HomeMy WebLinkAboutBuilding Permit 97-0547 � DATE TIME
ClTY OF PRIOR LAKE •
INSPECTION NOTICE SCHEDULED �•S•CID� Z : ^�
ADDRESS �(� ��f'`f �/V I ((����C�SS / /� _
OWNER CONTR.
PHONE NO. PERMIT NO. g 7� S¢ �
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION � SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL � GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: 3� LEY�11
�,:�
_ -
�WORK SATISFACTORY, PROCEED
O CORREC7 ACTION AND PROCEED
❑ CORRECT WORK, L FOR REINSPECTION BEFORE COVERING
Inspector: OwneNContr:
CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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1
�p pR �Q�� —°R TEflE����� CITY OF PRIOR LAKE i. wn«e File
BUILDING PERMIT Z. p'°'` c'
U �� -_ - - . - . ' f 3. Yellow Applicant
`, � TEMPORARY CERTIFICATE OF
C!G i� ( 7 E ' ZONING COMPLIANCE
�'�t AND UTILITY CONNECTION PERMIT Permit No. BP q��`z
DIRECTION � - 1. DATE
SPACES NU�t THAU'iTIOIQS7BE'FILZED�IN ,\
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) �I,/ l BUILDING INFORMATION
2. SITE ADDRESS ` ZO ING I 11. SIZE OF STRUCTURE
� T � �J l �� �F►� s� , C / �Hai9�t� M�i�h� ��eP�
�
3. LEGAL DESCRIPTION 12. NO.OF STORIES
LOT `�' BLOCK _��L��- PID � c/ � � � � ' �O�u �
13. TYPE OF CONSTRUCTION
ADDITION
4. OWN (N m (Addr ) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
�s 2 = 7— 3
5. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK Fireplace O Septic O Deck O Re-roofing O Porch O SEATS
New Construction O Alterations O Addition D Finish Attic O Re-siding O Finish Basement O PRWECT COSTNALUE
Chimney O Misc.
•'' T �� .
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETI N DATE
.
Sq. Ft. Width Depth Yes No ��
I hereby cerdiy that I have fumished infortnation on this application which is to the best of my knowledge true and correct. I also certiTy at I am the owner or autlwrized ager►t for
the above mentioned property and that all construction will conform to all existing state and iocal laws and will proceed in accordance with submitted plans. I am aware ihat the
building ke ' it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the properly to perf ed inspedions.
X r
Signature License No. te
FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FILED WITH APPLICAl10N
Actual SOIL TESTS O ENERGY DATA O
Front Back Side Side
BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS O PERCOLATION TESTS O
SPACES REQ. P�NS & SPECS��SETS
USE OF BUILDI G SURVEY O COPIES
Qg �� t,f,, SPACES ON PLAN
PERMIT VALUATION � PLOT PLAN O
TYPE OF CONS7RUCTION: I II III IV Amount Brou ht Forvward $ o�
City: 9 .................. .
Occupancy Group A B E F H I M� S U Park Support Fee ........................... $
Divisan 1 2�4 �/ SAC ......................................... $
Pertnit ................................... $ ! 7• 7� Coltector Street Fee ....................... S
PlanChedcing Fee ......................... $ / a'� Sewer Tap ................................... $
/ � License Check Fee ......................... $
State Surcharge ............................. $ Pressure Reducer $
Penalty .....[...�'.'..97.....�.�.5.� $ y � • C)� Meter Hom ................................... $ �
Septic Syste��..�1.�.`..:���� � i fi . C�� Water Meter ................................. S
Sewer & Water Connectlon Fee ........... $
Other......................................... $
� Water Tower Fee ........................... $
Subtotal ............................... $ oCN 7� - d 7
WaterTap ................................... $
This i tl mes Your B' ing Permft When Approved. Builder's DeposR ............................ $
By Date � `_ Other ......................................... $ f. f
ToffiI Due .............................. $ �C.,o �'A
Certificate of Occupancy
Paid �� Recei t No.
