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HomeMy WebLinkAboutBuilding Permit 98-0003 7. TYPE OF WORK New Construction [] Chimney [] Misc. B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft Width Depth Yes No 1 hereby certify that I have furnished in.. "..,. on this application which Is to the best of my " . ',:~, true and correct. I also certify that I am the owner or authorized agent for the above mentioned props and that all constJUCtion wi" confoon to all existing state and local laws and wIU proceed in accordance with submitted plans. I am aware 1ha1 the building ~ It for use. Furthermoll hereby agree that the city official or a designee may enter upon the property to perform needed I~. X/'":'.&.-_--: _____ /1/'1/"7 (./ , License No. 7 ~ 6ate Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ CoIlectorStreetFee ....................... $ Sewer Tap ................................... $ Ucense Check Fee ......................... $ Pressure Reducer .......................... $ MeterHom................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ ~ ..~ T~~~jf.............:~;:1~~ r- In the above application and accompeny"lQ documents IS In accordance With the"\ ol1g ... _..........._ and may proceed as~. This document when . c..i...." WanrJiJ and allows oonslJ1JCtlon to commence. _,. OCCl.\lOflcy, a CeI1IftcaIe of cl&:upancy must be Isauad. Special Conditions W any 6fJ 1(. J-f5 f~(, '~fu CITY OF PRIOR LAKE BUILDING PERMIT, ,,; 'I; TEMPORARY CERTIFICATE OF Ie.-. . ZONING COMPLIANCE -AND UTILITY CONNECTION PERMIT .__...:--::-,~ 1 . ~'-_:.) . DATE RECE1\1I;l) DEe 3 I ' ~J1 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 IS-o~z BLACk oAK ROAD 1. DATE /)...:3"'11 ZONING f?J :;\~. ~ul1' ol~' 0 3. LEGAL DESCRIPTION ~ LOT .~ ~~p~~ A/od,. PID ~j). ""~PI774rJ BLOCK ADDITION 4. OWNER (Name) ,~e$ :l) (Address) I~ 9bkK ~~O (Address) (Tel. No.) #7 -S'7z5' (Tel. No.) G,4"ep,.,ie;R 5. AR""I II I c."". (Nome) '\. '\ (Address) .rot;. J.vo~~ Septic jj Deck jj Addition jj Finish Attic jj (Tel. No.) B. BUILDER ~,... (Name) ./ .. ~ ~.....-. Areplace jj Alterations CJ Re-rooflng jj Porch CJ Re-siding jj Finish Basement)( ----- FOR ADMINISTRATIVE USE SETBACKS: Required Actual F"",' Side 5~. Baok BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION --2,.trlC> .00 ~F BUILDING -, ~J. .L:~.'.u<.... TYPE OF CONSTRUCTION: I II III IV (ii) OccupencyGroup ~.~ ~ ;}. I M ~ City: S U ~Q.'2.) '40 . i<f [.00 1../0, (P L/(). dO r""''i1 p{f./ \? I 0) <6 \ W'" ll"~ Pennlt Fee ................................... $ Plan Checklng Fee ......................... t Stele Sutt:harge ....................I{. Penalty ...........I.t,...':l.'U;.. . . $ ~~uf~lem alf:.Jf:4.~ . . ~ Other ......................................... $ I............................... $ mes Lr Building Pennlt When Approved. ~ Dele' - <;-"iFi Issued 24 hour notice for all inspections 447-4230 1. White 2. Pink 3. Yellow Permit No. BP File City AppIiCIDt o/g.o0.3 Jr' . .'I'_~. i - .~, BUILDING INFORMATION 11. SIZE OF STRUClURE (Height) (Widlh) (Depth) 12. NO. OF STORIES .3 ~t1"r- 13. TYPE OF CONSTRUCTION ,;'I!'esl"~~ 14. FLOOR AREA APPORTIONMENT USE 1S. NUMBER OF OCCUPANTS OR SEATS OCCUPANT~ SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE /9f6 MATERIAL FILED WITH APPUCAnoN SOIL TESTS Ll ENERGY DATA Ll PILING LOGS Ll PERCOLATION TESTS Ll PLANS & SPECS........