-
OWNER
PHONE NO.
CONTR.
PERMIT NO. q<j - 'Z,l;,-
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
_ ~SULATIONA 0 SEWER HOOKUP
~ ~~NAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
/<.OMMENTS: BA--~Eh\E'^, r
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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CORRECT
o CORRECT
Inspector: Owner/Contr:
CALJ447- F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE 'EQUIREfENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTI
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2, Pink
3, Yellow
File
City
Applicant
APR \ 1999
Permit No.
C(]-')5b
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
2. SITl+4R~4
~)l'
P.L.
Y-I-qq
~I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
~lN\1 et
BLOCK ,L.J PID a 5 -:32') - 02/ -0
(~aAJ\i ~1 17j,0 +-t Its (~~ AdoLv1-
4, ~R \ .(Na~ _ v f ~AddreSS) r: II..J.,..,~ {Tel. No) "^
reo.-.: '(\ ~ Q1 \J e,(lv "1" 4 :}. 'I rvft T1U/\ , V -, If'i~ "01~ I
5, ARCHITECT (Name)
3, LEGAL DESCRIPTION
{
12, NO, OF STORIES
LOT
13, TYPE OF CONSTRUCTION
ADDITION
14, FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No,)
6. BUILDER
(Name)
S~e
(Address)
(Tel, No,)
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7, TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0 ""
Re-siding 0 Finish Basemen '"
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc,
8, PROPERTY AREA OR ACRES
Sq.Ft.
9, PROPERTY DIMENSIONS 10, CULVERT SIZE
Width J Depth Yes No
iShed~'nforma~ti n o~,' ication which is to the best of my knowledge true and correct, I also certify that I am the owner or authorized agent for
d at'all struc~on nform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
i ~s. ,,'u, ,~that the city official or a designee may enter upon the property to perform needed inspections,
Signature ' License No, Dete
17. COMPLETION DATE
x
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
USE OF BUILDING l{cs A-I R..
I I
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
4, ('JO() .6>.0
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV (Sp
Occupancy Group A B E F HIM ff S U
Division 1 20 4
Permit Fee ................................... ~
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... .. .. . .. . .. .. .. . .... $
Sewer Tap ................................... $
$
81 . L,C:;-
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
20..00
Lto . 0 ()
Pressure Reducer .......................... $
Meter Hom ........... ......... ........ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Permit ...................... $ ~~ 1
Gas Fireplace Permit ....................... $ ~ 0 l'l '" 130
This Application Becomes Your Building Permit When Approved, "P
By Dare
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $~1.~.
Certificate of Occupancy Total Due....... ........ ......... ...... $ f It:f'
Paid /L/1..zG:"' Receipt No, 3'fS 72-
Issued
This is to certify that the request in the above application and accompanying documents is in accordance with the c~:;onin~ ~~a!c~~ may pr::ed as ~ument when
Sig~b the C' PI ner constRutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy. a Certificate of Occupancy must be issued,
. - ~-^-~&
- ~ lanner - Da~ Special Conditions n any
24 hour notice for all inspections 447-9850
CITY OF PRIOR LAKE
L Blue File
2, Gold City
3, Yellow Applicant
# Cf1 - d--~
.~hone: b'\a.... Ll C\ b 0 '1 :s (
{l-/. l.
Th~ Cenler of the L.ke Counlry
PLUMBING PERMIT
Applicant: t=eo-{\ \::. ~ v -€ eo
A~dress: L4 '-\ j.. ~~ ~t- Ct-
Signature: . - ~../\?v - \rt ---"
Legal Description: Lot . Block
Site Address: ~ e. ,A-<;.. f\-~\)-f=>
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
Sub
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
I
,
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
I
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
$
$
$ 3C( <cgj
$ .50
GRAND TOTAL
$ -10.00
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
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White - Building
Canary - Engineering
Pink - Planning
The ('enler or Ihe L.ke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
{ ! i i "". \ f
, I
, " Ii '- i
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(' i
Accepted ~
Accepted With Corrections
Denied
Reviewed By:
~U,~~
c;,...r
Date:
L{ - S- -CJCJ
Comments:
'''"-
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,
C~ MJ< ~ J t/L,~
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fC)tJ .J 9 PJ.tAl i&A ~
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"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."
T
C{'C{ ~d 90
The ('enter or the L.kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
FvLLi~K. ~ rO
4-1 J{q
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
lfW24 ~x tIv-~i c;r
Accepted X Accepted With Corrections
Denied /J/l/J /l
Reviewed B,^--/~ y~ Date:
((-C;--77
Comments:
C2Rc.R~ ~ ~~~ -r:~r~ -4-~~
"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."
,-_...__...._ --:.,*._~.:"~S-___ -,..,__.._~._..__~....,.~'.. ..._... __ ...:...__~'
-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 44:2. LI Fox- l--\t)\A- " C. t-.
NATURE OF WORK ~ ;:-;"^\~
USE OF BUILDING ~ \='--iJ
PERMIT NO. 91' - '2 S (.. DATE ISSUED L{-s- fi
CONTRACTOR '"R.u t"r--A
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I P.:Ot..R=t rtG I
F~~ '1-~. ~-:v-.o;~iII) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
_ ~Di:1.iM'J.""1 h.1 f .'-SE:PTIO
FRAMING -1. ~ l./_;;<. '1- ~ ~
INSULATION
ELECTRICAL
PLUMBING "is ... L/-02 '3 ~ '1 j
HEATING (if required)
FIREPLACE \ \;5.. lI~;;rl'" \ 'i
GAS LINE AIR TEST (}s: l(-;f.-,c;
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'MAl I ~ AD I I
FINALS
GRADtfJG (r I;'
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~u~'OQQln91
(5/
f/
~ /(J ()
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
.' .