Issued
Date �
This is to ceray that the request in the above applicatlon and accompanying documents is in accordance with the City Zoning Ordinar�ce and may praceed requested. his document when
signed by ily Plaryi@rr,gonstRutes a temporery Certi � te of ni�g compliance and allows construction to commence. Before occupancy, a CertiF'�cate of Occupancy must be issued.
/�/� � � "1
C� Planner Date � Special Conditions 'rt arry
24 hour notice for all inspections 447-4230
97�5`��
�F R CITY OF PRIOR LAKE Z:G°�a ��ty
PR/p
�,.� � 3. Yellow AppGcant
� , m PL UMBING PERMIT PP No. ��.�
!� Applicant: .�.�,�.�.� _ Phone: �'l �17 • �.3.�
^` � �` �^; �� �� Address: r � ��
� Thd Cen`ierblYhr`E�e.� L� �
; , ? � Signatu
�' ! �� ���� � 7 ;� �� � Legal Description: ot Block Sub �
`� �j � Site Address: � `
I �
��� Building Permit # � PID as .31 �' O oZ� d
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Bacl�low Assembly (RPZ, Double Chedc, PVB)
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commerciat & Multi-Family
(1 % of job cost, $39.50 minimum) $
Residential, New One & Two Family $99.50 $
Residential, Additions & Alterations $39.50 $ c3 � �StJ
State Surcharge $ .50
GRAND TOTAL $ y� Y a
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances a
of the State Plumbing Code and the amendments thereof. ����
RECEIPT NO. DATE
A ST '
Call for all inspections 4 ours in adv
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. ( 2) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employ
i. �s�k . nk
�� Plt�p�, ,. - �-_ .'_� T � �� ' � '� 2. Groe.r - 6tr �
' � CfTY OF PRIOR LAKE �� r � �_ , y ,��' �? ;- �. Yt,io,,, . co�trK,. �
� R; �&200 Eagie CreekAv. S .E. permuNo. --� _--`�- " TYPE OF STAUCTURE N
�� . . �
?p i
' � `'Sing4e P"amily ' Twa-Famify Multi-Family �p
� �
Industrial Public Olhe� �
Dale _ /O�d `P f `3 � ^ �� � - V
PID p D��` 1� � �: -��' � A
`' ____,
� 1__--------- N
Sile Address _ 1(p Q{lt�r (,t',� ��,1�,c {A. • Fee Schedule p�
3
Loi � Block _�_ Addilion 44 �, �' ���, �� �r=: �_ Industrial, Commercial & Mulli-Family 1°/, o( �ob cost (l39.50 minfmum}
Owner's Name
J��d�it��( �� {iesidenilal, Heating 6 AC $99_5U
Res�dential, Healing Onfy $64_50 �1
O
Address ResideMial. Gas Fireplace . Z39.50 �
AffiBO FifESitlB Residenlial. Addilions & Alterations S39_�v0 �
Heating Cantracior � • �iesidential, AC Only $39.50 . �
Address
Ccmt�actor: Lioense a1pQgQ9 i I m
. �
Tefephone �l Rasevilfe M[� S�j� t� Remember to add Ihe State Sur�harge on Ihe boltom ot Ihis a�plicalion. m
F�rnaco Make & Model �,JG�o TYPE OF SYSTEM The pricv ol yvur healing permil includes une ►ough-in and one linai Pnspeclion. p
Warm Air Plants �p
Modef Size (aN4� G-(J�F{..- Gravity Additionat inspections wili be biiled a1$35.00 each. � m
Mechanical A
Conn, Load House Heati�g Tesl Reco►d musl be submilled with �iitdi�a �ermit �¢,�j betwe buil �
Air Condllioning �ng ceriificate of occupancy w�ll be issued. —�
Fue! Flue Slze Vsr�t. Syslem N
HEAT CALCU RE � IR with number ot a�pply a�d relurn openings listed m
SupRly Openi�gs FtEATING OR POWER PLANT �aom wilh CFM's per opeRing. New str�rclures o� additions send 1100► plan with supplp W
Steam and relucn locaGoRS shown. NEAT LOSS CALGULATIONS, RAYMENT AND
Relutn Openings }iol Water APPIIGATIONS MAY 6E MAI�EO TQ THE CITY OF PRIOR LAKE, {6200 �AGIE �
Radialion CREEK AVE. S.E. PAIOA LAKE, MN 55312. A
Input O�ipul c���{1a� Special Devices
Cily Hatl business t�ours are 8 a.m. • 4:30 p.m. ,
Edr. _ '
�Other Devices ALL WORK t►4�1ST BE INSPECTED (ROUGN-IN AND FINAL) • CALL CfTY (iALL
Cim.
