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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-- &~~ :7;"/;'1 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