-sETS SURVEY PLOT PLAN Ll COPIES Ll 9['003 4T /9l_'O , CITY OF PRIOR LAKE PLUMBING PERMIT APPlicant:-J1?::l ?./tI/J{8;'~t. Address: -'''J/J tlJC'j()r~dErH 14 V"t'. .56. Signature:~ ~ Legal Description: Lot S- Block.3 Sub~.rrv 12 , A~ c.. 1- ~ Site Address: L5'PSJ. BhU'kdlllk ep. ' Building Permit # :fi-~.:s PID# Z~-30'l-()llJ-(;) NOTE: This permit will not be processed without complete information. I. Blue File 2. Gold City 3. Yellow Applicant #~1 vv.~ Phone: '14t-//t7h Y$ P'2"~ I3~M: MAr S.5"'"4.....<2- Th, Crnltr of lh. ukr Counlry FIXTURE UNITS J Type of Fixture Bath Tub w~h or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (lor 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) Quantity Type of Fixture Quantity I Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow 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, Add~ions & Alterations State Surcharge $99.50 $39.50 $ $ $~ /" $ .50 GRAND TOTAL $~ /-. PAID WITH BUILDING PERMIT This pennit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Code and the amendments thereof. -"''16(>':>' RECEIPT NO. 1-:;te-94..DATE f:../ ?1---- ATIEST Call for all inspections 24 hours in advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer White . Building Canary . Engineering Pink - Planning ne C..lt, 0' 11M Lake COlI.." BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ;J~ btJVld~ /J../ J I / "J 1 , . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /$o5~ Bf~ OJ.L M.J Accepted Accepted With Corrections >< Denied n j Reviewed By:VJ ~ ~ Comments: ,. () f ~-L. ~1AA"1cL Cl..(",~w...'" ~+ I"ll-+ ~ 1.",,-.., q ~I)d~ ~k l?",.,~ If-J.J- Date: J -t:;- c; & "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." Tile unlfl or tile uke C..II')' White - Building C_ry - Engineering Pink - PIIInnInO BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr. NAME OF APPLICANT APPLICATION RECEIVED r1/Ji-,,-,J-:> brA If( '\} K.-. I:J./JI/ '71 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J 50 5.;.. gp(.iA~1 (~tcL M ..) Accepted ./ Accepted With Corrections Denied Reviewed By: WlJ//1J21/l . Comments: /V1A) IJ!./)'r J.. . ..)f- ~,t)(\CutJC(..lr()y'}~ AtJ4'w:.t->>tJ!. ~ _ " 1/ !;;lj /?rJr.JLJ ~ tlffb/u;h(Jn. Date: 1//t:!/9f (A... ~.""' "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." .". '.,~,~,. ..... ~,"~~I'r,.,R1'..p:i,..l!jl1^;~'E.;.'. . ..!~~'. .!\!. ..' ~ ..1~JI;t ~i;, ..8~ .. .,:;'4'~;;~;;~;$~;'.rIfJ;'I;';?iI]~::.i/".;:' ........ . .... . ;~1;'~i;,1 ',~il.J;,:~:r1 0 N R E C~() R I:.}~~>':,~?:~., ~:~.., ".,;..;,....<. ,. . ".'"'''''' ilSiOc .'"?\ 'L "'" .D A . ""'< ',~'~.',~!:";r.,." "'!';.'.~J;rE;A.DpBESS;:~: '. ,J ~ aAc-~ ~"=- t..a.. .,;, , : ' . ';\~:;?' : ".}NATUREOFWORK .?......u...J.. r:"",,,~' .,.' ;., .':: USE OF BUILDING ~. ~1.....L... ~.ry ... .'. 'e!i';~'PERMmNO:i;~;: era - 003 ' OJtrE ISSUED '.L::5 - q ~.. . "<:~!.<CONTRACTdR J_.. ~.- . . ,.,t'O't'E:,THISis NOT.A PERMIT FOR ANY OF THE INSPECTlq~~~1,EJ,.1:~9~;, ..\~1,;t~r . Jtlf.:",ej:,tlMIJj,JS B.V.SEPARATE DOCUMENT. '. .'6~~~~;~t,:*,-.I'h;~,"\"r. ..<:,~'<~j(~3~_- i1, _,' ,:)i; ~"'t~~;v'/~f~f-:,:! :;::"~:;.i{',_~I.:,;- . ,- , INSPECTOR " ' DATe .,",\r~",>i" ,1"'$, .", _ '.h, '-', ,.'.1 . I I . .. ."I..~,; i2~;*~!:" 1 I.. .,;,.,:"'\h!i.~;1f!A~ifJ\~?,""r>I.'wr ~ . ~ ' . 'FH':'ACE~'NO'CONCRETE UNTIL ABOVE HAS BEENSIGNE 1,:~'~!~;~S:.i~:i~t:>~:Ai:2~:,;:'\,,, ,~-,."" ' , ..' ,'; ".."