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Home My WebLink AboutBuilding Permit 00-0540 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) "i;;;r;; /tf9fJ? 9 3. LEGAL DESCRIPTION 4- LOT BLOCK ADDITION /CO PP .s l ~JNa":t k MlE,.} ITECT (Name) (Name) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~~~fio M~AlI7D V 120 N 6 1. White 2. Pink 3. Yellow File City Applicant Permit No. -.0 0 .. 0 5~O BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) IelSO 12. NO. OF STORIES PID 25-0.53 -D04-0 8~JI ~tvD (Address) H&u <J /I, U $/J;J . (Address) 13. TYPE OF CONSTRUCTION (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) (Address) .., ,/~~i3)~LaJJ '51-7t.,'-,).511 ~ Re-roofing a Porch a Re-siding a Finish Basement a SEATS 16. ~JECT COSTNALUE 17. COMP~~ D~ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS C'}'V S -f rw ~f ( ~N CO. 'Fireplace a Septic a Deck a Alterations)( Addition a Finish Attic a Chimney a Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. , t hereby certify that I / the above mentio (j building official n ok X 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Yes No SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING Jl!!Es ~/e- , ation on . pplica . hich is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for fo to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the , I hereby agree that the city official or a d,n~v~pon the property to perform eded i ,- Ot) , License No. FOR ADMINISTRATIVE USE Back MATERIAL FILED WITH APPLlCA nON SOIL TESTS a ENERGY DATA CJ PILING LOGS a PERCOLATION TESTS a Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS a SURVEY a SETS COPIES 3:).tlCO .OD , PLOT PLAN a TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $ A Pressure Reducer .......................... $ Meter Horn................................... $ 1 , Water Meter ................................. $ . . 00 Sewer & Water Connection Fee ........... $ /"" V" Water Tower Fee ........................... $ Gas ~;................. $ "Water Tap ................................... $ Thi m Your Building Permit ~en A.APJ2ve,2. _ _ _ Builder's Deposit ............................ $ By Date - ~ Other ......................................... $ Certificate of Occupancy Total Due ...o...Li..................... $ ~4- paid~. Receipt No. Issued - Date By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning inance and may proceed a uested. This document when sig~by the c~=emporary Certi~te of Zoning compliance and allows construction to commence. Before occupancy. a Certificate f pancy must be issued. ~ --{{1- 2'") -&!L :ln~ a.,.l>.L.aYW_ v City Planner Date Special Conditions if any Plan Check Fee ................. ............ $ State Su rcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ City: Amount Brought Forward . ... ... .. ... .. .... $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ............... ...... .............. $ $ 41) .l~- 2 "8 · '2cr ll. · ~o 1./.0. 00 24 hour notice for all inspections (952) 447-9850 BlsellEj L1A(J,()N::,tf/4. f.a/16l0() I, I The, Building, Engineering", and Planning Depai l... tents have reviewed the buildingpenilit application for construction activity which is proposed, at: /4tJ(cQ /'IFl/VIJ7){) 'A~j) ;\/ 6 . I Acc.epted ~ Accepted With Corrections Denied t A .' '" '. "., . Reviewed By: /~ [~ Date: u",.l7-(9Q Comments; . .!J,rv~i ~ S:L~wf~ ~ ~ ~.y , liThe 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." 00 .054-0 Thr Crnlrr of lhr Lakr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 8/S~/€f~/A CO^'~ IlL. to/I 5/0 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 149~r 1'1,4# /77JV Jet:J II 0- Accepted With Corrections Y r , Accepted Denied I/) "Q f Reviewed B~h.;;~ Comments: Date: b-2A-7~~ I. ~ ~/=q ~~~ ~o~ ~ lk.~ Q liThe 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.1I Tile C.....<< of lite Lakt C.atry >crrv\or=P._!~_. .~i."L PLUIIIIINS~... ...... .. PPNo,;o~.~ ~..............~. _.~...fi. ~..,V..~ ~.. 4 ..~... ......\...".3-.. ~ It-O ~~~1b rgjr/J ~'U.\.~/M signature:~ ~. . ~n: Lot Block SUb ._ ~t:J /YJA,,~, /l.t Building Permit # () 0 · 0:540 PIC # NOTE: This permit will not be processed without complete information. FIXTURE "NITS Quantity Type of Fixture "" Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector BackfIow 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 $ .39,5V $ $ $ .50 GRAND TOTAL .~ERh'" This permit is granted upon the express condition that said contractor, shall comply i r cts. with the ordinances of the State Plumbing C amendments thereof. RE DATE Al..lbST Call for all insp tions 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 PRIOR LAKE ..., INSPECTION RECORD (2cJ DEPARTMENT OF -... BUILDING AND INSPECTION SITE ADDRESS ~9 MaV\,-.ou NATURE OF WORK ~~~ USE OF BUILDING S~\) PERMIT NO. 00 .. OS'4-0 DATE ISSUE'D ~-2f,-Zoo CONTRACTOR t::l'r~c. \."C-. ~. p~&." (,S1-1(,c.,"2SIl-c:e.t\. 7DI-'3?2.. 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 SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING .., .. ~/ Ifl//~ (h, fl4/1f1 t/'lP . ~ !/ I / tJ7) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS BUILDING ELECTRICAL PLUMBING HEATIN<I DO NOT ~ , ~ 14/p"/p. (f.n jPj2/ffD OCCUPY UNTIL ABOVE HAS BEEN SIGNED 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. /,;I/rr I b1 I Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECtiONS (612) 447-9850 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED (1--CO '2eo ,:~ ADDRESS JJtljJ" ~ ~.' ~ 't.c}... OWNER CONTR. PHONE NO. PERMIT NO. o · Sc(O o FOOTING o FRAMING {PJ o INSULATION ,. FINAL o FOUNDATION o DEMOLITION o FIRE PREV. o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRADIFILLING o LKSHOREnNETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: k "131 WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK, ~OR REINSPECTION BEFORE COVERING Inspector: ~ . Owner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!