447-4230
TYPE 0� WORK 1 he►eby apply tor a mechanica! systems permil and I acknow[edge that i�e
informalion above is comptele and accurate; lhat Ihe work wift be in conlofmanc
Allerations Rep[acsmenl New Construciion wilti the o►dinances and codes of the cily and wi!#� the slale bufiding/mecharsic
Repair Esl. Cornp. Dale �� /c� codes; thal lhis lorm does �ol become a permit urtlil signsd by the BUILDlN
� —� O�FICl/1L.; thal ll�e work wiil be in accordancs with itie approved plan in the
�st. Cost $�� D� •.�-> Bvilding Permit # �7� J�' �f 7 case ol all work �euhich requires revieYr and approval of plans.
HCATiNG PERMIT FEF $ ''�jq �SJ ���
STATE SUF{CNARG� $ . • "ca igna � ele �
PAID WITH
TOTAL PERMIT �EES $ � Q. � Rece �illlLDING PERMIT 4} ' �
�-- Building OflicaJ's Signature ale
�F PR/p
-� y
�
U r�*�
White - Building
Canary - Engineering
Pink - Planning
The Cen�er of Ihe I.�Ice Coa�lry
BUiLDING PERMIT APPLICATION DEPARTMENT CHECKLiST
NAME OF APPLICANT _���.r�ti �.t_�-P
APPLICATION RECEIVED _ 6/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
� � �r��
G .� � � C��!' /��,� _ �
Accepted . Accepted With Corrections
Denied
Reviewed By: Date:
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."
. _ . . , , . v.m„,. _ _ __ _ . .
. �
«- _
White - Building
Canary - Engineering
Pink -�PIal�ning
T6e Cemer o( the L�kt Country
BUILDING PERMIT APPLICATION DEPAR�MENT CHECKLIST
NAME OF APPLlCANT �-� �.�.�n�.. ...�f���.��-�--��'"'
APPLICATION RECEiVED ��`
The Building, Engineering, and Planning Departments have reviewed the building permit
, application for construction activity which is proposed at:
� r��. � �
Accepted , Accepted With Corrections
Denied
. Reviewed By: Date: � � � ,.�._
, � Comments:
r .. .
4
4' •
�
"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 cance! the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
! � R I O R LA KE BUILDING AND INSPECTION
�
� INSPECTI�N REC4RD
SITE ADDRESS � � � �
NATURE OF WORK '
USE OF BUILDING
PERMIT NO. 97-.�"� DATE ISSUED la/z��97
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ! 6
GAS LlNE AIR TEST
COVER NO WORK UNT1L ABOVE HAS BEEN SIGNED
WALLBOARD
. FINALS
GRADING (Prior to Sodding)
BUILDING , D /
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTfL ABOVE HAS EEN SiGNED
NOTICE
' This card must be posted near an elecirical service cabinet prior to rougfi-in inspections
� and maintained until all inspections have been approved. On buildings and additions
, where no service cabinet is available, card shall be piaced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230