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Home My WebLink AboutBldg Permit 00-0792 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 1'1 C 2~ .~u r~.... lrA. OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~FINAL l J.... t:'.\4~ o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP Jl'-fLUMBING FINAL o MECH FINAL COMMENTS: 1 ~j6e 'WE "2 - .0'2.. o - -,cr-z.... o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o (\1...so ~ ~/e ~Oe. ~ I\,^-Q.('"~"V;\"./ . o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRE~ALL FOR REINSPECTION BEFORE COVERING Inspector: lJl~/ Owner/Contr: ,CALL ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI DATE RECIilllEQ. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT , ~/w 1. DATE , 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 \LjS~S" Svrr~"i ~L BLOCK ~ C f}} rY'\ ('\ Of A t-h \\ ~ (Name) (Address) -rflLD f) f R- 6 HOFF (Name) (Address) 3. LEGAL DESCRIPTION LOT ADDITION tl;'CMNER .,:",~ 5. ARCHITECT \ ~~- 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. ~! trkn , ~-i (Name) (Address) q.s-.... 3Q().~ 61S'-o M~N ('N.Ne.) W- tff-) 3 llJj (Tel. No.) . ,!j7-~713-)'-' (Tel. No.) PID ~rol 2>EL~ Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Baseme~ . 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE 1. White 2. Pink 3. Yellow File City Applicant Yes No Permit No. JJj) · 07Cf 2- 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 furnished information on this pplication 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 co truclio will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the :uilding OffiC~!iS pe, it ~~ jus C UZ,: rth,~", I ho"'" "'00 ."'ho ''>'off..'"," "'-~, '""""",,".' """"'. "'rlofJ??i.~' J' IV License No, I}> " / SETBACKS: Required Actual FOR ADMINISTRATIVE USE BUILDING DEPARTMENT VALUATION Front Back Side Side USE OF BUILDINlj. \)O~ A:J~ OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~/<!JeJO. ~ TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: ~ ~ ."2. c:;;- Permit Fee ................................... $ Plan Check Fee ............................. $ I . c.!TO State Surcharge............................. $ MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY PLOT PLAN COPIES o o Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ ~o ~/'OO q' Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap .... ............ ................... $ Builder's Deposit ............................ $ Other ......................................... $_ - Total Due .............................. $ 103. 25=- Paid / (J3. Z~ .3B2.JAJ 2- ?ate ~O By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued. Issued City Planner Date Special Conditions W any 24 hour notice for all inspections (952) 447-9850 CITY OF PRIOR LAKE PLUMBING PERl\tu.l Date Rec'd .3-5-02- ~:::~ ~:~ PERMIT NO. /1Z,.r,........020 Z- 3. Yellow Applicant (,./, (Please type or orint and si2l1 at bottom) ADDRESS ZONING (ofticeuse) 11525 5(/~a; LA;JE LOT LEGAL DESCRu:'uON (office use only) BLOCK ADDITION PID 25-300 ~ CJ/S-O (Address) b~LICANT~ f (Name) /()OJ) ~rlIJFF 14 c;-a...s- s(,)l'll f (Address) OWNER (Name) (Address) (Phone) AJ.AJt. (Phone) r S- J-.... '-to '3 - LJ..J-? fr. ~r- kir> >!>-37;}.. . . (City) (Zip Code) (Contact Person) I} J (Phone) ~LICANTSIGNATURE -y;;;;;f 'r ~ / APPLIC~ PL AS~MPLETE ~ELOW Quantity 1 , I 3- ~-CJ~ Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Quantity Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector , Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 (Office Use Only) Estimated Cost $ Building Permit # 6 7./ 02- a z-- PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ 3r..!:O $ $ 4-0. (}{) Pai~,~ ~Ui\< Da~ _) _( 2- BY;/!/R, _ / II/ .50 This Application Becomes Your Building Permit When Approved PJ/I4- 3- S --d7-- ."pate building-Official 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 DC ~CJ7q V White - Building Canary - Engineering Pink - Planning The Center of the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \ acl~ '&..r~~.q. APPLICATION RECEIVED o.l_~'J~'\- 31) .::Le:n:m The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \ 45 JS Accepted ~) r le--l_j \_ 0.. l'\.JL-.-' Accepted With correction~ _ Denied Date: B ~ 3' -eJ., r-o-;> y- Comments: / e,r~ tL~ -7~~~t_ Reviewed L~~~ ~ "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." . BY~ Residential Building Permit Checklist Basement Finish or Interior Alteration to Single Family Homes Date: 8.?1-~ Building Permit # PIB: Site Address I<{!i'~.e;- 5a"";f ~ Legal: L B Subdivision: Zoning: Existing Structure: YES or NO CONFORlVIS TO ZONING ORDINANCE f/ NO I I I Is this an expansion of the existing footprint or building height? YES Refer to Planning NO ~ Is the property located within the flood plain? Refer to Planning ~ Y- ~ 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 x THIS CHECKLIST MUST BE COMPLETED AI'1[l) INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\TEMPLA TE\AL TCHCK.DOC PRIOR LAKE · ~~ftD~~~~NJD~~SPECTION INSPECTION RECORD SITE ADDRESS lYS".J~~f'\r r.e.,::\ ~ NATURE OF WORK. ~q1.AJ=' h" .,~Or - . ~ - USE OF BUILDING ~ F f) PERMIT NO. 00-' 07_'0/2- DATE ISSUED 8-J/-~oo CONTRACTOR '-l~t'i~lL" <=t31f-l,713 -X.3 - NOTE: THIS IS NOT If PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I II) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~~ ~ ~ br 3/11/c,"L. ?;'!Il/C,"?- I I 3/1 \ /0 Z- /"3/ll/oz- I 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 and 9:00 A.IVI. for all inspections FOR ALL INSPECTIONS (612) 447-9850