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HomeMy WebLinkAboutBuilding Permit 99-0256 l'-' 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 W~~ ~ ~ grtttk \t'\ ~ ~ ~ (j f<Ad7~ /II _ l..;W~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~~ ~~A U r./ r, K.-- ~. RK SATI 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 'r. ,.. jf {.' I -I ~ White - Building Canary - Engineering Pink - Planning The ('enler or Ihe L.ke Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I r : (I f \ F- / '/-1 , I i , " ' " U Y I' .l \ ,l 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 -r (' i Accepted ~ Accepted With Corrections Denied Reviewed By: ~U,~~ c;,...r Date: L{ - S- -CJCJ Comments: '''"- ~s ~. , C~ MJ< ~ J t/L,~ I fC)tJ .J 9 PJ.tAl i&A ~ I ~t12,~ C9v "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 .' .