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HomeMy WebLinkAboutBuilding Permit #99-0319 ADDRESS /42efJ DATE TIME SCHEDULED u/3IfI 1:3I!J Tl MOTHV , CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. qq-3L!J- o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI %0 INSULATIONA') 0 SEWER HOOKUP 0 FIREPLACE FINAL FINAL \t1I 0 PLUMBING FINAL 0 GASLlNE AIR TST o SITE INSPECTION 0 MECH FIN~ 0 COMMENTS: ~. ~ ()C.uh.vt....\ l- :J --- ) ()/( ---- -........ /~ #~ ') ( / --- ~ ~ ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: .~ Owner/Contr: <!A,I), 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT :Jfrlf9 77fll0ilt.t./ A~ NL i(lsb , ~~ P}o ~fK Yt../ C()WL ~[ [or. PID~':> ~?LJ- {jq(l-O DATE RECEIVED APR J 2 !999 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SIT/llJfo 3. LEGAL DESCRIPTION LOTSeL +~o llf...1 P ADDITION 4. OWNER --,;; DD 5. ARCHITECT (Name) b- /Z.~EAJF Ie l.J) (Name) (Address) L</:l /0 (Address) (Tel. No.) -rMlrr#Y liVE 4<10-1"/",,j~ (Tel. No.) 'f'" (Name) ~Addre.~S) J:k ~ (Tel. No.) . J/ q;()..,,-. 5lJ.pcj'Yl owa ~ :35'2- Aet/A.) ~LgU€/f'MJJ,;J ~1fJ mAl' ?O/-71J1L9 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 6. BUILDER Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No I. White 2. Pink 3. Yellow File City Applicant Permit No. get -3 r1 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. PROJECT COSTNALUE 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 pr rty 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 offici lIl:lKe ~.',...e, . 't for just cause. Furthermore, I hereby agree that the city official or a de,~e m~ enter upon the property to perform needed inspections. ---/~~ ~- - ~1T/("T .y-Jt-.t)e} / " S1gnBture License No. ' Date ' SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION L{ . (')(')0 . ~?>l , USE OF BUILDING VfS A-If< TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ S U City: Sl.G5 Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ 2.00 4 b.c>o I' .\~ Q~ V' ~\Jr Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ :;'~1fI1::+:&nd;cO :,:'""tr-~ Certificate of Occup4' "'-, Issued v Side MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Hom .............................. ..... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ 24 hour notice for all inspections 447-9850 'r WaterTap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $ / d'1.C)~ Paid / J.-Ci z ~ Receipt No.3 5/..) 7 Date 'i1c.1 /9'1 By ~ est in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as ~uested. This document when constitutes a te raty ce~~~ ~Zr~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ~ Special Conditions ~ any ,,~,~,~'t'''~~~~,~:;;!-~J~)l'!~>,~~~~ ',:,..1.; .................... ...... ~.7"";I-~. ""I.'TlI:t'"'~l I' f I , '. I I I i White - Building I Canary - Engineering Pink - Planning Th. C.nl.. of lh. L.k. Counlry BUILDING PERMIT APP~ICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED i I I <::.f'( I" 1(1/. f ,I >"'_" J . \,., (' r I ; . I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: !i f i ! i ;.( ! it ' I I .~ ( il ,~ Accepted \../ Accepted With Corrections Denied Reviewed By: fJOf, JVU>vJ Date: 4-r5-ij 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." qq -3(9 White - Building Canary - Engineering Pink - Planning Thr Ctnlflr or Ihr Lakr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED KetJ~V1 D(e~~}fVVl(Lt,~ 4-f2.Ll7 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: IW 2 <;;0 Tt VYl.fJ'I-hv Aue I0C I Accepted Accepted With Corrections Y /) /J1f?__ ,/ Reviewed By: ~t:.--_~ ~ f/ Comments: J. e~ fu t ~~ r~-sA, Denied Date: tt- /C(,-9 7 ~J 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." Apr-OB-99 02:29P P_02 PAID WITH BUILDING PERMIT CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: If J-fC\.._ ,l.-rp Address: J q J.(,p 0 m;"'s l...-!ou...M.J JZ d. Signature: l;..),e-4..1 .g(:t.~,,--) - legal Description: lot _ Block Site Address: ) '1.).150 --I; fY'o-rt... <k- Au.e... Building permiC # qq-3r~ \.J Plo#~3-q30- oqo~o NOTE: This permit will not be processed without complete information. I. BIIlII Ale 2. Oold (1)' 3. YCUUW f-ppll..- # qq-3fq Phone: Lj/ (/0.:;; '7 7 7' (;'/,- :C' r- I 4. k: "f.:' n. (..t., .1 ,.. La.. (:...1'7 Sub FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture J I Floor Drain ( f?E..d~) Rough-Ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ. Double Check, PVB) Backflow Assembly Test Bath Tub with or without shower Dishwasher ( Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks J Bar Sink Water Closet (toilet) I Lawn Sprinkler other ( _s./~I3~'.o ~.,L QIt . 'r) 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 3 v. ;lc.f-er- /fodl);'\~to\ {/;..... f( GRAND TOTAL s This permit is grant.ed upon the upress condition that said contrllCtor. shall comply in all respects with ~ ordinances of the Sblte Plumbing Code and the DIllcodment. thereof. . R~J;I~NO. 4/14-/Pf.'1 DATE .A /](A-- ArrEST - Call for all in{pections 24 hours in advance. PAID WITH BUILDING PERMIT 16200 Eagle Creek. Av. S.E., Prior Lake. Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ILt? Bn 1 (I hC.A-~/ NATURE OF WORK ~ ~ ~~. j USE OF BUILD~ (.j -/4- r:vr PERMIT NO. 11-3/1 " DATE ISSUED Q -ICf-77 CONTRACTOR &t",I,." 'Krf'-'2C]~ NOTE: THIS IS NOT A PERMIT ~dR 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 rro INSULATION fJ ELECTRICAL PLUMBING f-. \ . HEATING (if required) I?-. I . .~ tJ to -/7-91 l, -/7--17 >>0 RJ. (J~}I 5-'r'9 I S-#~-9/ I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT ..( h) \." ; ~ /;).- J-~ 1 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