HomeMy WebLinkAboutBuilding Permit 98-0316 DATE TIME
C1TY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED t t—'o?r--�j I�U(�
ADDRESS � � � lD ��� �'� �{��
OWNER CONTR.
PHONE NU. PERMIT NO. �8 - JI t0
O FOOTING ❑ PLUMBING RI ❑ EXtGRAD/FILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING O WATER HOOKUP ❑ FIREPLACE RI
❑ �ISULATION ❑ SEWER HOOKUP ❑ FIREPLAGE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTlON � MECH FINAL ❑
COMMENTS: �ncJ.3A.�t` � W�
�
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC O , CALL FOR REINSPECTION BEFORE GOVERING
inspector: . Owner/Contr:
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS lN ADVANCE.
CODE REQUIREMEN ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTi
� pR, �h' � � CITY OF PRIOR LAKE �. wn« File
=� � � � . ` `'–` `– \ --- ' ' 2. Pink ciry
� rn — -- � i BUILDING PERMIT 3. Yellow Applicant
, TEMPORARY CERTIFICATE OF
I� � � � � � ' r ZONING COMPLIANCE
A�'�1TILITY CONNECTION PERMIT Permit No. q�� 31 �
U�
DIRECTIONS 1. DATE
SPACES NUMBERED 17 MUST BE � �- S m�o `y 9�
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) BUILDING INFORMATION
2. SITE ADDRESS �, ��� S h �� �� � � � I � � 11. SIZE OF STRUCTURE
(� / (Height) (Widlh) (Depth)
z�
3. LEGAL DESCRIPTION 12. NO.OF STORIES
LOT � BLOCK � �� T P�� �S ��� � �� l O 13. TYPE OF CONSTRUCTION
i /
ADDITION �\! �� (�
4. OWNER ( ame) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
V �L on r �-/�/5• j�o
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 O Finish Attic O Re-siding O Finish Basemer� i6. PROJECT COSTNALUE
Chimney O Misc. �O OOO � v �
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No /�V y �v
I hereby ceRiy Uiat I have fumished information on this application which is to the best of my knowledge true and correct. I also certi(y that I am the owner or euthorized agent for
the above mentioned p rly arW that all constructbn will coMorm to all existing state and bcal laws and will proc:eed in aoco►dance with submitted plans. I am aware ttret the
building off ' I can v e lhis pertnft for Just cause. Furthermore, I hereby agree that the cit�r official or a designee may enter upon the property to perfortn needed inspectlons.
x �/tiI�? y 7'�i
SignaNre Lkense No. � �Dale
FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FlLED WITH APPLICATION
Actuel SOIL TESTS O ENERGY DATA O
Front Back Side Side
BUtLDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS O PERCOLATION TESTS O
SPACES REQ. PLANS 8 SPECS O SETS
USE OF BUILDING
���� SPACES ON PLAN SURVEY O COPIES
PERMIT VALUATION D• d� PLOT PLAN O
TYPE OF CONSTRUCTION: I II III IV Amount Brou ht Forvvard $
Ciry: 9 ..................
Occupancy Group A B E F F� I� S U Park Support Fee ................ $
...........
Division 1 2 �4 SAC ......................................... $
�
P7 . 2. 5 conecnve screet Fee ....................... S
Pe�n Fee ................................... $ �
Plan Chedci Fee $ Sewer Tap ................................... $
ng .........................
. O � � 5' a � License Check Fee ......................... $
State Surcharge ............................. $ Z
�� Pressure Reducer .......................... $
Penafty ....................................... $ Meter Hom ................................... $
Septic System ............................... $ Water Meter ................................. $
Other ......................................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Subtotal ............................... $
WaterTap ................................... $
This li ' mes Yo ing PertnR When Approved. Builders D sit ........ $
epo ....................
By Date � — •••••• $
Other ....... .........................
...
CeRificate of Occup Total Due .............................. $ �� a1
Paid . � Recei t No.
Issued
' Date � B
This' rdiy t e requ in the above applkation and accompenying documents is in accordance with the City Zoning Ordinance and may proceed as . This documeM when
sig by i anne� nssti e t mp CerGfiCa of Zp i mpliance and allows construclion to commence. Before occupancy, a CerdfiCa�e of pancy must be issued.
Ciry ner e Speaal Conditions N arry
24 hour notice for all inspections 447-4230 �
� -�/6
� FpR, � R CITY OF PRIOR LAKE ?��a �ty
�.� � 3. Yellow Applicant
� , m PL UMB/NG PERM/ T PP No. `
Applicant: � C� l�'' ► f'�J' Phone: ��.S •/6 d
The Center o( ihe L�ke Coun�ry Address: .S - �+ � ��
� Signature:
Legal Description: Lot / Block / ub Lt�4�1!'� , ���
Site Address: � ,
Building Permit # � �' � � In PID # �s ' � • � ' 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 Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) / Other � ��� ��,�
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1°/a of job cost, $39.50 minimum) $
Residential, New One & Two Family $99.50 $
Residential, Additions & Alterations $39.50 $ 3 . s�
State Surcharge $ .50
GRAND TOTAL $ O f OO
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.
c '�. ' RECEIPT NO. _ • I � DATE
A'ITEST
��� Call for a11 inspections 24 hou in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
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White - Building
Canary - Engineering
Pink - Planning
The Cenler otlhe L�tt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED .5/��9 �
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted Accepted With Corrections �
Denied
Reviewed By: Date: � /Y c /��
Comments:
1 � � -1-G.2 �se.c....� �: �.cs � � r�....oQ o �
2 � (,�.a S►��e�s2. c�[� �S C�.�.T' -E-�.� � `� 1 �f � �
"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."
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�' White - Building
Canary - Engineering
Pink - Planning
The Cenler of Ihe Lske Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �.� � _..:� ���.,�.�� �_ � �
�
APPLICATION RECEIVED � .'? I.�f /� �` �
The Building, Engineering, and Planning Departments have reviewed the building permit �
application for construction activity which is proposed at:
�'� ,.1 � �...:1 �'3 �(o ���i;� ���,�.,.� _
,�.
Accepted V Accepted With Corrections
�
Denied °
�1 / y J�� k�
� Reviewed By: - Date: _�� �
-..�
. Comments:
f
y .
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"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."
- DEPARTMENT OF � ��
BUILDING AND 1NSPECTION
SITE ADDRESS S38C, SI��.� lra: I
NATURE OF WORK �� �,,,,�- �,:,��� S t
USE OF BUILDING S F(�
� PERMI� NO. �'j� -�� Co DATE ISSUED S-�y `��
CONTRACTOR (J�� ���5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
; FRAMING G af 49
, INSULATION ,$ 2S t S
ELECTRICAL
PLUMBING � �y� ��+
HEATtNG (if required) U j � �
COVER NO WORK U TIL ABOVE HAS BEEN SIGNED
�� p• c� z� ti5
FINALS
BUILDING � '
ELECTRICAL
PLUMBINC
� HEATING
DO NOT OCCUPY UNTtL ABOVE HAS BEEN SIGNED
NOTICE
i This card must be posted near an electrlcai service cabinet prior to rough-in inspections
and maintained until ail inspections have been approved. On buildings and additions
, where no servtce cabinet is available, card shall be placed near main entrance.
Cali between 8:00 and 9:00 A.M. for aii inspections
FOR ALL INSPECTIONS 447-4230