."',, ;.:~~tY*k- '>~~:J'J"~""~,,..,,,. ... ROUGH. - INS ,,' , ",.p., ,';" DEPARTMENT9F . BUILDING AND INSPECTION'q , ,,' . 'j,' ,r'- .' " : ,.':. ,:~ ,; rir 1.1. ",,. 11 _... 'l!"M'jnflil.N" 'l!llil"!.I"~!"Il1.",,:;;,t!!e .", '. .......'I'1:''''.'''.'''Jl\!Ii(''~"'''' , ::,l::""JVlj "Q',~~r~~~~~~)1;',~~:,,__, ~;~~~t<;.. _'. ,,' '~,_':..';, ",~.Jt~~~rt:~'~::~~r~f'~';" I.IN. .....~.'.U..... ',....,.....,, .....10. ..,N.. i"".... "..~.~.~...,:.'.~. i\Jji.,.:';,;t:.:' .'; ,,,, .;i. .", : .~":,"',"M::.llik"':;t~..if.:~c,~' _ ~ ~I, :i/:ib ~ . ,"" ':' - ,/, t;,"::~':i,~~~~lt..~~"- /iIIl!........i11....e...'.A......'K.. .,........"......e:......... ...! .""'." ,.!f."."...;."...."....'.. .., . '.' ;.,,"""'"'.."l'..~;;,I'i:6'''~.! ~;c,~ , ~.~~~n ~~~1:-,\i,' _. ': ~1''J;.';.'.'i-...,~ ,..,",,' ,. " " ,-" ".~!,y;:7~:;;r~;.,;~;I'>';\~,f,~.,' , .~~I)MBI~G;'~4t':,~; ""f,,:;~~l.{-1(1 ../::c.;:t:.~it;f\r~~~ ,f..E:~TING1(If:teq.redr"';,.; ':' ' '. .L .... ".' .;, "';l):J;"~~ TFiREPIlACE?,f':'x";", 1',- Y ....dy. /""/c,G,,;e.,/.. . .'''',:::::;;;,:;;~~''t?~,W;h' 'GAS'['NEAIF~TEST .. !ff _1-~1(-1" ' . : ~;",r'>','.: :' "',:" "'-, " , _ ,v ' , '- _ -," 'n' . , :" .' '~r~' "':" :t':- ':~ '''''','', ' ' COVER'NOWORKUNTIL ABOVE HAS BEEN SIGNEb~i~1~f~, , .'. I 't':~j~., --r,;- J, ~..., , ;,. " I .",' ". -, ", ",'-' :0.' '"..".,~.". ....'".. . I."i. '. . ;'-'i 1""'~''''''''''''!f,~,4:'''?i1''~.' ~~ ' >1'Ji{~;~'~; . tJIi'~O!'.q,!,:.,ifijiI.,;-. ..<tJi'/c";"..F I N A'.L'.S ""1' ;~.'~~~T~~~~;~,?;,t~;)~t,{t':'':-:' '- ft' , . '. ' ,~~~~'?~~f~';'~:~i!:'\.-,.-~::~>: I :". . .. .' ~JI("".., " ..,..~.."~._~';' '.' '/H;//;;J"'".''''' tJ'rJ. ~"r~r['q;~' / ", ~t ~:'1?( ""'". .. ~I .. ' i.<?'..:t.~":~,,( ",:,; r /fII' ~p,i'~;7C ". I -"<, .~ . r/~~.4,. Z~""". ,Qf ~9:~~u,e;y~,U~}'II~',;ABOVEfHAS . BEEN: $J,O" iiJ ~.:i~;,I~i, (~ ,,~.~'~?~;j~i,f:::~~:,:~'~~~7~~~~~';~>,':r:t':.:'-;:;'NOTI,CE, ," , -", I,' " ~ :,. -,: ';-,:':::i~~?r;,~~_:-,'<~,J::~':~/;;:H,;:r~?,":_:'.;'~r:, !Js:card ' b,e postec:inear:,en ,electrical .ervlce cabinet prior to rough-In Inspections:,~i;~"::i; ,:~.. nd'rnalntalned;untllllllnlpectlo".1 have bean Ipprove~. On buildings and Id!litlons'~.~.:J' ,g; .. ere no'..rvld!'cailblnet 1..viilliabl.,'Carci thall be pllcecl near main. "'" ce::;,""}f\~;;,;t;!'i:;'!/'";'~" "".i. !-:t':.-~t~!;::~'-;;:,(!;::",~";,"t",;';"".~.:",;,,_,:-:,>./;:.,,~;:;;;;,..' -,-".,;:,', .-,.';,,''' :' .< ,> ' "";"'.:~~~i-: "1',}~:..1~: " .:/';:fr: : Call between 8:00 and 9:00 A.M. for alllnspactlons .,. .',. .. :~;"" ,,;:"? ,'.. FOR'" ALL INSPECTIONS 447-4230 :;., OATE TIME CITY OF PRIOR LAKE . L'7k/ INSPECTION NOTICE SCHEDULED J; P/.1<7 ADDRESS /SOS-.2. Lf' kcA- ~~ Rei PHONE NO. OWNER CONTR. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ...,IlHINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~UMBING FINAL ~CH FINAL COM.MENT~ I I"" / _ ~ /7~~~1 //1--1 Z/~~ . . /l -'" , ///GI~ bk (/ /p-/ed ~k ./ , /0j,,"i!: / 6?f ,-: ,. _/ h k<ei / t!:7/<: /2./;-c;;;/ O/r' ~~// ('7/( Qp-3 o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o g;~/f~ -- ~- / ---./ /~ r / 'ft7Se h/l"" ./ /WORK~I~r AMe....', 1- n.Vl.ott::c.LJ ------ /';;" ~ORRECT ACTION AND PROCEED o CORRECT WORK" c;.~ ';tR REINSPECTION BEFORE COVERING Inspector. /"U/Z ~rIContr: CALL "7.9860 FOR THE NF'(T Itl!\PECTlON 24 HOURS IN ADVAtlc;E CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SltFETYI IMNOTI