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
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~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
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......
~.7"";I-~. ""I.'TlI:t'"'~l
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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 . \,.,
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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