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Home My WebLink AboutBldg 00-0753; Plg 00-0900 ( I, WtUte 2. Pink 3. Yellow &~~ , -1 re ~ CITY OF PRIOR LAKE D LS.~ 1.5, U'. \v-'- l'c" n' MPg~~~~NgE~~~~~~TE OF ZONING COMPLIANCE A JTILlTY CONNECTION PERMIT File City Applicant ClO -'153 Permit No. DIRECTIONS SPACES NUMBERE. BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2, SITE ADDRESS \ Ll\ S1 3. LEGAL DESCRIPTION '7 1. DATE ...... : I .~::..\: ~~ ,-,~~~.J ..~ ~jq J{)() . I Qi BUILDING INFORMATION 11. SIZE OF STRUCTURE {Height)18 I (W\dth)141 (Depth) 18 I 12. NO. OF STORIES one 13. TYPE OF CONSTRUCTION 't".....::ll1J"P: 14. FLOOR AREA APPORTIONMENT USE Av~_. T; (l'\ 1"14-h\ I I 4 l'1\~Y PID~S-~t.J-04s-n L-(i-h &DffiJ LOT BLOCK hfld~ ADDITION 4, OWNER (Name) (Address) 14151 Timotlw Avp. (Address) (TeL No,) H(l-1~14 (Tel. No.) .......:" . u____n --- ll.::.:::.:.::.::. (Name) --. -~~~ ;~~- ~-~.~- 5. ARCHrrEcf- 'h::o.C!OJ1Pnt:" {11r)lrO f~rni 1 Vrnnll:l '5, NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 6, BUILDER (Name) (Address) (Tel. N0431_4488 7185 - 132nd street West Apple Valley Doug Carlson, Inc. SEATS 7. TYPE OF WORK Fireplace 0 Septic 0 Deck ot Ae-roofing 0 Porch 0 New Construction 0 Alterations 0 AdditionJtl Finish Attic 0 Ae-siding 0 Finish Basement 0 16. PROJECT COSTN ALUE Ch;mney 0 M;sc, .$.45.000,00 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE Sq, Ft 15.000 W;dth 100 Depth 150 Yes ~ 11/2000 I hereby certify that I have furnished infonnation 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 mentioned property and thaI all construction will conform 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildin~at can revok~is pe7Jt for j~ cause. Furt.9f3rmore, I hereby agree thaI the city official or a designee may enter upon the property to perform needed inspections. X (.)/f. --'-'-~ (m~ 111..1-.0, .5"'5" ~.;1 -20 - If) - J.OID 0 C1 . Sptulll License No. Data FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO, SPACES ON PLAN PERMIT VALUATION L.[~ t')O~ . C!:n1" PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES USE OF BUILDING ~ a-1 Y'c. TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Permit Fee ..........~i~~~~~...l...~...~..~... $~C:;- Plan Check Fee ....................w...... $ -:\Ql./.3(j State Surcharge ............................. $-------.2:) .. SiJ Amount Brought Forward ..................., Park Support Fee ........................... <I: SAC ......................................... or Collective Street Fee ............~........ <t Sewer Tap ................................... $ $ City: Penalty....................................... $ Plumbing Permit Fee ....................... ~ Mechanical Permit Fee ..................... $ Pressure Reducer .......................... It Meter Horn ... .... .... ...... .................. $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ , C-,V~; . 'c( '?- 1-, J) Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Y,,,\ (" ~ Paid 'XC( (" , c;-~ ReceIP~NO' '!5,;) J 'i< Issued m Date 'l( By f ThIS IS to certify that the request In the above application and accompanYing documents IS In accordance With the City ZonIng Omlnanc and may proceed a r uested This document when signed y the Planner constitutes a temporary Certlficai1f Zo~mPllance and allows construction to comme~ce Before occupancy, a Certificate 0 cupancy must be ISSUed. Planner ~ ~e Special Conditions if any 24 hour notice for all inspections (952) 447-9850 Thl' Cl'nll'r of thl' L.kl' Country B~); I Quantity I I I I .~ I I I I I I I CITY OF PRIOR LAKE t ~~L PLUMBING PERMIT # Applicant: R C Plumbing Phone: g'i2- Address: 5,910 Cp.ester Ave Northfield. MN Signature: R~J ). ~ Legal Description: Lot Block Sub Site Address: 14151 Timothv Avenue Building Permit # 11 O. "'753 PID # 7-,::;'-//_4--0""5- 0 NOTE: This permit will not be processed without complete information. FIXTURE UNITS Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) 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 $ $ $ ,g. 50 $ .50 GRAND TOTAL $ 40.00 This permit is granted upon the expr ss condition that said contractor, shall comply,' a e c s with the ordinances of the State Plumbing mendments thereof. ~r /0.