HomeMy WebLinkAboutS/W Permit#00-949,00-992,00-953
DATE
TIME
~
CITY OF PRIOR LAKE
INSPECTlaN NOTICE
ADDRESS
~ 5()--)-
SCHEDULED /0' 30"0
( 0 crtlt- SSr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(9 -9 vCJ
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~RKSAT
h ~~RRE ACT,
o COR CT . CALL FOR REINSPECTION BEFORE COVERING
Inspe " or: Owner/Contr:
~ Jtiso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
",
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
1l'lSl'IOTl
DATE
TIME
CITY OF PRIOR LAKE
IN~PECTION NOTICE
SCHEDULED / IJ - 3 1- 0
~ 5 'f):? - / t:, 0 v- S/
/ 0 ~ dO
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/) 4L(q
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP ,"'\ 0 FIREPLACE FINAL
o FINAL '6ilPL"U-MBING F ~) 0 GAS LINE AIR TST
o SITE INSPECTION . A MlcH FIN /:J _ 0
COMMENTS:~~M p~. (io/l/Yerrt.;o0
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
10-25-00
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
5505 160th Street
3. LEGAL DESCRIPTION
1. White
2. Pink
3. Yellow
File
City
Applicant
s ~ W {JI)-of?z.-
Permit No. ~/lJ6<!X1(),J H:::.t::J
1. DATE
10-25-00
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
BLOCK PID
Sect 1-114-22 2.2 Acres
25-901-017-0
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
Schmokel.
5, ARCHITECT
(Name)
William
(Name)
(Address)
(Address)
6. BUILDER
(Address)
(Name)
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc,
8, PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
Yes No
(Tel. No.)
447-4151
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
17. COMPLETION DATE
ch is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
re, I hereby agree that the city official or a designee may enter upon the property to pe~;~ns~
License No, . l ~e .J
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
USE OF BUILDING
OFF STREET PARKING
SPACES REO. ~~ \ ~ l?b
SPACES ON PLAN ()tJ""1
PERMIT VALUATION
Builder's Deposit ............................ ~.
Other ......................................... $
Total Due .............................. $ 3,120.00
Paid ~, / Z- o. (J7) ReceiP~Z .3 f3 ~~ I
Date /0.2'" 0 () By IfjlL---'
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.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
x~e COnnect;1gn..Bee.... $ q,nnn nn
~J\~!.~~&~...f.~~...... $ 7,700.00
City:
(To be assessed)
(To be assessed)
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~ 9tt-
\~-
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By Date
Certificate of Occupancy
Issued
City Planner
Date
24 hour notice for all inspections (952) 447.9850
Special Conditions if any
Amount Brought Forward .................. $
Park Support Fee ........................... $ _
SAC .......'1:I?.NK?.~~.$f!.~..4I.!~$ 1 ,050. 00 1/1('
, ~().Z7' 00 SO.OO-
Collective Street Fee ....................... $ . _ ...
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
45.00
125.00
1,200.00
700.00
/~
x 947.7 . x 947.9
B~ I' I44I.L. /
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01/02/1996 18:54
612-8947972
LAKESIDE PLBG
PAGE 01
'. ,.
)
, .
. , 'C.lTYOFPRIO:R LAKE'
, PLUMBING PERMIT
~;"L' S('J,;nOK_t' / Phone: '-IV? - V/dF/
, Y /,5 I G,. ~ t! -'? ",'cJO"/
I. BI\l~
1. Gald
~, Y~IIQW
Fil~
alY
AppUl;.IJJ'
# 40.153
Appllca:nt:
Address;
S[gnatu~: .', ~...b:'_ S'~
Legal Description: Lot. . Block
SltA Address: S"'(J~t1~ (St.
Building Permit , PIO #
NOTE: This permit will not be processed without oomplete Information.
J I I.. ~/. ~ ' ' : FIXTURE UNITS
A elf( ~ S u:..a:...r/tl",p'1.f' ,95.2,..,.N7C/~:;(, d..; ,
I Quantity I Type of Fixture: Quantity
I .Bath Tub with or without $hower
I Dishwasher
I Floor Dtaln
I
I
I
I Sinks
I Bar Sink
I Water Close,t ' (toUet), '
T.... C..nl.., oIl"" La.. Coun,,,. .
, Sub
Type of FI)l:ture
Rough-Ins
Water Heater
Water Softner
Lavatory (ba,throorn "Ink) "
LaundrY Tray, (1'o,r 2,compartme"t sink)
Shower Stall "'~. - ,
. '.
.. .. ~
Stand Pipe (washing machine)
SE!wage ejector
Back1low ASsembly (RPZ, Double Check, PV
Backflow,Assembly Test
Lawn Sprinkler
Other 'f't1'1S~ /..t.),:;(/~, 4'c;f c:....
, PR.U
fL Avore... ~ fr:J h "....,~a.c.. .
FEE SCHEDULE
Industrial, Commercia! &:MiJlti-Famlly
(1 % of job cost, .$39,50 minimum)
, ,
Residential, New One ,& ,Two'FQmlly
ResIdential, Addltlo~s ,& AlteratIons
State Surcharge
$99.50
S39.50
$
~
$
$
.50
~~.,..._...-.
GRAND TOTAL $ r'O(1i:;J f7/ /;'1
() WI/ <-,'t.
/' ec.JJ 3 ~ to 3 .3
This .pOrinills sratltCcl upon the eltpruj;' condition that said p.~../;./ 0 CJ - CJ 9'...5 ~~
.',~ontrac(or, shall 'comply In all respects ,wllh,the ordinances'
of met Staje PI1,lmbtng Code and the amGndmcmts thereof.
Je~J) ,~NO, DATE
I~, A'J"TBST
,CalJ -for all ins/ections 24 hours in advance,
16200 Eagle Creek Av. S,E., Prior Lake', Minnesota 55372/ Ph,:'(612) 4474230/ FAX (612) 447-4245
Art Equal OppOrtunity 'EmplOYer
GREEN - FILE
YELLOW . APPLICANT
GOLD. CIH
NOTE: Sewer a
contrac
be
with the
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'il/IJev4 ~
I~! { (,"..
n J5uxr 0
_V~~_
SITE ADDRESS:~~()
_1./C/7 - ;25:57
DATE:
/0.27.0D
~f
BLDG. PERMIT #OO.o,~
PID# 25-90/- 0/7-0
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
~McO~ DATE: ID/27 J6D
,
BY
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $~?~ plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
RECEIPT #
REC'O BY
.50
DATE PAID
/~.Zh.OO
3.803/
AMOUNT PAID
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer