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Home My WebLink AboutBldg Permit 00-0829 fATE CITY OF PRIOR LAKE INSPECT/ON NOTICE SCHEOUlED q. fe ADDRESS tf.t,(JC/2 NOl-~ ~ '/ TIME OWNER CONTR. PHONE NO. PERMIT NO. t)(j ~82'-f o FOOTING o FOUNDATION o FRAMING 5 ~NSULA TION yn-INAL l. L ~'''''- o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: (l.t~'!:e..t-te. k'\" Aoe. .Ln ~\A.o.c.~;-V;\.v o o WORK SATISFACTORY, PROCEED o COR~CT ACTION AND PROCEED o COR W?RK. CALL FOR REINSPECTION BEFORE COVERING Inspect : (D Owner/Contr: , ,CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE RI;;CEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT . 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 I C:, 0 Ll ~ N cn-:vn \ ,," R~("1 ~.d- 3. LEGAL DESCRIPTION LOT ~ BLOCK \ oS \ llJ'Cl v\ LlAJ (Address) (Tel. No.) 110~ " IJ 'I;l NtJ/l'rHWlJI't d ,1'" tiJA) 'is,) 9'47-- ~7,) (Address) (Tel. No.) ADDITION :l.i~. (Name) <G. ()-rT 5. ARCHITECT (Name) 'J'1IUIt.DeR SAMc. 1. White 2. Pink 3. Yellow File City Applicant Permit NctJ () . 8'2.., 1. DATE zsj\Cojao t\,!A 1 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES Q PID '3~' AcloLn (QS - ClQ;r -t) I ~-(1 13. TYPE OF CONSTRUCTION (Name) (Address) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS Fireplace c:J Alterations c:J Septicc:J Addition c:J Deckc:J Finish Attic c:J Re-roofing c:J Porch c:J Re-siding c:J Finish Baseme~ 16. PROJECT COSTNALUE 7. TYPE OF WORK New Construction c:J Chimney c:J Misc. 8. PROPERTY ARE..A OR ACRES 9. P~IMEN~ 10. CULVERT SIZE Sq. Ft. ~J," ff'-/ .::tc:!I Widt Dept Yes F) 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 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 :uilding official can ~~rmore, I hereby agree that the city official or a designee may enter upon the property to perform ne d in~(;s. " ~ License No. ,.;. :i\ 4 SETBACKS: Required Actual 17. COMPLETION DATE FOR ADMINISTRATIVE USE BUILDING DEPARTMENT VALUATION Front Back Side USE OF BUILDING ~ I~ fZ- J OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION Side MATERIAL FILED WITH APPLICATION SOIL TESTS c:J ENERGY DATA c:J PILING LOGS c:J PERCOLATION TESTS c:J R S U City: '?::Jt:>(){). - PLANS & SPECS c:J SURVEY c:J PLOT PLAN c:J SETS COPIES TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM Division 1 2 3 4 Permit Fee ................................... $ ,4.1S" Plan Check Fee ............................. $ I. 5co " State Surcharge ............................. $ Amount Brought Forward .. .. .. . .. ... . ..... $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn....... .................. .......... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ...... .................. ........... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ (\ b."Z.5' Paid ~ Receipt~9- :58'" +z. 7 Date 4. /t/.d) By 1IL- This is to certify that the request in the above application and accompanying documents is in accordance with the City zonin6' Ordi~anfe and may proceed is requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificalof Occupancy must be issued. Penalty ....................................... $ ere> 40. Plumbing Permit Fee ....................... $ ~fJ 1 \4" I (,b Mechanical Permit Fee ..................... $ Certificate of Occupancy Issued City Planner Date 24 hour notice for all inspections (952) 447-9850 Special Conditions ~ any 1. Blue 2. Gold 3. Yellow File City Applicant PP No. C)D.. e?9J Phone: 1/#7- 7 ~ 73 I A1~. N.w. The Cenler of the Like Country Signature: · Legal Description: Lot Block Sub Site Address: Building Permit # PID # NOTE: This permit will not be processed without complete information. FIXTURE UNITS Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) I Shower Stall I Sinks Bar Sink I 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 Quantity Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVS) Backflow Assembly Test Lawn Sprinkler Other $99.50 $39.50 $ 37." 0 $ $ $ .50 GRAND TOTAL $ 40.~ 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, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer Residential Building Permit Checklist BY: ~ ~sement Finish or Interior :.:~a~J-Zle Family Homes Building Permit # 0 O...~ ~ PID: Zoning: Site Address . { Legal: L B Subdivision: Existing Structure: YES or NO ~~~ ~ YEV CONFORMS TO ZONING ORDINANCE Is this an expansion of the existing footprint or building height? YES Refer to Planning Is the property located within the flood plain? Refer to Planning Does the alteration include any additional kitchens? Refer to Planning Does the proposed alteration include any outside entrances other than patio doors? Refer to Planning Is the proposed use of the finished space or alteration for anything other than a normal single family home (office, group home, day care, etc.)? Refer to Planning NO NO '-.. - ........ '-.. ............. THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEMPLATE\AL TCHCK.DOC PRIOR LAKE DEPARTMENT OF , . . BUILDING AND INSPECTION INSPECTION RECORD 1(P 0-1z.. ~\'JJl-Tt\~ (2D F'l'o-llSlt . ~ ~'- ~<;. Ale... } I DATE ISSUED ar 11f-1 00 , , SITE ADDRESS NATURE OF WORK USE OF BUILDING PERMIT NO. DO' 9'2..'1 CONTRACTOR S c. OTT" 12-c5c NOTE: THIS IS NOT A PERMIT FOR 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 INSULATION ELECTRICAL PLUMBING HEATING (if required) ~ ~r.' tJl.<M.. l b/lf \(9( ~~J~ ~-tlnl~\ r btlJ 0) (q \1'1 f{ I " COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ___ I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT 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 aDd.9;Op A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850