(0.00 DATE ATIEST Call for all ins ctions 24 hours in advance, 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer ThO' CO'nIO'. of rhO' L..... Counrry White - Building Canary - Engineering Pink . - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAMEOFAPPLlCANT nou~d~n I Inc. APPLICATION RECEIVED ~ll~-\-- \ \ \ ao 00 (j The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \4 \ 5 \ Ti (\$\+\\$ AVE"_'f\\Je.. I ' Accepted ~ Accepted With Corrections Denied _ Reviewed By:L )~ ~~ , v ,- Date: f;/7-! /CSL) Comments: ~77~ ~ ~~.J-(j,L-k_ .lJ..M~: "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." Th~ C~nt~r nf th~ L.b Country White - Building Canary - Engineering Pink . Planning BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 1)Ol ~dscn I 1(\ r ~. APPLICATION RECEIVED ~~ 1~1- \ \. aOOD U . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \4 \ 5 \ T\ ~crrby AVe'0UP. Accepted --r- Accepted With Corrections Denied CJJz f7 Reviewed By J. ... ._ ~ Date: 8 -(if - ?.ocYl . - ~- )/ Comments: (. ~~ 'Dec~ ({ ~QCn. J-- "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." PRIOR LAKE I.NSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION. SITE ADDRESS /LJI.C;-/ ~~/"' ~ NATURE OF WORK fJ.~rA rl- !'':J",jJ USE OF BUILDING ,-SR\ PERMIT NO. 00-1 S'2.- DATE ISSUED e!l-fc/- 200<) CONTRACTOR th"" (\~A - "b),.,. . Pft)~E ~ 43/- t.jQe9J NOTE: THIS IS NOT"A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT 1116.1 6JO I FOUNDATION (Prior to Backfill) 1 1>:;.. I ~/7/tJtJ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I I I I R.1. I I I I I COVER NO WORK UNTIL ~BOVE HAS BEEN SIGNED I \ I FINALS I FOOTING W - ffR.. /~/~d FRAMING INSULATION ELECTRICAL 'PllJ\M \.oll~ HEATING (if required) () klC ) BUILDING ELECTRICAL _ '"P'ko f~"''f"" HEATING ~~SPECTOR DATE rdI ! /tF/,. /~r-2r ~ t6/z..4 faJ I I I /tJll'C./tJtJ I /6 - 2. ~ I ~. &'- ~ I ~ .Jr OJ. ~/~ lifJ7 I'D BEEN SIGNED DO NOT 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 inspections FOR ALL INSPECTIONS (612) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /4/ '5/ '1/W1oH" u I CONTR. OWNER PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP )I( FINAL 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: reckd :s lNlokes adUeS.~ J~r /~ !we. TIME /OJ.C>O 01) - 75'3-. o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o /' ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORR+'t;, CALL FOR REINSPECTION BEFORE COVERING ( Inspector: Owner/Contr: C~_ ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSlWTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME SCHEDULED ;;(e/= /Cl:30 T~ -J o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FIN1&=. It MECH FINAL (l!lt' COMMENTS: M:Q t' f? ~ mp~Pd~~, @ l<.~o/ll~Jl.~k ~ , /I J CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /4/5/ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~ o INSULATIO ~ I k FINAL \" 1"" ~ SITE INSPECT CJ-~ o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o f:u::tu.~ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ '. Owner/Contr: / CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE 1c)~ ',\r- 'j SCHEDULED ADDRESS I'I/S/ 7/ /M-(J'T7+ Y OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION ~ 0 SEWER HOOKUP o FINAL rlfs:) ~ PLUMBING FINAL o SITE INSPECTiON 0 MECH FINAL COMMENTS: M& . @l 0~M~ ~ (/~J ~ IJOM.J ~ I~, ~~ DATE TIME /~() '7:r>-o A/6'.w1, , p~i~f~''''' t- ~ _ Il- ?56- rtJ-100 "-- 'g ~YI<'~DIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLiNE AIR TST o j" tJ. e.J. o WORK SATISFACTORY, PROCEED )5 CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~, Owner/Contr: , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI