HomeMy WebLinkAboutBuilding Permit 99-659
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
<7/"1./'1 '1
.1'/~5 ,P~/O,e WOOD
SCHEDULED
2..-:-ui)
OWNER
CONTR.
<'19- ~5t
o PLUMBING RI 0 EXIGRAD/tLLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL rfV\O. GASLlNE AIR TST
o MECHFINAL ~~ ~.D. .e,./~
COMMENTS: ~. ~ ;... ~
f(f) A.A.... _
~ ~7~"
( ( II tr.1f2 . ~ (..iL "\
'----- ~/
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::::ECT W~ ~ALL FOR REINS:~::I::n:~FORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
---'--r--
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS 110 DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN C, C
BEFORE PERMIT IS ISSUED (Please f1"y or Type and sign at bottom) G-l-l 7
2.SITEADDW\.(l>S- [-J",;t'J V" M~ ~ rf-
3. LEGAL DESCRIPTION
I
LOT
}l""CK J
~):J.6fp {/?:!' /-
. . "---
SI!J~
ADDITION
4. OWNER
5. ARCHITECT
(Name)
6. BUILDER
(Name)
rr.cl/
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations~
Septic 0
Addition LJ
Front
BUILDING DEPARTMENTVALUATIQN
USE OF BUILDING
R.~.s n/R
PID ~-- 3:.'7.....D ICH'
1~lt/~ "
(Address)
(Address)
(Address)
DeckCJ
Finish Attic 0
t/q))-sCJ51
,
{ref) -0),f
(Tel. No.)
Vcr) ,Si;?~ I
I
I
Re-roofing CJ Porch CJ _ I
Re-siding CJ Finish BasemenlJ(
Back
Side
Chimney CJ Misc.
R PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify at I ha 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 me oned erty a that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans.
building offici can r e t' e just US~Z7rth)fffio~her~ree that the city official or a designee may enter upon the property to perform
X c L/ y-- /.,/..? 2/')1 (~ ~7 R 2-
/ / Signature ~ /' / License No.
'J ./ FOR ADMINISTRATIVE USE
SETBACKS: Required /"
Actual /'
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION I fY) () . c:::>6'
TYPE OF CONSTRUCTION: I II III IV (\?)__
Occupancy Group A B E F,A I M~S U
. Division 1 L,Y4 ?I.7~
Permit Fee ................................... $- .
Plan Check Fee ............................. $-
State Surcharge ............................. $-
Penalty ...................... ......... ........ $-
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
,SC>
~l\
{)
\j
40,00
Gas Rreplace Permit ....................... $
Th;ttJ;J.s . 0 ecomeyour Buil~ng perm".b't W ~rb"e~Qc,..-
By Date i'? t/
'1/-
Certificate of Occupancy
Side
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 9q~ 6sq
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
CfoC)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATR.
16, PROJECT COST~~E,...-o
~. ocr -
17. COMPLETION DATE
to '- ;)t)-CfCJ
MATERIAL FILED WITH APPLICA nON
SOIL TESTS
o
ENERGY DATA
o
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
ParkSupportFee ........................... Ci::
SAC """"""""""""""""."""" $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom .................... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ..................:......... $
other ......................................... <I:
Total Due """"""""",,"""'''' $ 7~. .~<).
Paid 1~. '2. " Receipt No, 31:)43:'
Dale (../11 \q~ By t-t:.//k
'- . .
Th~' i rtity that th. e reque in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
sig lanner st~utes a temporary certifil"',;j3t<jiliance and allows constnJction to commence. Beto'e occupancy, a Certiticete of Occupancy must be issued,
. A
~ . City Planner Date Special Condilioos n any
24 hour notice for all inspections 447-9850
Issuacl
......,......-~--------
. ';-';""." ,..",_...-~~. ,......"...,..",.....,- ...."'.~.~_...,. ".
'~
.~
,
,
White . Building
Canary . Engineering
Pink . Planning
The ('enln of lht Lakt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,.. "
f..__
Accepted
/
Accepted With Corrections
Denied
Cd ()j JPlM
Date:
u I~/ 7~
, "
Reviewed By:
Comments:
,\lO"
"The issuance or granting of a permit or approval of plans, specifications and ll'"
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."
~!
i
~~
QQ-fp59
White . Building
Canary . Engineering
Pink . Planning
Thr Crnlrr of lhr L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLJSI
NAME OF APPLICANT
APPLICATION RECEIVED
Erf6,LE G/ee:E,1:::.. V/L../.,P,5 (I'1F-SEN/3IeINI<.)
(p II /q9
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lf'-f OS
Pie/OR WOOD
sr.
Accepted
Accepted With Corrections
-::x::
Denied
wL
Date:
IrIO- 'Z f
Reviewed By:
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."
~-"--~_..._-~---_._---~-------~_.,_._~._.__.~--~-'--~----_._---_._--_.._,_.~---
~~
CITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PPNo,J~
.
Phone: L( ~ /' ) 7 {L.Rt
/j,,[Jh5~1-
"""-'111C'Y.!'" t....Yf: " ,/
Address: .~ ~~ $~ d'OA 51-
Signature: /' "l. Pj -"
- , /V v
Legal Des tion: Lot Block Sub t5ri6u;. ceecK.. v'1L.U-\S
Site Address:-'./-1{ (It? ;c:' Ii? (J J~ ~) () 0 " R 2-
Building Permit # q9- t:?5q PID# 215-327- D/4--()
NOTE: This permit will not be procesled without complete information,
Thf Crntffof lht Like Country
Quantity
I
j
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
J
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)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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
/-P,.~~t~:p-~~\i
\ e\J\\.~p
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects wit the ordinances
of the State Plumbing Code and the a en ents thereof.
r / lWGiWAlH {
...BUILDING!'ER
DATE
, ArrEST
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
~IOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS f.../Cf()"") G?r'r~)t-~
NATURE OF WORK "K-,~._~ r....___.A-
USE OF BUILDING 5FA
PERMIT NO. Cj 9 -(", Cjf DATE ISSUED {, -fO -'t '7
,
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I I
I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
CJ7)Gc/ /~~
~/i fe/vi f1
C/
, '
/ i) / ////41
L/ '/'/
J ,,../ i.: // '1 C;
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
BUILDING
ELECTRICAL
PLUMBING rtj(;
HEATING ~
~
DO NOT
/f;,
'} 9- 9 'J
/tz.
k
'7' ;;-'1'7
7-9-7/
BEEN SIGNED
,
OCCUpy UNTIL ABOVE HAS
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 inspectiohs
FOR ALL INSPECTIONS (612) 447-9850